Feb 2001 HP Forum

The Physical Activity & Health Initiative(PAHI): 

The Physical Activity andamp; Health Initiative (PAHI) Jim Carman, M.S. Employee Health Promotion Coordinator The California Department of Health Services and University of California, San Francisco, Institute for Health andamp; Aging

Presentation Objectives: 

Presentation Objectives Health Promotion Leaders Physical Activity Guidelines, Trends and Costs PAHI Take Action! Statewide Agenda for Health Promotion

Words of Wisdom: 

Words of Wisdom 'Speaking generally, all parts of the body which have function, if used in moderation and exercised in labours to which each is accustomed, become thereby healthy and well developed, and age slowly, but if unused and left idle, they become liable to disease, defective in growth, and age quickly.'

Physical Activity Guidelines: 

Physical Activity Guidelines Accumulate 30 min or more of at least moderate intensity physical activity 5 or more days per week 1996 Surgeon General’s Report on Physical Activity and Health

Physical Activity “Lite” Guidelines: 

Physical Activity 'Lite' Guidelines 30 Minutes Most Days Activities You Enjoy

Prevalence of Obesity among U.S. Adults, BRFSS, 1985: 

Prevalence of Obesity among U.S. Adults, BRFSS, 1985 Source: Mokdad, et al.

Prevalence of Obesity among U.S. Adults, BRFSS, 1986: 

Prevalence of Obesity among U.S. Adults, BRFSS, 1986 Source: Mokdad, et al.

Prevalence of Obesity among U.S. Adults, BRFSS, 1987: 

Prevalence of Obesity among U.S. Adults, BRFSS, 1987 Source: Mokdad, et al.

Prevalence of Obesity among U.S. Adults, BRFSS, 1988: 

Prevalence of Obesity among U.S. Adults, BRFSS, 1988 Source: Mokdad, et al.

Prevalence of Obesity among U.S. Adults, BRFSS, 1989: 

Prevalence of Obesity among U.S. Adults, BRFSS, 1989 Source: Mokdad, et al.

Prevalence of Obesity among U.S. Adults, BRFSS, 1990: 

Prevalence of Obesity among U.S. Adults, BRFSS, 1990 Source: Mokdad, et al.

Prevalence of Obesity among U.S. Adults, BRFSS, 1991: 

Prevalence of Obesity among U.S. Adults, BRFSS, 1991 Source: Mokdad, et al.

Prevalence of Obesity among U.S. Adults, BRFSS, 1992: 

Prevalence of Obesity among U.S. Adults, BRFSS, 1992 Source: Mokdad, et al.

Prevalence of Obesity among U.S. Adults, BRFSS, 1993: 

Prevalence of Obesity among U.S. Adults, BRFSS, 1993 Source: Mokdad, et al.

Prevalence of Obesity among U.S. Adults, BRFSS, 1994: 

Prevalence of Obesity among U.S. Adults, BRFSS, 1994 Source: Mokdad, et al.

Prevalence of Obesity among U.S. Adults, BRFSS, 1995: 

Prevalence of Obesity among U.S. Adults, BRFSS, 1995 Source: Mokdad, et al.

Prevalence of Obesity among U.S. Adults, BRFSS, 1996: 

Prevalence of Obesity among U.S. Adults, BRFSS, 1996 Source: Mokdad, et al.

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Prevalence of Obesity among U.S. Adults, BRFSS, 1997 Source: Mokdad, et al.

Slide19: 

Prevalence of Obesity among U.S. Adults, BRFSS, 1998 Source: Mokdad, et al.

Overweight California: 

Overweight California

The Human Costs of Sedentary Living: 

The Human Costs of Sedentary Living 250,000 lives lost per year due to inactivity alone! Sedentary lifestyle and poor CV fitness associated with higher mortality rates (all-cause, CHD, some cancers and stroke). Each associated with significant increases in risk for CHD, stroke, HTN, type II diabetes, osteoporosis, colon cancer, depression, falls, limited mobility and loss of independence.

Physical Activity & Health Initiative Mission: 

Physical Activity andamp; Health Initiative Mission To create enjoyable social andamp; physical environments that enable and encourage Californians to become and stay active, thereby reaping the benefits of a physically active lifestyle More People More Active More Often

Changing Cultures to Support Healthy Behaviors: 

'An individual’s efforts to live a healthy lifestyle can be greatly enhanced by a supportive cultural environment.' Judd Allen, Ph.D., Human Resources Institute Changing Cultures to Support Healthy Behaviors

The Physical Activity & Health Initiative: 

The Physical Activity andamp; Health Initiative

1999 California Survey of Employee HealthPromotion Activities: 

1999 California Survey of Employee Health Promotion Activities Random sample 1000 businesses Dunn andamp; Bradstreet list KPMG Peat Marwick Health Insurance Policy Project: UCLA UC Berkeley

Survey Findings and Priorities: 

Survey Findings and Priorities Collaborate Integrate HP with HR, CEO, Safety in business strategy Expand and strengthen professional networks HP resources and training Create or promote alliances of companies Address disparate population of small business Eliminate silos - HP will succeed together

Average % of Workers Who Report Access to Employee Health Promotion by Business Size: 

Average % of Workers Who Report Access to Employee Health Promotion by Business Size Field Institute Work and Health Survey, 1996

California Employment by Size of Employer: 

California Employment by Size of Employer California Employment Development Department, Labor Market Information

Director’s Challenge/March into MaySpring Into Summer!: 

Director’s Challenge/March into May Spring Into Summer! Pilot physical activity promotion program National Coalition for Promoting Physical Activity - CDC - APHERD - AHA - IHRSA - AWHP - ILSI - ACSM - NAGC 5 California, 60 U.S. Participants were less active than average before SIS and more active at its conclusion

Take Action!www.ca-takeaction.com: 

Take Action! www.ca-takeaction.com Internet-based activity promotion program Adaptable to suit organization sizes and types Management support Stages of Change model Individual goal setting - 10 weeks - time limited Motivational - incentive prizes, social support Gateway to other changes and resources

“The program centered around a physical fitness facility had little measurable impact on cardiovascular risks … the combination of counseling and plant organization of the worksite to encourage peer support provided the best health outcomes… Moreover, significant increases in frequency of exercise can be sustained without a substantial investment in facilities”: 

'The program centered around a physical fitness facility had little measurable impact on cardiovascular risks … the combination of counseling and plant organization of the worksite to encourage peer support provided the best health outcomes… Moreover, significant increases in frequency of exercise can be sustained without a substantial investment in facilities' Heirich, Foote, Erfurt, Konopka University of Michigan

Health Enhancement Research Organization (HERO) www.thehero.com: 

Health Enhancement Research Organization (HERO) www.thehero.com Medstat and Staywell conducted the study on a database of health risk data and medical claims from six clients with a total of 46,000 employees Discovering the relationship between modifiable health risks and health care expenditures 80% of costs are incurred by the 20% at greatest health risk

Why Promote Physical Activity? Some of the Benefits:: 

Why Promote Physical Activity? Some of the Benefits: For employees: improved self esteem stress management weight management reduced injuries reduced smoking reduced disease reduced mortality esprit de corps For employers: improved productivity improved morale improved recruitment reduced turnover reduced absenteeism reduced disability reduced health costs teamwork

Slide34: 

“The first wealth is health.”: 

'The first wealth is health.' Ralph Waldo Emerson