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State of Wellness Michigan
1. MICHIGAN’S HEALTHY BUSINESSES DECADES IN THE MAKING Christi Demitz Heart Disease & Stroke Unit Michigan Department of Community Health State of Wellness – September 15, 2011
What a change we’ve seen over the past 30 years! Most of us on the call were at least alive during the 80s, and some of us were even working during that time! For those of you old enough to remember the 80s, you were a part of a decade where: 1980s Average income was $19,500 (Retrieved 6/13/2011 from http://www.thepeoplehistory.com/1980.html) The success of Reebok resulted from the aerobics fitness craze of the 1980s (retrieved 8/10/2011 from http://www.triviabug.com/quiz-questions/business.php). Despite the rise of popularity of Reebok shoes: 30.5% of adults got no leisure time physical activity (36 states and DC, 1988 statistics from CDC 1988-2008 no leisure time physical activity trend chart accessed online 9/14/2011 at http://www.cdc.gov/nccdphp/dnpa/physical/stats/leisure_time.htm) Other health behaviors of the 1980s were: Adults ate 3.06 servings of fruits or vegetables daily (NHANES III, 1998-1994 access online 9/14/2011 at http://www.fruitsandveggiesmorematters.org/wp-content/uploads/UserFiles/File/pdf/press/AJPM_32-4_Casagrande_with%20embargo.pdf) The smoking rate was 33.2% (1980, CDC) The obesity rate was 15.0 (1976-1980 Odgetn, Cynthia L., Carroll, Margaret D. (2010, June). Prevalence of Overweight, Obesity, and Extreme Obesity Among Adults: United States, Trends 1976-1980 Through 2007-2008. National Center for Health Statistics, Center for Disease Control. From: http://www.cdc.gov/nchs/fastats/overwt.htm accessed 9/14/2011) In the 1990s : The average income was $28,970 (Retrieved 6/13/2011 from http://www.thepeoplehistory.com/1990s.html) In 1997, the Corolla became the bestselling car in the world, with over 30 million sold as of 2007 (retrieved 9/12/2011 from http://www.triviabug.com/quiz-questions/business.php) 28.4 of adults got no leisure time physical activity (36 states and DC, 1988 statistics from CDC 1988-2008 no leisure time physical activity trend chart accessed online 9/14/2011 at http://www.cdc.gov/nccdphp/dnpa/physical/stats/leisure_time.htm) Adults ate 3.66 servings of fruits or vegetables daily (1994 BRFSS, CDC) The smoking rate was 25.5% (1990, CDC) The obesity rate was 23.2 (1988-1994 Odgetn, Cynthia L., Carroll, Margaret D. (2010, June). Prevalence of Overweight, Obesity, and Extreme Obesity Among Adults: United States, Trends 1976-1980 Through 2007-2008. National Center for Health Statistics, Center for Disease Control. From: http://www.cdc.gov/nchs/fastats/overwt.htm accessed 9/14/2011) In the 2000s : The median income was $40,343 (Retrieved 6/13/2011 from http://www.thepeoplehistory.com/2000.html) Amazon.com is America’s largest online retailer and Staples (office supplies company) is the runner up (Retrieved 8/10/2011 from http://www.triviabug.com/quiz-questions/business.php) 25.1 of adults got no leisure time physical activity (36 states and DC, 1988 statistics from CDC 1988-2008 no leisure time physical activity trend chart accessed online 9/14/2011 at http://www.cdc.gov/nccdphp/dnpa/physical/stats/leisure_time.htm) Adults ate 3.5 servings of fruits or vegetables daily (2005 BRFSS, CDC) The smoking rate was 23.3% (2000, CDC) The obesity rate was 32.9 (2003-2004 Odgetn, Cynthia L., Carroll, Margaret D. (2010, June). Prevalence of Overweight, Obesity, and Extreme Obesity Among Adults: United States, Trends 1976-1980 Through 2007-2008. National Center for Health Statistics, Center for Disease Control. From: http://www.cdc.gov/nchs/fastats/overwt.htm accessed 9/14/2011) What a difference a few decades makes in terms of business & health! I mean, we didn’t even have Google in until 1998! Your state’s data may look similar to these percentages. There are definitely successes to celebrate: Michigan’s smoke-free workplaces law went into effect in May 2010. Though our smoking rates continue to decrease, our overweight and obesity rates continue to climb. We have a bit of work to do as a state before we see 100% compliance with national recommendations in each of these categories. A 1/3 of all US deaths are attributable to these three modifiable, health-damaging behaviors: tobacco use, lack of physical activity, and poor eating habits. . (Accessed 9/12/2011 at http://www.ncbi.nlm.nih.gov/pubmed/15010446). And employee lifestyle counts for a vast majority of health care claims costs 87.5% according to an Indiana University-Purdue University, Fort Wayne (IPFW) Study, 2006 as reported in The Health & Economic Implications of Worksite Wellness Programs, An American Institute for Preventive Medicine Wellness White Paper. The workplace is an ideal environment for cultivating a healthy lifestyle. 45% of a person’s waking hours are spent in the workplace and 82% of the US population is linked in someway to a worksite. Worksites can be environments that promote health or that create barriers to health. (Healthy Workforce 2010. Partners for Prevention 2001, as reported in Arkansas State of Wellness presentation) Chronic diseases are prevalent in our worksites: almost 1 out of every 2 adults has at lest one chronic illness (Wu SY, Green A. Projection of chronic illness prevalence and cost inflation. Santa Monica, CA: RAND Health; 2000, as reported by CDC. Accessed online 9/14/2011 at http://www.cdc.gov/chronicdisease/overview/index.htm) They cost employers a bunch of money: They cause lost productivity (in absenteeism and presenteeism): cancer - $39.8 billion to lost productivity; obesity $56 billion to lost productivity; CVD & stroke - $142.5 billion to lost productivity; risk factors such as smoking – more than $80 billion and poor nutrition - $9 billion related to heart disease, cancer, stroke, and diabetes (CDC as reported in Worksite Wellness in Arkansas) And they cost lives: chronic diseases are the 7 out of 10 deaths among Americans each year are from chronic diseases. Heart disease, cancer and stroke account for more than 50% of all deaths each year (National Vital Statistics as reported by CDC. Accessed 9/14/2011 at http://www.cdc.gov/chronicdisease/overview/index.htm) The focus of the worksite wellness activities in the Cardiovascular Health, Nutrition & Physical Activity Section is the prevention and management of cardiovascular disease, which includes heart disease & stroke.
FLASHBACK TO THE 1980s: President Regan led our country Fitness fads: In the 80s, Jane Fonda, leg warmers and head bands took over as aerobics classes sprouted up all over the country, which were then followed by "low impact" step classes. (retrieved 6/13/2011 from http://www.infoplease.com/spot/healthtrends1.html) Smoking legislation: In 1988 Congress passed legislation banning smoking on US domestic flights of less than 2 hours; the law was made permanent and extended to flights of less than 6 hours in 1990. (Retrieved 6/21/2011 from http://www.cdc.gov/mmwr/preview/mmwrhtml/00000014.htm) Mr. Potato Head stops smoking – 1986 was also the year that Surgeon General C. Everett Koop asks Hasbro to stop including a pipe as a Mr. Potato head accessory. Mr. Potato Head became the official “spokespud” for the American Lung Society and the Great American Smoke-out. (Retrieved 6/21/2011 at http://www.tobacco.org/resources/history/Tobacco_History20-2.html)
The WCHP program spanned the entire decade of the 1990s and into the turn of the century. Before we go into the 2000s, I wanted to share the picture I call my “ergo Christi” picture. When I first looked at this picture I wondered what the heck I was doing with my neck in that awkward position. This in fact is me in my 1990s workplace. Notice the huge typewriter in the background. At least I had a computer, but that’s pretty huge, too. It was at this worksite I was introduced to worksite wellness. I was part of a team called LBLTRNU (I’ll be healthier than you). I credit my teammate for naming our team (very clever person).
Impacted others beyond employees = healthy food items in vending machines purchased by residents; spouses
One of the worksites in the project making use of the stairs to increase physical activity opportunities for employees. Albert Kahn I’m usually like the guy in the background: I know the stairs are good for me, but I’m not too happy to use them!
As I’ve covered, the period of 2000 – 2010 we saw a lot of different worksite projects cross our path. Here’s my strategic plan Christi picture. Not the most flattering, but kind of a nice way to summarize what our experience was for the first 10 years of the new century. Here’s what we’ve done, here’s what we’ve heard, now we make a plan and implement it. Sometimes easier on paper than in real life, as you are completely aware!