Addressing Obesity at the Workplace Promising Approaches HERO Forum for Employee Health Management Solutions September 18-20, 2006 Chicago, IL Nico Pronk, Ph.D., FACSM, FAWHP Vice President, Health & Disease Management Executive Director, HealthPartners Health Behavior Group
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Addressing Obesity at the WorkplacePromising ApproachesHERO Forum for Employee Health Management SolutionsSeptember 18-20, 2006Chicago, IL
Nico Pronk, Ph.D., FACSM, FAWHP
Vice President, Health & Disease Management
Executive Director, HealthPartners Health Behavior Group
Senior Research Investigator, HealthPartners Research Foundation
Optimal, best possible performance, fully present
Fully absent, no work or duties performed
Worst possible performance, fully present
Performance Quality Units (%)
The Work Loss Continuum
Work Performance Scale
Source: Pronk, NP. ACSM’s Health & Fitness Journal 2003;7(3):31-33
Direct Medical Costs
Indirect Medical Costs
Source: Hemp, P. Harvard Business Review, October, 2004
Medical and Absenteeism Expenditures Attributable to Excess Weight
Source: Finkelstein, et al. Am J Health Promot 2005;20(1):45-51.
* All p-values < 0.001
Source: Keyes, Grzywacz. JOEM 2005;47:523-532.
Impact of obesity on work limitations is akin to 20 years of aging
Source: Hertz, et al. JOEM 2004; 46:1196-1203.
Dep. Var. Effect on PROD
PA vigorousWork rateImprovement
Cardiorespiratory fitnessExtra effortImprovement
BMI obeseGetting alongDecrement
BMI morbidWork loss daysDecrement
No HPDP program participationAbsenteeismDecrement
Lack of emotional fulfillmentPresenteeismDecrement
Sources: Pronk, et al., JOEM, 2004; 46(1): 19-25; NBGH Issue Brief Dec. 2005.
HealthPartners Systematic Review on Obesity
Total: 80 studies; N=24,698; 16,823 completers (68%)
Systematic Review of Weight Loss StudiesAverage Weight Loss of Subjects Completing a Minimum 1-Yr Weight Management Intervention80 Studies, 24, 698 Subjects, 16,823 Completers (68%)
Optimizing Practice through Research
The application of “evidence-based” recommendations
Logic Framework Depicting the Conceptual Approach to Development of an Adult Weight Management Protocol
Height and Weight
(Body Mass Index)
Source: HealthPartners Health Behavior Group, 2004
Source: Linde, et al Int J Behav Nutr Phys Act 2006, 3(3) [access online].
Source: Wyatt, et al Obesity Management 2005;1(2):56-61.
(policies, norms, etc.)
Health education programming
(leadership support, resources)
(supporting structure incl.
Measurement and Evaluation
by BMI Risks