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Employee Wellness… The Intersect of a Productive Worker. Drew Bossen, PT, MBA Atlas Ergonomics. Agenda…. Introduction The Boomer’s are Coming… - The Age Shift - Workforce Implications Design Consideration Size Matters… Prevalence Medical Conditions & Associated Costs Atlas Data

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Employee Wellness…

The Intersect of a Productive Worker

Drew Bossen, PT, MBA

Atlas Ergonomics


Agenda…

  • Introduction

  • The Boomer’s are Coming…

    - The Age Shift

    - Workforce Implications

    • Design Consideration

  • Size Matters…

    • Prevalence

    • Medical Conditions & Associated Costs

    • Atlas Data

    • The Future


Atlas Overview…

Case Management

Return to Work Evaluation

Total Systems

Approach

Rehab Services

Recordable Event

Reactive Ergonomics

Employee Triage

Discomfort

Pro-active Ergonomics & Wellness

Pre-work Screens

Essential Function Profiles of Jobs


Atlas Overview…

Case Management

Return to Work Evaluation

Rehab Services

Recordable Event

Reactive Ergonomics

Employee Triage

Discomfort

Pro-active Ergonomics & Wellness

Hire the right people

Pre-work Screens

Essential Function Profiles of Jobs


Atlas Overview…

Case Management

Return to Work Evaluation

Rehab Services

Recordable Event

Reactive Ergonomics

Help them avoid injury

Employee Triage

Discomfort

Pro-active Ergonomics & Wellness

Hire the right people

Pre-work Screens

Essential Function Profiles of Jobs


Atlas Overview…

Case Management

Get them back to work quickly

Return to Work Evaluation

Rehab Services

Recordable Event

Reactive Ergonomics

Help them avoid injury

Employee Triage

Discomfort

Pro-active Ergonomics & Wellness

Hire the right people

Pre-work Screens

Essential Function Profiles of Jobs


Atlas Overview…

Case Management

Return to Work Evaluation

Rehab Services

Recordable Event

Reactive Ergonomics

Employee Triage

Discomfort

Pro-active Ergonomics & Wellness

Proactive Approach

Pre-work Screens

Essential Function Profiles of Jobs


Atlas Overview…

Case Management

Return to Work Evaluation

Rehab Services

Recordable Event

Reactive Approach

Reactive Ergonomics

Employee Triage

Discomfort

Pro-active Ergonomics & Wellness

Proactive Approach

Pre-work Screens

Essential Function Profiles of Jobs


Atlas Overview…

Case Management

Return to Work Evaluation

Rehab Services

Recordable Event

Reactive Ergonomics

Medical Management

Employee Triage

Discomfort

Pro-active Ergonomics & Wellness

Pre-work Screens

Essential Function Profiles of Jobs


Atlas Overview…

Case Management

Return to Work Evaluation

Case

Management

Rehab Services

Recordable Event

Reactive Ergonomics

Medical Management

Employee Triage

Discomfort

Pro-active Ergonomics & Wellness

Pre-work Screens

Essential Function Profiles of Jobs


Atlas Overview…

Case Management

Return to Work Evaluation

Data Flow

Rehab Services

Recordable Event

Reactive Ergonomics

Employee Triage

Discomfort

Pro-active Ergonomics & Wellness

Pre-work Screens

Essential Function Profiles of Jobs


Atlas Overview…

Case Management

Return to Work Evaluation

Total Systems

Approach

Rehab Services

Recordable Event

Reactive Ergonomics

Employee Triage

Discomfort

Pro-active Ergonomics & Wellness

Pre-work Screens

Essential Function Profiles of Jobs


The Boomer’s are Coming…

What are the implications…







Boomer Factoids…

  • It is the fastest growing population segment.

  • It is the most affluent consumer group that exists.

  • It accounts for over 40% of total consumer demand.

  • It control over 48% of all discretionary purchases in the U.S.

  • It owns 62% of all large Wall Street investment accounts.

  • It dines out 4-5 times per week.

As of today…

Every 7 seconds someone in America turns 50.

Regarding that 50+ age group:

Source:

Gary Onks – SoldOnSeniors, Inc.

SoldOnSeniors.com


Life Expectancy…

Population by Age and Sex: 1900

Source of Life Expectancy:

National Center of Health Statistics, Health, United States, 1990, Hyattsville, MD: Public Health Service, 1991.

Male

(millions)

Female

(millions)


Life Expectancy…

Population by Age and Sex: 1990

Source of Life Expectancy:

National Center of Health Statistics, “Advance Report of Final Mortality Statistics, 1990, “Monthly vital Statistics Report, Vol.41, no. 7, Supplement, Hyattsville, MD: Public Health Service, 1993.

Male

(millions)

Female

(millions)

Boomers


Life Expectancy…

Population by Age and Sex: 2020

Source of Life Expectancy:

National Center of Health Statistics, “Advance Report of Final Mortality Statistics, 1990, “Monthly vital Statistics Report, Vol.41, no. 7, Supplement, Hyattsville, MD: Public Health Service, 1993.

Male

(millions)

Female

(millions)

Boomers


Life Expectancy…

Population by Age and Sex: 2040

Source of Life Expectancy:

National Center of Health Statistics, “Advance Report of Final Mortality Statistics, 1990, “Monthly vital Statistics Report, Vol.41, no. 7, Supplement, Hyattsville, MD: Public Health Service, 1993.

Male

(millions)

Female

(millions)

Boomers


Life Expectancy…

Source of Life Expectancy:

National Center of Health Statistics, “Advance Report of Final Mortality Statistics, 1990, “Monthly vital Statistics Report, Vol.41, no. 7, Supplement, Hyattsville, MD: Public Health Service, 1993.

Reported in Millions

1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050


Changes in the Workforce…

Given that…

What are the implication for the workforce as we approach 2015?



Vision…

  • Visual acuity declines with age

    ≈ 25% by age 60

  • Visual reaction time doubles

  • The time to react to glare increases 50%

  • More light is required with aging

    • 40-year old requires 2X

    • 60-year old requires 5-6X


Vision…

  • Contrast sensitivity decreases with aging

    • 40-year old requires 120%

    • 50-year old requires 160%

    • 65-year old requires 270%


Vision…

  • Contrast sensitivity decreases with aging

    • 40-year old requires 120%

    • 50-year old requires 160%

    • 65-year old requires 270%

  • Field of view, motion perception, and depth perception all decline with age


Hearing…

  • Consistent hearing loss with aging

    • 2-3.5% per year throughout life

  • Mid-range hearing loss

    • By age 50, is 10 dB,

    • By age 60 it is 25 dB,

    • By age 70 it is 35 dB

  • Decreased ability to tune out background noise


Cognitive Ability…

  • Information processing declines with age

  • Cognitive ability declines with age

    • Learn new material or skills

    • Attend to two or more tasks at once

    • Long term memory



Strength…

  • Strength decreases with age

    • 5% by age 40

    • 20% by age 55

    • 40% by age 75

  • Most dramatic after the age 65.

    • 80% of the loss is due to inactivity however it can be maintained with training

  • Tendon strength decrease with age

    • Rotator Cuff tears

    • Achilles Tendon ruptures




Metabolic Rate…

  • Basal metabolic rate declines with age




Aerobic Power… 2009

  • Maximum Aerobic Power declines with age

    • At age of 65 it is 70% of what it was at age of 25


Aerobic Power… 2009

Max HR = 220 – age



Changes in our Tissues… 2009

  • Aging is associated with changes within skeletal muscle

    • Decrease force, power, endurance, and

    • Increase recover time for an injury

  • More vulnerable to injury

  • Reduced capacity to regenerate after tissue injury due to overexertion


Musculoskeletal Disorders (MSDs)… 2009

  • MSDs are the most common cause of disability among workers in their 50’s and 60’s

  • Advancing age is associated with more spinal complaints, hand pain, and other upper extremity pain


Slips, Trips and Falls… 2009

  • Reaction times slow with aging

    • 40-year old requires 25% more time

    • 60-year old requires 150% more time

  • Trips are common in older people because of age related changes in gait

  • A weaker skeleton intensify the injuries associates with falls in older people



A Boomer’s Perspective… 2009

Who We Are: As 77 million boundless, ageless, timeless baby boomers move into the next stage of their lives, they are redefining quality of life itself and continuing their signature quest for personal and social meaning. Boomers are redesigning mid-life, redefining the empty nest, reinventing retirement and exploring life in new and unexpected ways.

http://www3.sc.maricopa.edu/boomerz/about.htm


A Boomer’s Perspective… 2009

Source: American Heart Association, January 2004

OPTIMISM: ANOTHER WORD FOR DENIALA large majority (89 percent) of Boomer respondents are optimistic that they will have a healthy future and nearly all (97 percent) look forward to an active lifestyle in retirement. This optimism is belied, however, by the way many baby boomers actually live -- and choose to ignore potential health problems.

Clyde Yancy, MD

American Heart Association Board Member

Professor of Medicine/Cardiology, Univ. of Texas



Prevalence of Obesity by Age… 2009

Source: aspe.hhs.gov/health/prevention/fig1


Definitions… 2009

  • Overweight: excess of body weight.

    • Muscle

    • Bone

    • Fat

    • Body water.

  • Obesity: abnormally high proportion of body fat.

  • BMI is a reliable indicator of total body fat.

    • Calculation based on height & weight

    • It is not gender specific

    • Does not directly measure % of body fat

    • Better measure than weight alone


Limits of BMI… 2009

The limits of BMI include:

  • It may overestimate body fat in athletes and others who have a muscular build.

  • It may underestimate body fat in older persons and others who have lost muscle mass.

  • Appropriate weight gain during pregnancy varies and depends upon initial body weight or BMI level. 

    • Pregnant women should contact a health professional to assure appropriate weight gain during pregnancy.




Prevalence of Overweight… 2009

2007-2008 Data

36%


Prevalence of Obesity… 2009

2007-2008 Data


Prevalence of Overweight / Obese... 2009

Prevalence of overweight , obese and extreme obbesity among adults. Percentage of adults aged 20-74 who were classified as obese (body mass index ≥25.00 kg/m²) in the National Health Examination Survey 1 (NHES1) and in eight National Health and Nutrition Examination Surveys (NHANES)


No Data <10% 10%–14% 2009

Obese Trends – BRFSS, 1985...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 2009

Obese Trends – BRFSS, 1986...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 2009

Obese Trends – BRFSS, 1987...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 2009

Obese Trends – BRFSS, 1988...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 2009

Obese Trends – BRFSS, 1989...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 2009

Obese Trends – BRFSS, 1990...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 15%–19% 2009

Obese Trends – BRFSS, 1991...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 15%–19% 2009

Obese Trends – BRFSS, 1992...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 15%–19% 2009

Obese Trends – BRFSS, 1993...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 15%–19% 2009

Obese Trends – BRFSS, 1994...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 15%–19% 2009

Obese Trends – BRFSS, 1995...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 15%–19% 2009

Obese Trends – BRFSS, 1996...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 15%–19% ≥20

Obese Trends – BRFSS, 1997...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 15%–19% ≥20

Obese Trends – BRFSS, 1998...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 15%–19% ≥20

Obese Trends – BRFSS, 1999...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


No Data <10% 10%–14% 15%–19% ≥20

Obese Trends – BRFSS, 2000...

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

Source: Behavioral Risk Factor Surveillance System, CDC


Obese Trends – BRFSS, 2001... ≥20

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

<10% 10%–14% 15%–19% 20%–24% ≥25%

Source: Behavioral Risk Factor Surveillance System, CDC


Obese Trends – BRFSS, 2002... ≥20

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

<10% 10%–14% 15%–19% 20%–24% ≥25%

Source: Behavioral Risk Factor Surveillance System, CDC


Obese Trends – BRFSS, 2003... ≥20

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

<10% 10%–14% 15%–19% 20%–24% ≥25%

Source: Behavioral Risk Factor Surveillance System, CDC


Obese Trends – BRFSS, 2004... ≥20

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

<10% 10%–14% 15%–19% 20%–24% ≥25%

Source: Behavioral Risk Factor Surveillance System, CDC


Obese Trends – BRFSS, 2005... ≥20

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

<10% 10%–14% 15%–19% 20%–24% ≥25%

Source: Behavioral Risk Factor Surveillance System, CDC


Obese Trends – BRFSS, 2006... ≥20

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

<10% 10%–14% 15%–19% 20%–24% ≥25%

Source: Behavioral Risk Factor Surveillance System, CDC


Obese Trends – BRFSS, 2007... ≥20

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

<10% 10%–14% 15%–19% 20%–24% ≥25%

Source: Behavioral Risk Factor Surveillance System, CDC


Obese Trends – BRFSS, 2008... ≥20

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

<10% 10%–14% 15%–19% 20%–24% ≥25%

Source: Behavioral Risk Factor Surveillance System, CDC


Obese Trends – BRFSS, 2009... ≥20

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

<10% 10%–14% 15%–19% 20%–24% ≥25%

Source: Behavioral Risk Factor Surveillance System, CDC


Obese Trends – BRFSS, 2010... ≥20

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

<10% 10%–14% 15%–19% 20%–24% ≥25%

Source: Behavioral Risk Factor Surveillance System, CDC



Medical Conditions… ≥20

  • Overweight and obesity are known risk factors for:

  • Diabetes

  • Heart Disease

  • Stroke

  • Hypertension

  • Gallbladder Disease

  • Osteoarthritis (degeneration of cartilage and bone of joints)

  • Sleep Apnea and other breathing problems

  • Some forms of cancer (uterine, breast, colorectal, kidney)








Don’t Wait for the Defect… ≥20

Discomfort

Root

Causes


Don’t Wait for the Defect… ≥20

Pain &

Dysfunction

Discomfort

Root

Causes


Don’t Wait for the Defect… ≥20

Recordable

Injury

Pain &

Dysfunction

Discomfort

Root

Causes


Don’t Wait for the Defect… ≥20

Recordable

Injury

Pain &

Dysfunction

Discomfort

Root

Causes


Office… ≥20


Office… ≥20

921 participants

U.S. Utility Call Center






Atlas Data… ≥20

% of Population Experiencing Low Back Discomfort


Atlas Data… ≥20

28,000 participants

Schneider National, Inc.


Atlas Data… ≥20

Source: The Measurement of Man & Woman. Revised Edition; Human Factors in Design; Henry Dreyfuss Associates.  Publisher John Wiley & Sons, Inc.   


BMI Distribution in Commercial Drivers… ≥20

** Occupational Screening for Obstructive Sleep Apnea in Commercial Drivers

Indira Gurubhagavatula, Greg Maislin, Jonathan E. Nkwuo and Allan I. Pack

American Journal of Respiratory and Critical Care Medicine Vol 170. pp. 371-376, (2004)


BMI Distribution in Commercial Drivers… ≥20

** Occupational Screening for Obstructive Sleep Apnea in Commercial Drivers

Indira Gurubhagavatula, Greg Maislin, Jonathan E. Nkwuo and Allan I. Pack

American Journal of Respiratory and Critical Care Medicine Vol 170. pp. 371-376, (2004)


Atlas Data… ≥20

Source: 2009 Atlas White Paper

Transportation Ergonomics: Relationship between Demographics and Discomfort in the Trucking Industry. March 2009


Atlas Data… ≥20

Source: 2009 Atlas White Paper

Transportation Ergonomics: Relationship between Demographics and Discomfort in the Trucking Industry. March 2009


Atlas Data… ≥20

Source: 2009 Atlas White Paper

Transportation Ergonomics: Relationship between Demographics and Discomfort in the Trucking Industry. March 2009


Archives of Internal Medicine ≥20

2007; 167; 766-773


Claim Costs / BMI… ≥20

Archives of Internal Medicine

2007; 167; 766-773


LWD per Claims / BMI… ≥20

Archives of Internal Medicine

2007; 167; 766-773


Short Term Disability… ≥20

Archives of Internal Medicine

2007; 167; 766-773


Workplace Injuries… ≥20

Archives of Internal Medicine

2007; 167; 766-773




Medical Claims… ≥20

Archives of Internal Medicine

2007; 167; 766-773


Medical Claims… ≥20

Archives of Internal Medicine

2007; 167; 766-773


Medical Claims Costs… ≥20

Archives of Internal Medicine

2007; 167; 766-773


Lost Workdays… ≥20

Archives of Internal Medicine

2007; 167; 766-773


Indemnity Claims Costs… ≥20

Archives of Internal Medicine

2007; 167; 766-773



Risky Behaviors… ≥20

Preliminary Estimates from

SNI New Hire Panel Study

Analysis by Jon Anderson & Stephen Burks;

University of Minnesota, Morris.

For background, see the Truckers & Turnover Project web page:

http://www.morris.umn.edu/academics/truckingproject/


Risky Behaviors… ≥20

Preliminary Estimates from

SNI New Hire Panel Study

Analysis by Jon Anderson & Stephen Burks;

University of Minnesota, Morris.

For background, see the Truckers & Turnover Project web page:

http://www.morris.umn.edu/academics/truckingproject/



Critical Reading… ≥20

Dee W. Edington

Health Management Research Center

University of Michigan

March 2009


Paradigm Shift… ≥20

“The Cost of Healthcare” (Treating Disease)

To

“The Total Value of Healthcare” (Managing Health Status)


Health Continuum… ≥20

Optimal Health

Chronic Illness

Birth

Death


Health Continuum… ≥20

Optimal Health

Chronic Illness

Health Risk Factors

Birth

Death


Health Continuum… ≥20

Optimal Health

Chronic Illness

Health Risk Factors

Birth

Death


Health Continuum… ≥20

Wellness

Optimal Health

Chronic Illness

Health Risk Factors

Birth

Death


Health Continuum… ≥20

Wellness

Optimal Health

Chronic Illness

Health Risk Factors

Birth

Death

Treatment


Health Continuum… ≥20

Wellness

Optimal Health

Chronic Illness

Health Risk Factors

Birth

Death

Prevention

Treatment


Health Continuum… ≥20

Wellness

So how might we slow down this process… or Improve the health status??

Optimal Health

Chronic Illness

Health Risk Factors

Birth

Death

Prevention

Treatment


Health Continuum… ≥20

Wellness

Optimal Health

Chronic Illness

Health Risk Factors

Birth

Death

Prevention

Treatment


Health Continuum… ≥20

Wellness

Optimal Health

Chronic Illness

Health Risk Factors

Birth

Death

Prevention

Treatment


Health Continuum… ≥20

Wellness

Optimal Health

Chronic Illness

Health Risk Factors

Birth

Death

Prevention

Treatment


Health Continuum… ≥20

Wellness

Optimal Health

Chronic Illness

Health Risk Factors

Birth

Death

Prevention

Treatment


Bending the Curve… ≥20

The

“Do Nothing Strategy”


Wellness Strategy… ≥20

Keep the Healthy… Healthy


Wellness Strategy… ≥20

Keep the Healthy… Healthy

Everyone Else… Don’t Get Worse


Health Continuum… ≥20

Wellness

Optimal Health

Chronic Illness

Health Risk Factors

Birth

Death

Prevention

Treatment

Bending the Curve of Healthcare


Why Wellness… ≥20

Schneider National, Inc

Wellness Program


Why Wellness… ≥20

  • Obesity is linked to a multitude disease states

  • Also linked to a various Work-Comp Metrics


Wellness Programming… ≥20

  • Screening programs linked to medical care delivery to ensure follow-up and appropriate treatment.

  • Health education that focuses on skill development and lifestyle behavior change.

  • Supportive social and physical environments and policies that promote health.

  • Integration of the worksite program into the organization’s culture.

  • Related programs to assist employee success.



Wellness Programming… ≥20

  • Height and Weight

  • Blood Pressure Screening

  • Resting Heart Rate

  • Blood Work

    • Total Cholesterol

    • Triglycerides

    • Glucose

  • Cardio-Vascular Test

  • Health Risk Assessment








What we’ve Learned… ≥20

  • Recruiting and program retention is successful when it’s relationship-based.

  • Office, Shop and Driver associates all demonstrated positive health outcomes with the Wellness Program.

  • There is a general lack of knowledge and application of general health principles by all groups.


What we’ve Learned… ≥20

Most Challenging

  • Challenge Rating

  • Smoking

  • BMI

  • Triglycerides

  • Blood Pressure

  • Glucose

  • Cholesterol Ratio

  • Aerobic Capacity

  • Finding a Primary Care MD / carrying medical insurance

Easily attainable


What we’ve Learned… ≥20

Learning healthy behaviors isn’t “Rocket Science”, so why is it so hard?

Diet + Exercise

– Smoking

=Better Health


What we’ve Learned… ≥20

  • For the Participant, it is a 2 step process:

  • Understand your current condition


What we’ve Learned… ≥20

  • For the Participant, it is a 2 step process:

  • Understand your current condition

  • Convert your new knowledge into practice



Seasonal ≥20Programming…


What we’ve Learned… ≥20

  • Wellness is a key to keeping our fleet on the road.

  • A typical driver DOT exam, or annual physical does not address wellness.

  • Helping parents along the road to wellness will help our future – children mimic what they see.

  • We have to provide the education and the opportunity to facilitate lifestyle changes… it will not happen on its own.

  • We need to create the culture of wellness at every turn. It is not inherent to this industry.




Prevalence of Overweight - Children… ≥20

Prevalence of obesity among children and adolescents. Percentage of children aged 2-5, 6-11, and adolescents 12-19, who were classified as overweight (95th percentile of body mass index for age according to the 2000 Center for Disease Control growth charts) in the National Health Examination Survey 1 (NHES1) and in four National Health and Nutrition Examination Surveys (NHANES)




Life Expectancy… ≥20

  • Obesity could shorten the average lifespan of an entire generation.

    • 2-5 year reduction in the lifespan of a child born today

      New England Journal of Medicine

      March 2005


Life Expectancy… ≥20

  • “Childhood obesity is like a massive tsunami headed toward the United States.”

    David Ludwig, MD

    Pediatric Endocrinologist

    Boston’s Children’s Hospital


Finally… ≥20

We must take care of our kids…


Questions… ≥20

Drew Bossen, PT, MBA

4191 Westcott Drive NE

Iowa City, IA 52240

Phone: 616-844-6322 Ext. 3202

Cell: 319-430-3382

Fax: 616-328-6768

Email:[email protected]


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