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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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Nico Pronk, Ph.D., FACSM, FAWHP
Vice President, Health & Disease Management
Executive Director, HealthPartners Health Behavior Group
Senior Research Investigator, HealthPartners Research Foundation
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 moderate Quality Improvement
Work rate Improvement
PA vigorous Work rate Improvement
Cardiorespiratory Fitness Quantity Improvement
Cardiorespiratory fitness Extra effort Improvement
BMI obese Getting along Decrement
BMI morbid Work loss days Decrement
Physical inactivity Absenteeism Decrement
No HPDP program participation Absenteeism Decrement
Physical inactivity Presenteeism Decrement
Poor diet Presenteeism Decrement
High Stress Presenteeism Decrement
Lack of emotional fulfillment Presenteeism Decrement
Sources: Pronk, et al., JOEM, 2004; 46(1): 19-25; NBGH Issue Brief Dec. 2005.
Total: 80 studies; N=24,698; 16,823 completers (68%)
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