1 / 60

Prince George’s County Fire/EMS Wellness and Fitness Training December 2007 – CRS 40

Prince George’s County Fire/EMS Wellness and Fitness Training December 2007 – CRS 40. “Wellness & Fitness For Life”. Unacceptable Average Life Expectancy. 66. Problems. Adjusting to “Abnormal Culture” vs. “Normal World”

patch
Download Presentation

Prince George’s County Fire/EMS Wellness and Fitness Training December 2007 – CRS 40

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Prince George’s County Fire/EMSWellness and Fitness TrainingDecember 2007 – CRS 40 “Wellness & Fitness For Life”

  2. Unacceptable Average Life Expectancy 66

  3. Problems • Adjusting to “Abnormal Culture” vs. “Normal World” • The National and Departmental “Cultural Attitude” Towards Wellness and Fitness • Health Care System Policy and Procedure • Failure Rate of Programs • Alcoholism/substance abuse • Addictive/Extreme behaviors • Psychological Stress of the public safety officer • Physiological Stress of the public safety officer • Departmental Bureaucracy • Organizational and Individual Workload • Recruitment and Hiring Process • Economics

  4. Public Safety Typical Personality Profile • Perfectionist • Driven to succeed • Willing to work long and irregular hours • Ideals of individual service and sacrifice • Independent/ self reliant • Tendency to be a “risk taker” • “Adrenalin Junkies”

  5. “Wellness” - Defined

  6. “Tip of the Spear” Health risk factors: Uncontrollable factors - Increasing age - Sex (gender) - Hereditary (including race) Controllable and/or treatable by changing lifestyle or medicine - Abnormal lipid profile (Cholesterol) - Hypertension - Obesity (Increase BMI, >30 lbs overweight) - Sedentary lifestyle - Smoking - Diabetes - Poor nutrition

  7. Cardiac Risk Factor ProfileAmerican College of Sports Medicine Risk Stratification The Risk Factors • Age • Family Cardiac History • *Abnormal Cholesterol Levels • *High Blood Pressure • *Obesity • *Sedentary Lifestyles • *Smoking • *Diabetes *Identified as primary risk factors by American Heart Association Controllable

  8. Risk Factor Age • Defining Criteria -Male > 45 years old -Female > 55 years old

  9. Risk Factor Family History • Defining Criteria -Male = Heart attack or sudden death before age 55 of father, brother, or son. -Female = Heart attack or sudden death before age 65 of mother, sister or daughter.

  10. Risk Factor Hyper-Cholesterolemia • Defining Criteria -Total serum cholesterol is > 200 mg/dL -HDL (high density lipid) “good” cholesterol is < 40 mg/dL -LDL (low density lipid) “bad” cholesterol is > 130 mg/dL -Currently on cholesterol medication. **Note: Negative Risk factor if HDL is > 60 mg/dL**

  11. Good, Bad, and Ugly Cholesterol “GOOD” High Density Lipids (HDL)

  12. Good, Bad, and Ugly Cholesterol “Bad” Low Density Lipids (LDL)

  13. Good, Bad, and Ugly Cholesterol “Ugly” Total Cholesterol > 200 High Density Lipids (HDL) < 40 Coronary Risk Ratio > 5.0

  14. Good, Bad, and Ugly Cholesterol “Ideal” Total Cholesterol < 200 High Density Lipids (HDL) > 40 Coronary Risk Ratio < 5.0 **Negative Risk factor if HDL is > 60**

  15. Risk Factor Hypertension • Defining Criteria -Systolic blood pressure > 140 mmHg -Diastolic > 90 mmHg -Confirmed on at least two separate readings. -Currently on high blood pressure medication.

  16. What are High Blood Pressure Risks? Likelihood of cardiovascular event by the chronic hypertensive numbers…… 115/75…………………………….Normal 135/85……………………………. 3X 155/95……………………………. 4X 175/105………………………….. 8X *National Heart, Lung & Blood Institute

  17. Risk Factor Obesity • Defining Criteria -Body Mass Index >30 ~ 30lbs over ideal weight -Male waist girth >40 inches -Female waist girth >35 inches *Use clinical judgment when evaluating obesity and BMI

  18. Obesity PATTERNS CAN CAUSE • Premature death • Cardiovascular Disease • High Blood Pressure • Osteoarthritis • Some Cancers • Diabetes

  19. Obesity Trends Among U.S. Adults between 1985 and 2006 • Source of the data: • The data shown in these maps were collected through CDC’s Behavioral Risk Factor Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect data through a series of monthly telephone interviews with U.S. adults. • Prevalence estimates generated for the maps may vary slightly from those generated for the states by BRFSS (http://aps.nccd.cdc.gov/brfss) as slightly different analytic methods are used.

  20. Obesity Trends* Among U.S. AdultsBRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  21. Obesity Trends* Among U.S. AdultsBRFSS, 1986 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  22. Obesity Trends* Among U.S. AdultsBRFSS, 1987 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  23. Obesity Trends* Among U.S. AdultsBRFSS, 1988 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  24. Obesity Trends* Among U.S. AdultsBRFSS, 1989 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  25. Obesity Trends* Among U.S. AdultsBRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  26. Obesity Trends* Among U.S. AdultsBRFSS, 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  27. Obesity Trends* Among U.S. AdultsBRFSS, 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  28. Obesity Trends* Among U.S. AdultsBRFSS, 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  29. Obesity Trends* Among U.S. AdultsBRFSS, 1994 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  30. Obesity Trends* Among U.S. AdultsBRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  31. Obesity Trends* Among U.S. AdultsBRFSS, 1996 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  32. Obesity Trends* Among U.S. AdultsBRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  33. Obesity Trends* Among U.S. AdultsBRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  34. Obesity Trends* Among U.S. AdultsBRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  35. Obesity Trends* Among U.S. AdultsBRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  36. Obesity Trends* Among U.S. AdultsBRFSS, 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  37. Obesity Trends* Among U.S. AdultsBRFSS, 2002 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  38. Obesity Trends* Among U.S. AdultsBRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  39. Obesity Trends* Among U.S. AdultsBRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  40. Obesity Trends* Among U.S. AdultsBRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  41. Obesity Trends* Among U.S. AdultsBRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  42. Risk Factor Sedentary Lifestyle • Defining Criteria -Persons not participating in regular exercise program. -Persons not accumulating 30 minutes of moderate physical activity at least 4 – 7 days per week.

  43. Muscular Strength • The ability to exert a maximal force at a given speed in a single voluntary contraction. • Muscular Endurance • The ability to exert a sub-maximal force for voluntary contractions or one extended contraction. • Cardio-Pulmonary Endurance • The ability of the heart and lungs to deliver oxygen to working muscles for extended periods of time. • Flexibility • The ability to have a range of motion at a joint and/or spine. Durable and Multi-Disciplined Public Safety Fitness

  44. Risk Factor Tobacco Use • Defining Criteria -Current tobacco user of any type (cigarette, cigar, pipe, chewing tobacco) -Tobacco user that has quitwithin last 6 months.

  45. Risk Factor Diabetes • Defining Criteria -Physician diagnosed diabetes (insulin, diet or exercise controlled)

  46. Is there something on your six? S T R E S S

  47. A Healthy Stress Pattern Uh Oh! Excited Normal Ah! Relaxed

  48. A Unhealthy Stress Pattern Uh Oh! Uh Oh! Excited Breakdown Uh Oh! Relaxed

  49. Commonly Used Maladaptive Coping Techniques • Harder, Faster, Better • Hyper-Activity • Impulsive and Reckless Behavior w/o Thought • Substance Abuse S T R E S S

More Related