Stories From the Field: State Agency Experiences

1. Stories From the Field: State Agency Experiences Community and Worksite Wellness Program Department of State Health Services

2. How do you define fitness?

3. Fitness • Sports Focused = Being of an ideal weight and body composition to accomplish specific athletic tasks • Health Focused = Capable of accomplishing daily tasks of living and preventing disease or injury

4. !!! Key Take Home Message !!! “In American society today, if you do not make a conscious, concerted effort to eat less and exercise you will end up overweight or obese.” - Brett Spencer, 2013

5. American Society So, How Did We Get To This Point? Socio-Ecological Model

6. Inventions of the 1990’s • 1990 – First Iteration of the World Wide Web • 1990 – Resurgence of Development of Electric Car Technology – Clean Air Act Passed • 1993 – Pentium Processor Developed • 1995 – Digital Camera • 1995 – DVD’s • 1995 – Amazon Created • 1995 – eBay Created

7. Inventions of the 1990’s • 1996 – Universal Serial Bus (USB) Connection Created • 1996 – Dolly – The First Cloned Sheep • 1996 – BackRubProject Began • 1997 – First Toyota Prius Gasoline/Electric Hybrid Released • 1998 – Google is Incorporated • 1998 – First Two Modules of International Space Station are Joined Together • 1998 – iMac Launched • 1999 – First BlackBerry Device Launched • 1999 – Bluetooth Technology Introduced – Allowed file sharing without cables = First Remote Browsing

8. Inventions of the 2000’s • 2001 – First iPod Launched • 2004 – Facebook Created • 2005 – YouTube Created • 2006 – Wii Launched • 2006 – PS3 Introduced • 2006 – Abiocor Artificial Heart Approved by FDA • 2007 – First iPhone Launched • 2010 – Xbox 360 Kinect Introduced • 2010 – First iPad Released

9. What do all of these new creations have in common?

10. “But……………”

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

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

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

14. 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%

15. 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%

16. 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%

17. 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%

18. 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%

19. Obesity Trends* Among U.S. AdultsBRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

20. Obesity Trends* Among U.S. AdultsBRFSS, 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

21. Obesity Trends* Among U.S. AdultsBRFSS, 2010 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

22. “And………….” • Not Only are we becoming overweight and obese, we are also becoming sick. • 1995 • 4.5% of Americans Living with Diabetes • US Population = 270 Million • 12.1 Million Americans Living with Diabetes • 2010 • 8.2% of Americans Living with Diabetes • US Population = 310 Million • 25.4 Million Americans Living with Diabetes

23. Why Businesses Care About Diabetes $1,000,000,000 per Year!

24. Why People Should Care About Diabetes Chronic Disease Pattern Obesity Diabetes Cardiovascular Disease Kidney (Renal) Disease

25. Co-Morbidity – Diabetes and….

26. So What Can We Do to Change These Trends? • Go up stream from Obesity – address risk factors • Improve eating habits and nutrition • Portion size • Food selection • Increase Physical Activity • Scheduling • Location

27. Worksite Wellness Programs • We are working to make the healthy choice the easy choice. • Rather than help people beat the odds, we are working to change the odds.

28. Risk Factors for Obesity • Nutritional Choices • Lack of Physical Activity • Sedentary Job or Hobbies • Busy Schedule • Stress • Age

29. 48 Teaspoons Sugar Portion Size 16 oz 32 oz 44 oz 52 oz 64 oz

30. Plate Size Bigger Plates Encourage Bigger Portions Most Adults Should Eat Meal Portions That Fit on a 9 Inch Plate

31. Food Selection • What you eat is important!

32. Food Selection Recommendations

33. Food Selection Recommendations

34. Energy Balance Food and Beverage Intake Physical Activity Energy Intake Energy Expenditure Energy Balance Energy In (Food and Beverage) vs. Energy Out (Physical Activity)

35. Physical Activity Recommendations • No single “Right Answer” • But Shoot For: 1. 30 Minutes of Physical Activity on At Least 5 Days per Week 2. 1 Hour of Physical Activity on At Least 5 Days per Week

36. Busy Schedule

37. Find Time for Activity Whenever It Works for You! • At Work – Walk at Morning Break, Lunch and Afternoon Break • At Home – Find an Activity to Do Between Work and Dinner – Other Than Grazing

38. What is the Best Exercise/Physical Activity? • The Activity You Enjoy Doing! • Active Recreation

39. Stress Management • Manage Time Wisely - Don’t Procrastinate • Promote stress management benefits such as massage therapy, tai chi, yoga, vigorous physical activity • Utilize Employee Assistance Program Services in Times of Exceptional Stress - financial, parenting, legal, short- term counseling • Think Before You React – Give Yourself Some “Cool Down Time” • Don’t Smoke!!!

40. HHS Wellness Policy • You can find the HHS wellness policy in the HR manual under Chapter 8 – “Benefits” and then Section K-”Wellness Programs” http://hhscx.hhsc.state.tx.us/hr/HRM/contents.htm • Direct Link: http://hhscx.hhsc.state.tx.us/hr/HRM/ch8.htm#wellness

41. Gov. Code Chapt 664 The “Shalls” and the “Mays” • State Agencies Shall: • Appoint an Agency Wellness Liaison between the agency and the Statewide Wellness Coordinator at DSHS.

42. Gov. Code Chapt664 The “Shalls” and the “Mays” State Agencies May: Develop an agency wellness council to: Increase employee interest in worksite wellness, Develop and implement policies to improve agency infrastructure to allow for increased worksite wellness, and

43. Gov. Code Chapt 664 The “Shalls” and the “Mays” State Agencies May: Allow each employee 30 minutes during normal working hours for exercise three times each week. Allow all employees to attend on-site wellness seminars when offered.

44. Gov. Code Chapt 664 The “Shalls” and the “Mays” • State Agencies May: • Provide eight hours of additional leave time each year to an employee who: • Completes a health risk assessment online or in person, and • 2. Receives a physical examination.

45. State Agency Model Wellness Program Priority Objectives • Increase Usage of Preventive Services and Screenings • Improve Tobacco Cessation and Prevention • Increase Routine Physical Activity • Improve Healthy Eating Choices • Improve Stress Management • Improve Lactation Support for Nursing Mothers

46. Agency-Level Wellness Planning • Logistical implementation of major initiatives • Policy development • Environmental supports • Fitness Rooms • Classes • Nutrition/Healthy Eating • Massage Therapy • Zumba • Yoga

47. Questions? Statewide Wellness Coordinator - Rocky Payne 512-776-3672 Rocky.Payne@dshs.state.tx.us Brett Spencer Manager, Primary Prevention Branch Department of State Health Services 512-776-6161, Brett.Spencer@dshs.state.tx.us www.wellness.state.tx.us