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  • While no one dies from “obesity” it is an identified contributing factor in over 400,000 US deaths yearly
  • According to one estimate, a company of 1,000 employees could incur $395,000 of additional costs in a fiscal year
  • Reserarchers found that the most effective weight-loss strategies in the workplace involved a combination of physical activity and perscribed improved nutritionWe learned earlier how effective wellness programs can be on keeping costs associated with health care downStudy by Finkenstein and Kosasuggests that financial incentives, if properly implemented, may successfully promote behavioral change among employees. Some implement straight costs to overweight employees much like smokers.Ideas: Nutrition: bottled water v. pop fresh fruit in company cafeteria healthy food at catered meetings Exercise: small group meetings taken during small walk encourage employees to choose stairs team sports like bowling for the less fitCritics suggest that government should provide financial incentives in the form of tax breaks to entice the creation of wellness programs.
  • Just programs focused on reducing the number of overweight employeesSafeway: two tier deductibleCleveland Clinic: farmers marketAetna: Sprint: slower elevators
  • BUT…AOA: Overweight persons were subject to discrimination in employment decisions based on body weight. frequently stereotyped as emotionally impaired, and as possessing negative personality traits. Wages of obese women less (5.9%) than non-obese obese women’s wages lower than obese men’s after discharge, displayed more negative feelings of obese workers Michigan is the only state that prohibits employment discrimination on the basis of weightGastric: forced to pay for surgery because it was related to a claimVirginia Case: ruled that obese man had been discriminated against because of a perceived disability
  • Wellness

    1. 1. Wellness<br />Cost Savings Associated with Obesity<br />
    2. 2. Overview <br />Why it’s a problem<br />Trends<br />Costs<br />What can be done<br />Controlling health care costs<br />Discrimination<br />
    3. 3. Obesity<br />Defined as BMI >30<br />Causes increased risk factors for:<br />Cardio vascular diseases<br />Hypertension <br />High Blood Pressure<br />High Colesterol<br />Diabetes and complications<br />Cancer<br />Respiratory Problems<br />Can add 20 years<br />
    4. 4. Trends<br />1/3 of the US adult population is obese<br />1976: 15% of population, now 34%<br />At least 15% of adults in every state<br />Measures of BMI<br />
    5. 5. Costs<br />Boden institute of Obesity Nutrition and Exercise estimates direct medical costs of obesity to be $21 billion<br />Employers suffer up to 45% of burden<br />Increase in Health Care Costs<br />
    6. 6. Controlling Costs<br />Many companies using financial incentives<br />cash bonuses<br />paid vacation days<br />health insurance rebates<br />Time to exercise at work<br />Recommended: a combination of physical activity and improved nutrition<br />Though reasons not to:<br />High job mobility rates<br />Earlier success and onset of obesity-related health problems<br />
    7. 7. Effects<br />Those that have see…<br />Decreased absenteeism<br />Increased productivity<br />Best practice employers:<br />Safeway<br />Cleveland Clinic<br />Aetna<br />Sprint<br />
    8. 8. Discrimination<br />American Obesity Association<br />Binge eating proposed as Psycological disorder<br />Gastric by-pass rulings<br />Virginia Case<br />Best Practices:<br />No “perceived” disability<br />Internal courtesy policies<br />ADA & local law training<br />
    9. 9. Bibliography<br />The Conference Board<br />Rosen, B. & Barrington, L. (2008). Weights and measures: What employers should know about obesity. [Electronic Version]<br />Finkelstein, E & Kosa, K. (2003). Use of incentives to motivate healthy behaviors among employees. Gender Issues, 21(3), 50-59.<br />ABI/Inform (Proquest)<br />Williams, R. (2009). Best practices in managing obesity. Benefits and Compensation Digest. [Electronic Version].<br />Lexis<br />Cardiovascular disease risk factors. (2010, May). Obesity, Fitness & Wellness Week, 1809.<br />Morbid obesity may be basis for claim under ADA. VIRGINIA EMPLOYMENT LAW LETTER, JANUARY, 1998, Volume 9, Issue 12, 582 words, Williams, Mullen, Christian & Dobbins, by David C. Burton<br />Other sources<br />Discrimination. (2002). Retrieved April 24, 2010 from the American Obesity Association website.<br />Finkelstein, E & Zuckerman, L. The fattening of America; how the economy makes us fat, if it matters, and….<br />