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Sitting will kill you. can mobile save us? sxsw2013


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Data from a panel discussion at SxSWi 2013:
We all know the sad truth: the majority of working Americans are chained to their desks – namely, their computer screens – for eight hours per day and the “massive” obesity epidemic persists. Recent research suggests that sitting is killing people and the industry continues to debate the harmful health effects stemming from sedentary lifestyles, with many arguing that technology is only adding fuel to the fire. So if sitting is killing us, then can mobile save us? Forget traditional wellness programs - the healthiest workplace is one where employees are actively mobile.

Hosted by Sharon Mandler, VP, Senior Digital Strategist of Saatchi & Saatchi Wellness, this session will bring together a group of leading health experts who will challenge old thinking about healthy workplaces and take a deep dive into the new technologies and devices that are coming to the rescue and mobilizing America’s workforce.

Published in: Health & Medicine
  • Chris, excellent point. Personally, I wobble on a stability ball a good part of the day. Nothing like being on a 'hoppity hop' while working.

    I was delighted to be part of this conversation and look forward to continuing it.

    Fran Melmed
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  • I love that presentation! Really nicely done and very convincing! The only thing I would add is that it's not sitting that is bad for you, it's sitting STILL (just ask anyone that just biked 100 miles). That's no trivial distinction: There are good reasons to sit: It keeps your upper body stable for desk work (typing and mousing) and steadies your eyes for reading. Note that none of these seated work activties involve your legs, which you are free to move while sitting - if you have the right technology, such as a seated active motion work station, e.g. a LifeBalance Station.
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Sitting will kill you. can mobile save us? sxsw2013

  1. 1. Sitting will kill you. Can mobile save us?Illustration by Chris Silas Neal
  2. 2. The Panel Sharon Mandler (moderator) Digital Strategist, Saatchi & Saatchi Wellness Believes digital strategy Jane Dr. Peter Fran will save the world Sarasohn-Kahn Katzmarzyk Melmed @Saatchiwellness Health Co-founder, CoHealth @sharonmandler Economist, Fierce Head researcher: and Context Health Blogger The Dangers of Our Communications Sedentary Behavior @healthythinker Redefining workplace wellness. @femelmed2
  3. 3. Physical inactivity is now the fourth leading cause of death throughout the world. More than 90,000 new cancer cases per year in the US may be due to physical inactivity and prolonged periods of sitting.3
  4. 4. Every 2 hours spent just sitting reduces blood flow and lowers blood sugar, increasing the risk of obesity, diabetes and heart disease. JAMES A. LEVINE, MD, PhD Sitting for more than 3 hours a day can shave a person’s life expectancy by 2 years. PETER T. KATZMARZYK, PhD For people who sit most of the day, their risk of heart attack is about the same as smoking. MARTHA GROGAN, MD, PhD4
  5. 5. “Slow Motion Catastrophe” Non Communicable Diseases kill 2 in 3 people on the planet 63% of the world’s deaths are due to chronic disease: CV, Ca, respiratory, and diabetes • 4 lifestyle contributors: - Tobacco use - Physical inactivity - Harmful use of alcohol - Poor diet/nutrition5 Source: Global status report on noncommunicable diseases 2010, WHO, April 2011.
  6. 6. Sitting Time and Mortality from All Causes, Cardiovascular Disease and Cancer Canadian Fitness Survey: 12-year Mortality Follow-up (1981-1993) 17,013 male and female survey respondents CUMULATIVE SURVIVAL (%) 100% 93.5% 90% 91.4% 88.3% 86.2% 80% 81.4% Time Spent Sitting None of the time 1/2 of the time All of the time 1/4 of the time 3/4 of the time 0 YEARS 2 YEARS 4 YEARS 6 YEARS 8 YEARS 10 YEARS 12 YEARS6 Source: Katzmarzyk P, et al. Med Sci Sports Exerc. 2009:41(5);998-1005.
  7. 7. Sitting Time and Mortality from All Causes, Cardiovascular Disease and Cancer Canadian Fitness Survey: 12-year Mortality Follow-up (1981-1993) 17,013 male and female survey respondents AGE-ADJUSTED ALL-CAUSE DEATH RATE PER 10,000 PERSON-YEARS Time Spent Sitting None of the time 180 1/4 of the time 1.86 1/2 of the time 3/4 of the time All of the time 1.50 120 1.21 1.40 1.31 1.00 0.99 1.00 1.01 0.92 60 INACTIVE ACTIVE* (p <0.0001) (p=0.008) *ACTIVE defined as ≥7.5 MET-hr/week.7 Source: Katzmarzyk P, et al. Med Sci Sports Exerc. 2009:41(5);998-1005.
  8. 8. Television Watching and Other Sedentary Behaviors in Relation to Obesity and T2 Diabetes Risk in Women Nurses Health Study: Relative Risk* Over 6 Years Women 30-55 years-of-age RELATIVE RISK Hours Watching TV/Week 0-1 21-40 2.1 2-5 >40 6-20 1.94 1.65 1.7 1.6 1.42 1.44 1.3 1.22 1.09 1.00 1.00 0.8 OBESITY T2 DIABETES (p <0.001) (p <0.001) *Adjusted for age, smoking, alcohol use, hormone use, physical activity, total fat and calories and glycemic load.8 Source: Hu F, et al. JAMA. 2003:289(14);1785-1791.
  9. 9. Television Viewing and Risk of Type 2 Diabetes, Cardiovascular Disease, and All-Cause Mortality A Meta-Analysis: Dose-Response Relationship 95% CI for fitted trend RELATIVE RISK 2.0 2.0 2.0 1.5 1.5 1.5 1.0 1.0 1.0 0.5 0.5 0.5 TYPE 2 CARDIOVASCULAR ALL-CAUSE DIABETES DISEASE MORTALITY 0 2 4 6 8 0 2 4 6 8 0 2 4 6 8 TV VIEWING (h/d) TV VIEWING (h/d) TV VIEWING (h/d)9 Source: Grøntved A, Hu F. JAMA. 2011:305(23);2448-2455.
  10. 10. Sedentary Behaviour and Life Expectancy in the USA: A Cause-Deleted Life Table Analysis The analyses indicates that, in the US, population life expectancy would be: 2.0 higher if adults reduced their time YEARS spent sitting to <3 hours per day and 1.4 higher if they reduced their TV YEARS viewing to <2 hours per day10 Source: Katzmarzyk P, Lee I. BMJ Open. 2012;2:e000828. doi:10.1136/bmjopen-2012-000828.
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  13. 13. “Inertia” by Jason deCaires Taylor—Cancun, Mexico13
  14. 14. How Sitting Affects Your Health14 Source: Spine Health Institute.
  15. 15. Smoking vs Inactivity An inactive person will spend Regular exercisers are 37% Tobacco smoke 20% to 50% 86% is estimated to more days in the hospital less likely to be affected thanhave caused about an of lung one, make active cancer by serious and expensive illnesses, 60,000 stroke, 5.5% including visits, deaths in Britain more GP are caused by cased of cancer in cancer, heart disease, 13% more specialist obesity tobacco services andin 2010 Britain diabetes 12% more smoking nurse visits than an active person15 Source:
  16. 16. What‟s Really Behind Your Belly Fat?16 Source:
  17. 17. How Did This Happen?! A 2008 Vanderbilt University study of 6,300 people published in the American Journal of Epidemiology estimated that the average American spends 55% of waking time (7.7 hours per day) in sedentary behaviors such as sitting.17 Source:
  18. 18. Driving is Why You‟re Fat18 Source:
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  20. 20. Physical Activity is on the Decline and it‟s Dangerous20 Source:
  21. 21. Obesity is an Epidemic21 Source:
  22. 22. What Makes What We Spend Us Healthy On Being Healthy22 Source:
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  25. 25. We Spend 2.5x More Than Other Countries On Health Care, But Don‟t Have the Highest Life Expectancy25 Source:
  26. 26. US Healthcare Spending26 Source:
  27. 27. If Healthcare Costs Continue to Rise at This Rate, We May Be Paying A Lot More in 202127 Source:
  28. 28. The Financial Impact of Poor Health on Employers28 Source:
  29. 29. The Financial Impact of Poor Health on Employers29 Source:
  30. 30. Stress in the Workplace30 Source:
  31. 31. Stress in the Workplace Stress in the workplace can have a negative impact on employee productivity and health. Implementing a workplace wellness program provides employees with the tools to manage stress effectively so that they can perform their best.31 Source:
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  33. 33. Six Healthcare Consumer Segments33 Source:
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  35. 35. Don‟t Just Sit There! Turn short breaks into meaningful activity.35 Source:
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  38. 38. The Health Benefits of Walking38 Source:
  39. 39. To Combat Stubborn Belly Fat39 Source:
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  41. 41. 30 Minutes of Exercise: Secret to Weight Loss41 Source:
  42. 42. 30 Minutes of Exercise: Boost Your Brain Power42 Source:
  43. 43. 30 Minutes of Exercise: The Key to a Happier, Healthier You43 Source:
  44. 44. 12 Mental Benefits of Exercise 1 Exercise will make you feel better Exercising releases endorphins, making you feel happy and positive about yourself. 7 Self discipline Exercise helps you develop the skills of compliance and adherence. These skills can be useful in several aspects of life. 2 Overall mood booster Exercising regularly will release tension. This translates into solved problems with 8 Exercise can help with addiction recovery and depression depression and stress. Exercise induces “happy chemicals” which can act as a replacement for an 3 Confidence When you exercise and relieve tension while taking care of yourself, you can‟t help but be addictive substance as well as temporarily relieve symptoms of depression. proud of your accomplishments. You feel like a brand new you, and you know you look good. 9 It also helps combat depression Depression is caused by a chemical imbalance in the brain. Exercise induces 4 It helps your body to have a high pain tolerance Exercise can make you sore sometimes. At first, it might be horrible, but after it happens a few “happy chemicals” to be produced more abundantly. times, you learn how to deal with it. This leads to an overall increase in your pain threshold. 10 Fitness reduces anxiety Using your energy in an effective way helps you to relax better. 5 Work to improve your brain power Exercise causes your body to create more connections between brain cells, enabling 11 Ever heard of “runner’s high”? That‟s right! Vigorous exercise can a greater capacity for learning and memory. make you feel great. 6 Exercise improves your character Sticking to an exercise routine will help you to develop the qualities of 12 Concentration Exercise can boost your concentration and mental awareness. discipline, dedication, and determination.44 Source:
  45. 45. Listen to Dr. Benjamin, US Surgeon General We cant look at health in isolation. Its not just in the doctors office... ...It’s got to be where we live, we work, we play, we pray.45 Source: Surgeon General discusses health and community. Los Angeles Times. March 13, 2011
  46. 46. People Define Health and Wellbeing Beyond the Absence of Disease Health Engagement Barometer: Physical, Mental/Emotional, Appearance, Financial Physical health 94% Mental/emotional health 91% Personal appearance/hygiene/self-care 87% Financial health 82% Social connections with others 79% Level of achievement/accomplishment 68% State of the economy 64% State of your country 64% State of your local community 57% Spirituality 57%46 Source: Edelman Health Engagement Barometer. October 2008.
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  48. 48. Employers Willing to Spend Money to Boost Employee Participation in Health Management Programs Employer-Sponsored Health Plans Survey: (%) EMPLOYERS PROVIDING FINANCIAL INCENTIVES OR PENALTIES FOR HEALTH MANAGEMENT PROGRAMS Year 2010 75% 2011 65% 2012 52% 50% 48% 43% 33% 27% 25% EMPLOYERS WITH 500+ EMPLOYEES EMPLOYERS WITH 10,000+ EMPLOYEES48 Source: Mercer‟s National Survey of Employer-Sponsored Health Plans.
  49. 49. Google‟s Next Headquarters is an Environment That Fosters Health and Wellness49 Source:
  50. 50. Value-Based Purchasing in Health50
  51. 51. Upping the Ante on Wellness51 Source:
  52. 52. Wellness Programs Gain Attention52 Source:
  53. 53. The100 Best Companies to Work for Provide for Wellness on the Job53 Source:
  54. 54. The More Activated a Patient Is, the Less Their Health Costs Patient Predicted Per Ratio of Predicted Costs Activation Level Capita Billed Costs Relative to Level 4 PAM Level 1 (lowest) $966 1.21 Level 2 $840 1.05 Level 3 $783 0.97 Level 4 (highest) $799 1.00 Source: Hibbard JH, et al. Patients With Lower Activation Associated With Higher Costs; Delivery Systems Should54 Know Their Patients‟ „Scores‟. Health Affairs. 32, no. 2 (2013):216-222.
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  59. 59. Mobile Health Market: A Snapshot59 Source:
  60. 60. The mHealth Platform Ecosystem60 Source:
  61. 61. How mHealth is CombatingHIV/AIDS, Malaria and Other Diseases61 Source:
  62. 62. Download a Health App and Call Me In the Morning62 Source:
  63. 63. Envisioning the Future of Health Technology63 Source:
  64. 64. Get Moving!64