Showing posts with label obesity. Show all posts
Showing posts with label obesity. Show all posts

Thursday, 10 July 2014

Tightening The Belt

Hélène Charlebois, a registered dietitian and nutrition coach in Ottawa, says excess weight can be detrimental to workers with jobs requiring physical exertion, such as firefighting, policing or window cleaning.
http://www.ohscanada.com/news/tightening-the-belt/1003149932/?&er=NA
Tightening the Belt: A study down south, which finds obese employees cost companies about twice as much money on average as other employees do, highlights the consequences that obesity may have on the workplace.

The study, published in the May/June issue of the American Journal of Health Promotion, reports that overweight workers have higher rates of absenteeism and claims for workers’ compensation, medical care and short-term disability. An employee who is not obese costs an average of $3,830 per year in covered medical claims, sick days, short-term disability and workers’ compensation, while a morbidly obese person costs employers $8,067. The findings are based on data from nearly 30,000 employees over a three-year period.

“I don’t think we fully understand the direct association of obesity and the impact on the workplace,” says Mary Forhan, assistant professor with the University of Alberta’s faculty of rehabilitation medicine in Edmonton and a member of the Canadian Obesity Network.

Hélène Charlebois, a registered dietitian and nutrition coach in Ottawa, says excess weight can be detrimental to workers with jobs requiring physical exertion, such as firefighting, policing or window cleaning.

It can also affect positions like those of a cashier or waitress. An employee who has to stand at a cash register for eight hours a day is “not going to be able to be at that job very long, because it is just physically impossible,” Charlebois says, referring to the strain on the feet, knee joints and ankle joints.

“It predisposes you to a lot of other problems,” adds Kim McClelland, a registered nurse and wellness coordinator with the Toronto Police Service (TPS). Obese workers take more time off from work and have more diseases. “They are more tired, they take more breaks, they can’t concentrate.”

Ian Janssen, Ph.D., professor in kinesiology and health studies at Queen’s University in Kingston, Ontario, co-authored a study published in 2011 that found obese workers have a 40 to 49 per cent higher risk of occupational injury. “Surprisingly, this related more to sedentary injuries that happen in more sedentary occupations,” Dr. Janssen says, citing repetitive strain and lower back pain as among the common ailments reported by the obese. “There is more increased likelihood of other illnesses and disabilities as well, even the flu. So that means persons with obesity are going to be potentially away from work more often.”

Obesity has been on the rise in Canada over the past few decades. In 1985, less than 10 per cent of the population was clinically overweight. By 2004, the level leaped to more than 20 per cent in every province and territory except British Columbia and Quebec, according to Statistics Canada.

In 2005, there were more than two million obese workers aged 18 to 64 in the country, 21 per cent of whom were older than 55. Men in the top-quarter income bracket were more likely to be overweight than other men were.

Forhan says the safety risks that obesity poses often depend on the job itself. “There are a lot of workers with obesity who actually could be very fit, strong and quite capable,” Forhan says. “When the risk starts to come in is when there is a disconnection between the person’s body size and shape and the workspace and demands of the job.”

An employee’s size might be incompatible with the required equipment or safety gear, and chronic health conditions like heart disease or high blood pressure could be dangerous in a job that involves physical exertion. So how can employers deal with this issue without being discriminatory?

“You need to be delicate, obviously, about the situation,” Dr. Janssen advises. “Just as you might accommodate somebody who is short or tall, you need to accommodate the person that might have a weight issue in the same way.”

Forhan agrees. “It is a matter of having a really good conversation with the employee about what their needs are,” she says, “in terms of being able to do their job safely.”

Dr. Janssen recommends making workplaces more health-conscious by allowing employees to stand during meetings, providing healthier choices in cafeterias and company lunches, offering subsidized gym memberships and permitting extra break time for exercise.

Charlebois believes that every employer should have access to a registered dietitian. “You should be able to take the receipt and put it through your medical insurance” — similar to claims for eyeglasses and dental, she says.

McClelland reports that the police service has a holistic nutritionist on staff. Other programs include educating police-force employees on the real cause of obesity, fatigue management and mental health.

“The more comprehensive they are, the more likely they are to have an impact,” Dr. Janssen says of corporate wellness programs, adding that staff feedback and evaluation of these programs are also important.

Whichever option an employer takes to address workplace obesity, McClelland says the focus should be on preventing and solving the problem, because “obesity is a symptom.” Jeff Cottrill is editorial assistant of ohs canada.

Sunday, 2 January 2011

Fat Window Cleaners - Read This!

Obesity squashes enjoyment of life, say some formerly fat local folks: Numerous scientific studies detail the health risks of being overweight, such as increased risk of diabetes, heart disease, osteoarthritis and certain types of cancer. But less academic attention was given to quality-of-life issues for the obese until September, when a large-scale study came out in the American Journal of Preventive Medicine showing that quality-of-life years lost to obesity had increased over a 15-year period.

The 1993 to 2008 Behavioral Risk Factor Surveillance System queried about 3.5 million adults over 15 years about quality-of-life issues such as poor-health days and social and psychological issues. The study was conducted by researchers from Columbia University and City College of New York. “It doesn’t talk about how you’ll die with something sooner, but how you’re living with something,” explained one of the authors of the study, Dr. Erica Lubetkin.

Lubetkin, a physician with a master’s degree in public health who works at City College, conducted the study with Dr. Haomiao Jia, assistant professor of clinical biostatistics at Columbia University. The research shows that the percentage of obese adults from all 50 states and the District of Columbia rose from 14.1 percent to 26.7 percent, an increase of 89.9 percent, over the 15-year study. The National Institutes of Health defines an obese person as someone whose body mass index is 30 percent or more. A body mass index uses height and weight to indirectly calculate the percentage of body fat for most people. Obese people lost 51.7 days of healthy life in 1993, compared with nonobese people. In 2008, obese people lost 64 days of healthy life, according to the study.

As medical director of the California Health & Longevity Institute in Westlake Village, Dr. Terry Schaack says he sees weight interfere with quality of life in his clients in two different ways: self-consciousness about appearance and real, practical obstacles to everyday living. “They’re continually worried about their looks, about choosing what kind of clothes won’t make them look fat,” he said. “It permeates all of their lives and it’s very, very real.” “I would avoid parties and outings,” Kitchen said of her life 53 pounds ago. “I didn’t want anyone to see me. I would wonder, ‘What am I going to wear?’ or ‘I’m just going to eat.’ ”

For morbidly obese people — those with more than 40 percent body fat — there is shame, and a world that seems too tight. “These people have trouble finding any clothes that fit them,” Schaack said. “These are the people that have to buy two seats on an airline, or get extensions on seat belts. Many have to have a car seat unbolted and moved back so they can fit behind the steering wheel. Then, there’s the turnstile issue.”

Brian Williams (before & after, above), 40, of Camarillo, reached the tipping point when he had to go up a pant size to a 4X. “It was real aggravating,” said Williams, who lost 113 pounds on the Weight Watchers plan. “I couldn’t shop at Target anymore.” He couldn’t sit in his car without pressing against the steering wheel. Tying his shoes was a chore. At6 feet 3 inches and 370 pounds, his job as a window cleaner was more difficult, too. “It made it a lot tougher climbing ladders. It made me scared going on a lot of different roofs,” he said. “I didn’t want to crack the tiles.”

New year, new you: staying motivated in 2011: The prospect of making New Year’s resolutions can be quite daunting. You know from past experience how likely you are to break them. But for many people, planning exactly how they’ll put resolutions into action improves their odds for success. Try the following tips for some common resolutions to help you stay motivated all year long.

Dropping pounds … permanently:
  • A low-carb, high-protein diet may be the most effective one for initial weight-loss efforts.
  • But just about any diet can help you lose weight.
  • It’s keeping off those pounds that poses the challenge.
A recent study in the New England Journal of Medicine concluded that weighing themselves daily helped adults maintain their weight loss.

Smoke-free forever:
  • Quitting smoking cuts your risk for cancer, heart disease, stroke and infertility.
  • But you’d better prepare for the most common withdrawal symptoms, such as irritability and restlessness.
  • Feeling restless can linger until you find a replacement behavior.
  • How about exercise?
  • This quitting aid can brighten your mood and combat any resulting weight gain.
Staying in motion:
  • It’s easy to keep that resolution to exercise when everything else in your life goes according to plan.
  • But how can you stay active when your child is sick, when it rains or snows or when you go on vacation?
  • Planning for such interruptions can help you stay focused and motivated during these times.
  • For example, if the weather is bad, try a workout video, join a sports league or get a head start on some strenuous spring cleaning, such as window washing.
  • While you are on vacation, stay at a hotel with a pool or fitness center.
“When starting an exercise program you should always check with your physician to make sure you are healthy enough for exercise,” said Dustin Del Rio, exercise physiologist with the MTMC Wellness Center. “Once cleared, meet with a registered dietician who can inform you about what you should and should not be eating to reach your goals, as well as an exercise physiologist to get you started on the right exercise routine for you,” Del Rio continued. “Talking with a fitness professional near you will save you from wasting time doing the wrong things, and get you started in the right direction.”

Search This Blog