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Health Fitness and Wellbeing Seminar Results

43. Slapo April_2016

John Miller conducted a series of corporate health seminars for the organisation.

11 participants (10 men and 1 women) completed the Health, Fitness and Wellbeing profile.

The results are presented in graphic format, with commentary.

Health, Fitness and Wellbeing Profile

The Health, Fitness and Wellbeing profile provides people with a very good idea of how well the various systems of the body are functioning, particularly the

- the mind

- autonomic nervous system

- immune system

- digestive system

- circulatory system

- elimination system

- musculo-skeletal system.

On this profile a good score is a low score.

	Symptom	None		Not much			A fair bit			A lot
1.	Headaches including migraines	0	1	2	3	4	5	6	7	8	9	10
2.	Lack of energy and vitality	0	1	2	3	4	5	6	7	8	9	10
3.	Candida - jock itch, thrush, tinea ...	0	1	2	3	4	5	6	7	8	9	10
4.	Poor sleep. If on tablets score 10	0	1	2	3	4	5	6	7	8	9	10
5.	Snoring &/or sleep apnoea. Score 10 if using a mask	0	1	2	3	4	5	6	7	8	9	10
6.	Crook back, stiff neck, sore shoulders, dicky knee RSI ...	0	1	2	3	4	5	6	7	8	9	10
7.	Frequent colds, flu, sinus	0	1	2	3	4	5	6	7	8	9	10
8.	Unsettled stomach, reflux (Score 10 if on medication)	0	1	2	3	4	5	6	7	8	9	10
9.	Overweight - 1 point for every 2Kg	0	1	2	3	4	5	6	7	8	9	10
10.	Irritable bowel, constipation	0	1	2	3	4	5	6	7	8	9	10
11.	Asthma	0	1	2	3	4	5	6	7	8	9	10
12.	Low level of aerobic fitness	0	1	2	3	4	5	6	7	8	9	10
13.	Chest pain, palpitations	0	1	2	3	4	5	6	7	8	9	10
14.	Rashes, itchiness, skin outbreaks, psoriasis ...	0	1	2	3	4	5	6	7	8	9	10
15.	Mouth ulcers, cold sores	0	1	2	3	4	5	6	7	8	9	10
16.	Elevated blood pressure. Score 0 on pills	0	1	2	3	4	5	6	7	8	9	10
17.	Elevated blood cholesterol. Score o if on pills	0	1	2	3	4	5	6	7	8	9	10
18.	Elevated blood glucose. Score 0 if on medication	0	1	2	3	4	5	6	7	8	9	10
19.	Shakes, nervous ticks, mannerisms	0	1	2	3	4	5	6	7	8	9	10
20.	Grinding teeth	0	1	2	3	4	5	6	7	8	9	10
21.	Alcoholic drinks per day (2 pts/drink)	0	1	2	3	4	5	6	7	8	9	10
22.	Smoking. (1 pt/cigarette/day)	0	1	2	3	4	5	6	7	8	9	10
23.	Caffeine (1 pt/cup per day)	0	1	2	3	4	5	6	7	8	9	10
24.	Anxious about life, insecure, apprehensive	0	1	2	3	4	5	6	7	8	9	10
25.	Sad or depressed (On medication, score 0)	0	1	2	3	4	5	6	7	8	9	10
26.	In wrong job for now	0	1	2	3	4	5	6	7	8	9	10
27.	Under-appreciated at work	0	1	2	3	4	5	6	7	8	9	10
28.	Have poor work/life balance	0	1	2	3	4	5	6	7	8	9	10
29.	Unhappy with family life	0	1	2	3	4	5	6	7	8	9	10
30.	Unhappy with financial status	0	1	2	3	4	5	6	7	8	9	10

Score

The score of a normal, fit and healthy human being is less than 20. Higher scores are symptomatic of dysfunction of one or more body systems. People with low levels of fitness and high levels of stress usually score well over 100.

For people with a score of more than 80, the ‘background noise’ of their life is becoming louder and louder. It is hard to concentrate on your work when body systems are dysfunctional. We know a fit and healthy group when we see the majority of scores below 40. This was not the case with this group.

By and large higher scores are usually a reflection of

• low levels of fitness

• an inability to deal with what life and work are serving up to people.

Remember, it is not what happens, but how we deal with what happens that determines our level of stress.

	Symptoms/ issues / concerns	% of people scoring over 5
	Elevated blood pressure	36
	Elevated cholesterol	36
	Candida	27
	Shortness of breath from asthma	27
	Poor sleep	18
	Snoring, sleep apnoea	18
	Frequent colds, flu, sinus	18
	Elevated glucose	18
	Work-life balance	18
	Headaches	9
	Musculo-skeletal dysfunction	9
	Reflux, unsettled stomach	9
	Under appreciated at work	9
	Lack of Energy	0
	Overweight	0
	Irritable bowel, constipation etc	0
	Low level of fitness	0
	Chest pain, palpitations	0
	Itchy, rashes, psoriasis	0
	Mouth ulcers	0
	Shakes, nervous mannerisms	0
	Grinding teeth	0
	High alcohol intake	0
	Smoking	0
	Caffeine	0
	Anxious	0
	Depressed	0
	Wrong job	0
	Unhappy family life	0
	Stressed financial status	0

Classification of average scores: Excellent - less than 40. Good - 41 - 50. Reasonable 51-60. Poor - over 60.

Compared with other groups, this profile is a good result, one of the lowest we've seen. However, the major risks are coming from a lack of aerobic fitness and a hectic work schedule. The average score was 43 Anyone scoring more than 80 is putting up with a lot of 'background noise'.

Musculo-skeletal Risk factor Profile

Our musculo-skeletal risk factor profile looked at a range of parameters including mobility, strength and flexibility and whether people are training to keep themselves strong and flexible. The musculo-skeletal risk factor profile is comprised of a mix of 9 objective and 3 subjective assessments.

- Current musculo-skeletal condition

- Closeness to ideal weight

- leg strength

- Abdominal strength test

- Upper body strength test

- Flexibility

- Ability to sit up straight with legs crossed

- Shoulder function

- Strength training behaviour

- Flexibility training behaviour.

A score of 70% is attainable by those who have a regular and systematic training program. Those scoring less than 70 are not doing sufficient in the way of strength and flexibility exercises. They are therefore exposing themselves to a high risk of musculo-skeletal dysfunction. (It would be bizarre for a workplace to offer to pay the rehabilitation costs of people who were not keeping themselves strong enough or flexible enough to do their job without succumbing to musculo-skeletal dysfunction, wouldn't it?)


	Not a particularly good result. 45% of people are experiencing pain and discomfort. In a corporate setting we'd recommend that those scoring less the 6 need to be required attend a prehab/rehab program, for their own benefit and that of the organisation.	20% of people were 15Kg or more overweight. I think a couple of people might have under estimated how over-weight they are!

	Leg strength was patchy.	Overall, not a bad result. only 1 person couldn't do one situp.

	Patchy, 25% of people failing the arm and upper body strength test. The best predictor of risk of lower back pain is the ability to do pressups.	2 people couldn't touch their toes. Lower back pain goes with poor hamstring flexibility.

	Around 50% of people couldn't sit up straight with legs crossed and hands clasped behind their back, without falling over. A major cause of lower back pain is tight buttock muscles.	Shoulder function was patchy, very patchy. It's redeemable with the right set of exercises.

Its always the case, few people have a regular strength and flexibility program. The group needs to put in train a regular and systematic training program, on site, that includes 1. specialist prehab and rehab sessions for those at serious risk and those already dysfunctional and on compo 2. daily strength and flexibility sessions in the workplace for everyone.

Average score: 58. Not particularly good. This graph show why people are experiencing pain. Too many people are not doing the things they need to do to keep their musculo-skeletal system in good shape. There is a strong case of the group to implement an obligatory strength and flexibility program for those who scored less than 60 in this profile.

Fit for Work

Scores in the Musculo-skeletal Health Risk Assessment have been used for the Fit for Work Award.

Level	Award	Pressups	Situps	Squats	Awards for 40 people
6	Gold	30	30	30	1
5	Silver	25	25	25	1
4	Bronze	20	20	20	2
3	Green	15	15	15	4
2	Amber	10	10	10	1
1	Red	<10	<10	<10	2

Pressups, situps and squats in 90 seconds

A fair standard for this groups of people to aim at would be the Gold Award - 30 situps, 30 pressups and 30 squats. For an elite force group, an inability to reach the gold standard would be evidence of staff being un-prepared for elite force work. It's not a tough assignment.

Stress Risk Profile

Participants completed a simple stress and relaxation profile designed to assist them in making an assessment of how they were affected by stress. It is based on the habits of unstressed people.

If you do what unstressed people do you are less at risk of becoming stressed. I’m yet to see someone who said they were highly stressed or depressed who got a high score on this profile. A good score is over 70.

- How would you rate your current stress level

- Do you get a good night’s sleep?

- Do you take your holidays?

- Are you keeping yourself fit and healthy?

- Is there balance in your life?

- Do you take time off at lunch time?

- How many hours a week do you work?

- Are you good at giving back to your Self?

- Do you meditate?

- Are you happy with your family (and romantic) life?

The matter of stress always needs to be addressed by organisations as part of a personal development thrust, and aimed at all staff. If stress management type programs are to be conducted, all staff need to be involved, otherwise those at most risk and those who are currently most stressed (and too wrapped up in their own busyness) will not attend.

For those who spend long hours at work, I often wonder whether the behaviour is externally or internally driven. I suspect the latter. No body on their death bed ever said 'I wish I'd spent more time at the office.'

A few people are struggling with their family life. This is another fertile area for personal development and counselling programs. It's hard to concentrate at work when your home life is in turmoil

SCORING GUIDELINES

Excellent, scoring 8 or more

Good, scoring 7 or more

Fair, scoring 5 or 6

Poor, scoring less than 5

‘Pass mark’ on all parameters 7/10.

A good score is a high score. A poor score is a low score.


	This is a good result.	This is a mediocre result. The first casualty of anxiety and low levels of fitness is sleep. Find out the cause of the problem. Exercise more, drink less.

	Paul Pearsal in his book Superimmunity' said you need a 21 day away from home holiday every year.	Generally speaking - a good result - but an aerobic fitness test might have given a different result.

	This is a good result.	A poor result. Too many people don't take time off to switch off and get outside in the fresh air. This is a reflection of poor management - personal and organisational

	This is a poor result. No one on their death bed ever said 'I wish I'd spent more time at the office.' The people working the longest hours are often women with young children who have a shift before work, a shift at work, a shift after work and the graveyard shift as well. This was not the case with this group.	Too many people are too busy to look after and nurture their Self.

	Throughout the community, very few people meditate. The reasons to do so are compelling.	This is a very good result.

Average score: 66. This is an average sort of a score. People could do more to look after their Self. I recommend that people scoring less that 50 spend time with a counsellor or life coach, or go to a personal development weekend to get themselves centred and grounded on looking after their Self - start doing the things unstressed people do to avoid becoming stressed.

Career Satisfaction Profile

The parameters in the profile relate to a mix of factors influences by the participant, management and their colleagues.

- How close are you to doing the job you’d really like to be doing?

- Are you in the right job for now?

- Is work giving you life or sucking life out of you?

- Are you focused on your career options?

- Do you get good feedback from your manager?

- Do you receive an appropriate financial reward?

- Do you feel you and your work are valued and appreciated?

- Do you work for an organisation that cares about people?

- Do you enjoy the company of the people you work with?

- What’s the level of morale like in your work group?

Normally, when results on the overall career profile are less than 70/100, people agree that they’re not in the right job. Certainly those scoring less than 60 have sufficient issues relating to career management as to seriously consider going somewhere else.

SCORING GUIDELINES

Excellent, scoring 8 or more

Good, scoring 7 or more

Fair, scoring 5 or 6

Poor, scoring less than 5

‘Pass mark’ on all parameters 7/10.

A good score is a high score. A poor score is a low score.

Excellent.

A fair result. Work is probably about as stressful as you want it to be. Walk away. Make appointments for your Self that allow you to get on with your work unhindered by interruptions.

Patchy.

This is a pretty good result. For staff our recommendation is always to manage up. Take your manager out for morning tea once a month and talk about yourself and your work. Get some regular feedback. Don't wait for the big one at the end of the year. If you manager doesn't have time for you, get another one!

These people are very satisfied with what they sell themselves for.

This is a patchy result. Everyone should get over 7.

Tghis is a good result. The aim is to have all staff recording a score of 7 or more.

This is an excellent result. People like working with each other. We rarely see scores like this.

Morale is good. It's generally the case that our morale is good when my morale is good.

Average score: 76. This is one of the highest scores we've ever seen. No-one scored less than 70.

The Buddha and Confucius both said 'Find the job you'd love to do and you won't have to do another days work in your life.'

Recommendations

Measure risk and Manage Risk

There is an epidemic of personally-generated musculo-skeletal dysfunction in our workplaces.

Most organisations neither measure the risk nor manage it.

Their workers compensation insurer doesn't measure the risk either. They don't rate premiums against individual risk.

We recommend the Organisation take seriously and monitor carefully the incidence of personally-generated musculo-skeletal dysfunction and put in place an organisation-wide strategy to improve strength, flexibility and mobility. By far and away a high proportion of people do not have a strength and flexibility program. As a result they are getting weaker and tighter by the week, thereby exposing themselves and the organisation to risk.

A high proportion of people said they would willingly agree to take part in a daily exercise program to improve their musculo-skeletal health.

A high proportion of people said they'd take part in a prehab program.

When push comes to shove and people become dysfunctional, it will be the Organisation that ends up paying the high cost of an avoidable musculo-skeletal complaint. In our opinion musculo-skeletal dysfunction caused by lack of a regular and systematic strength and flexibility program cannot be classified as an injury.

Responsibility for musculo-skeletal dysfunction needs to be sheeted home to individual employees, though it’s unlikely to happen without the establishment of a culture within the Organisation that supports, values and understands the importance of staff keeping themselves strong and flexible.

We recommend a range of strength and flexibility classes that are readily available Australia-wide:

-	Posture and Flexibility
-	Yoga
-	Crookback Clinic
-	Tai Chi
-	Pontius Pilates

The Organisation would place itself in the forefront of OH&S practice if it took the musculo-skeletal risk seriously and moved heaven and earth to educate all staff about this risk and obligated them to take part in a regular strength and flexibility program.

Maybe The Organisation and its worker's compensation insurer could invest in a pilot program to increase staff strength and flexibility! The lack of strength and flexibility training coupled with poor abdominal strength, upper body strength, flexibility and shoulder function is a cause for concern and needs the attention of individual staff and managers.

Prehab and rehab classes

We strongly recommend that the people who are in current poor musculo-skeletal condition and who lack abdominal strength, upper body strength, flexibility, shoulder function and functional mobility, in particular those who - who failed to attain the bronze award - be obligated to attend regular, in-house strength and flexibility classes. The pressure on the organisation's workers' compensation costs is such that to do otherwise would, in our opinion be to abrogate a responsibility for the prudent management of the organisation's finances.

Miller Health

In association with Integrated Health Systems

7 Salvado Place Stirling ACT 2611

(02) 6288 7703