9. TSAML SEPTEMBER 29TH 2008
John Miller conducted a Health Management program for The Group in March 2009.
19 people, 12 men and 7 women participants completed the following profiles: -
■ Health, Fitness and Wellbeing
■ Musculo-skeletal risk
■ Diet
■ Chemical intake
■ Stress risk
■ Career satisfaction
The results are presented in graphic format, with commentary.
Click here to read what the assessments are all about
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.
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Symptom |
None |
Not much |
A fair bit |
A lot |
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1. |
Headaches including migraines |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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2. |
Lack of energy and vitality |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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3. |
Candida - jock itch, thrush, tinea ... |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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4. |
Poor sleep. If on tablets score 10 |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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5. |
Snoring &/or sleep apnoea. Score 10 if using a mask |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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6. |
Crook back, stiff neck, sore shoulders, dicky knee RSI ... |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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7. |
Frequent colds, flu, sinus |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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8. |
Unsettled stomach, reflux (Score 10 if on medication) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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9. |
Overweight - 1 point for every 2Kg |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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10. |
Irritable bowel, constipation |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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11. |
Asthma |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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12. |
Low level of aerobic fitness |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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13. |
Chest pain, palpitations |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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14. |
Rashes, itchiness, skin outbreaks, psoriasis ... |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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15. |
Mouth ulcers, cold sores |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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16. |
Elevated blood pressure. Score 0 on pills |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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17. |
Elevated blood cholesterol. Score o if on pills |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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18. |
Elevated blood glucose. Score 0 if on medication |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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19. |
Shakes, nervous ticks, mannerisms |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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20. |
Grinding teeth |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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21. |
Alcoholic drinks per day (2 pts/drink) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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22. |
Smoking. (1 pt/cigarette/day) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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23. |
Caffeine (1 pt/cup per day) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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24. |
Anxious about life, insecure, apprehensive |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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25. |
Sad or depressed (On medication, score 0) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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26. |
In wrong job for now |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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27. |
Under-appreciated at work |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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28. |
Have poor work/life balance |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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29. |
Unhappy with family life |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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30. |
Unhappy with financial status |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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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 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.
Classification of average scores: Excellent - less than 40. Good - 41 - 50. Fair 51-60. Poor - over 60.
This profile is described as fair. The average score was 65. Anyone scoring more than 80 is putting up with a lot of 'background noise'.
HEALTH CLIMATE SURVEY
Based on scores received in the Health, Fitness and Wellbeing profile we've compiled a Health Climate Survey. Scores on each item have ranked - the higher the score the worse the problem. We added the scores for each item. The results appear in the table below.
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Symptoms/ issues / concerns |
% of people scoring over 5 |
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Poor sleep |
50 | ||
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Lack of Energy |
39 | ||
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Low level of fitness |
39 | ||
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Crook back, sore shoulders |
33 | ||
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Overweight |
33 | ||
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Snoring, sleep apnoea |
28 | ||
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Under appreciated at work |
28 | ||
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Headaches |
22 | ||
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Alcohol |
22 | ||
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Work-life balance |
22 | ||
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Financial status |
22 | ||
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Reflux, unsettled stomach |
17 | ||
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Shortness of breath from asthma |
17 | ||
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Elevated blood pressure |
17 | 2 | |
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Smoking |
17 | 1 | |
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Unhappy family life |
17 | ||
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Irritable bowel, constipation etc |
11 | ||
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Itchy, rashes, psoriasis |
11 | ||
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Elevated cholesterol |
11 | ||
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Elevated glucose |
11 | ||
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Caffeine |
11 | ||
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Anxious |
11 | ||
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Depressed |
11 | 2 | |
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Wrong job |
11 | ||
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Furry tongue, thrush, tinea, |
6 | ||
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Frequent colds, flu, sinus |
6 | ||
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Grinding teeth |
6 | ||
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Chest pain, palpitations |
0 | ||
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Mouth ulcers |
0 | ||
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Shakes, nervous mannerisms |
0 |
We registered those scores of 5 and over as being a symptom, issue or concern, the most pressing of which have been highlighted.
Perception
Based on people's perception (where they gave a particular symptom a score of 5 or more, and backed up by objective scores) the key issues are
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Obesity 33% of people said they were more than 10Kg over weight. Generally speaking they weren't in bad shape though.
Being overweight is a symptom of metabolic dysfunction and relates to high energy diets and low energy lifestyles. It's suggestive of elevated levels of insulin floating around the body, which is a precursor of all manner of body system dysfunctions - elevated blood pressure, elevated cholesterol, elevated blood glucose.
The recommendation, that people need to get more exercise (at lunch time) and eat from the top of the Hourglass. |
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Snoring 28% of people said they snored.
The recipe for a good snore is to be male, be unfit and at least 20Kg over weight, to have high blood pressure, have a few drinks every night, be stressed out of their brain and sleep on their back. |
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Lack of energy 39% of people said they lacked energy. Low levels of energy come from many sources, including: - - lack of a good aerobic fitness training program - a diet high in wheat flour and sugar - dullness - ... |
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Fitness 39% said they were unfit. We recommend staff be given the greatest encouragement to leave the workplace at lunch time and get in some physical activity. One organisation we work for gives staff an hour and a half off for lunch, providing people exercise during that time.
Fitness has a significant bearing on the scores for low levels of energy, poor sleep, snoring, depression and headaches. |
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Musculo-skeletal dysfunction 33% of people said they had some sort of musculo-skeletal dysfunction.
Musculo-skeletal dysfunction goes with low levels of strength and flexibility. Those are greatest risk need encouragement to attend a strength and flexibility training program several times a week. |
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Rashes and itchiness Can be caused by a range of things: - - a body that's stressed producing too much cortisol - a toxic diet - a sluggish elimination system - itching to get away from something - ... |
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Headaches 22% of people said they regularly get headaches. Headaches are caused by - a diet high in wheat flour and sugar - caffeine withdrawal - lack of oxygen getting to the head - a sluggish elimination system - a head out of alignment due to tight and weak muscles - beating your head against a brick wall - ... |
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Colds and flu Symptom of a depressed immune system, one which can be strengthened by eating from the top of the Hourglass and getting plenty of aerobic exercise. |
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Under-appreciation at work 28% said they were under-appreciated at work.
Managers need to take note and put in train a series of measures to improve this score in say, 3 months time. |
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Being in the wrong job
Only 11% of people said they were in the wrong job. This is a much lower than normal score. It's a very good result.
There is usually a high and positive correlation between people being in the wrong job and people saying they are under-appreciated at work. |
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Diet A diet high in flour and sugar and low in fruit, vegetables and fibre leads to irritable and bowel, reflux. |
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Depression and anxiety There is an epidemic of depression in our community and we encourage all organisations to target depression. 2 people gave themselves a score of 5 or more on the depression question, indicating risk that need to be dealt with.
2 people were on medication.
There is a significant core of depression that relates to poor health generally. All body systems are connected. It is important that these people be encouraged to have regular counselling - through the EAP or other counsellors - and be given encouragement to exercise at lunch time.
The best book about depression I've read, and what you can do about it, and one that I recommend highly is by psychiatrist, David Servan-Schreiber, Healing Without Freud or Prozac. |
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Blood pressure 2 people indicated they were on blood pressure medication.
Blood pressure is a symptom of body system dysfunction relating directly to
- lack of aerobic fitness - being over weight - being stressed. |
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Smoking There was 1 confirmed smoker. This is a much better result than other groups within this organisation where it can get to 40% of staff. Now lets move heaven and earth to assist these people to give it away altogether. |
MUSCULO-SKELETAL RISK FACTOR
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 7 objective and 3 subjective assessments.
Current musculo-skeletal condition
Abdominal strength test
Upper body strength test
Flexibility
Functional mobility the ability to sit down and stand up with ease.
Shoulder function
Dominant hand grip
Non-dominant hand grip
Flexibility training behaviour
Strength 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?)
This risk to The Organisation is much higher than the risk we see in other organisations. This is a poor result.
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Not a bad result. A third of the participants are experiencing some pain and discomfort. Those scoring less the 6 need to be required attend a prehab/rehab program, for their own benefit and that of the organisation. |
As a group this is a better than normal result. However, 33% were 10 or more kilos over their ideal weight. Being overweight greatly compromises mobility. |
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This is a good result. Everyone performed well. |
This is a poor result. 50% of people failed the test. 7 people couldn't do one sit up. That's dreadful! This means that the strength of the muscles on the front of their body is not sufficient to keep their pelvis and spinal column in good alignment. |
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This is a mediocre result. 35% of people failed the test. Only 1 person couldn't do one press up. They are leaving themselves open to upper back, shoulder and arm dysfunction.
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This is a mediocre result. 2 people couldn't touch their toes at all. 7 people could only just touch their toes. Too many people have tight muscles along the back side of their body - calves, hamstrings, buttock and back. It's caused by two things - sitting down and not having a flexibility program. There is a high risk of lower back and neck dysfunction. |
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This is a good result. Only 1 person is having difficulty getting down on the floor and back up again. Being overweight and having a game leg, bung hip and a crook back dramatically reduces mobility. |
A pretty result, but 33% of staff had some shoulder dysfunction. |
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Its always the case, few people have a regular strength and flexibility program. The organisation 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.
2. daily strength and flexibility sessions for all staff. |
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Average score: 56. Not good. These people are not in particularly good shape. The risk of musculo-skeletal dysfunction is high due to low levels of strength and flexibility. There is a strong case for the organisation to implement an obligatory strength and flexibility program for those who scored less than 60 in this profile. |
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Lack of strength and flexibility is something that the Organisation needs to take seriously and monitor carefully and put in place an organisation-wide strategy to improve musculo-skeletal function. 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.
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. Click here to read the article from injury to dysfunction. Click here to read about swifties and fallacies.
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 its unlikely to happen without the establishment of a culture within the organisation that supports, values and understands strength and flexibility.
We recommend a range of strength and flexibility classes that are readily available Australia-wide: -
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Posture and Flexibility |
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Yoga |
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Crookback Clinic |
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Tai Chi |
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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 encourage 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, shoulder function and grip strength is a cause for concern and needs the attention of individual staff and managers.
Recommendation
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 scored less than 60 on the profile, 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.
DIET PROFILE
The diet profile is designed to assist participants to check out whether they are eating wisely and also one which has appropriate amounts of carbohydrate, protein and fat. It also looks at various eating habits, eg eating too much, eating for comfort ...
Closeness to ideal weight?
Do you eat a decent breakfast?
Do you eat a high fat diet?
Do you eat a high starch diet?
Do you eat from the top of the Diet Hourglass?
How much water do you during each day?
Do you supplement your diet with essential micro-nutrients vitamins,
minerals, essential fats (omega 3) and glyco-proteins - and
nutraceuticals - ginko, aloe vera, Echinacea ...?
Do you eat too much?
Are you ruled by your addictions to fat, sugar and starch?
Does the back end of your system work like a charm?
We use the Hourglass Diet as out eating model.
Low scores are usually symptomatic of high fat, high starch, low fibre diets. The results: - people become over fat and constipated.
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Being over weight is a symptom of metabolic dysfunction. As a group this was not too bad a score. |
Too many people filling themselves up on flour and sugar at breakfast time. This is due to the Kellogification of our diets. The 'fat police' have just about stripped a decent cooked breakfast out of existence. |
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If you're over weight you've either got a fat guts ... |
or a starch guts, or a sugar guts, or a beer guts. |
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The nature of our culture is that it's too easy to eat junk food. |
Some people are not drinking enough water. We're too affluent - we can afford to drink coffee, fruit juice, flavoured milk and carbonated drinks to slake our thirst; every thing but water. 'Water, water every where ...' but no-one wants to drink it! |
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Unless you eat the perfect diet, there is a good case for supplementing one's diet. Our food lacks vitamins minerals and essential fats. |
Not only do I fail to eat from the top of the Hourglass, I also eat too much. It's hard to satisfy the inner hunger by eating. |
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There's an epidemic of food addiction, particularly to chocolate, cola drinks, cake, biscuits, ice-cream ... |
Back end function depends on eating less fat, flour and sugar and more fruit, vegetables and fibre. Psyllium husk works a treat. |
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Patchy. Total score 65. FAQ. It's too easy to eat a high energy dense diet of manufactured food - particularly foods containing large amounts of fat, flour and sugar - food that comes in packets, tins, cans, bottles, cardboard boxes and plastic bags. This is a group that needs to design strategies to get more fruit and vegetables down their throat. |
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Australia is in a grip of an obesity and body system dysfunction epidemic generated by too much of the wrong food on the one hand, and too little of the right food on the other. It is my opinion that diets high in refined, cereal-based carbohydrates and sugar (the garbohydrates) are the suspects. Too few people seem to be aware that their level of body fat is affected by the amount of flour and sugar they take in each day. The high starch diet has replaced the high fat diet, with the same consequences. The garbohydrate diet stimulates insulin production which leads to fat gain, and all manner of metabolic dysfunctions.
Many people are unaware that they may be allergic or intolerant of some foods, particularly wheat flour, milk, deadly nightshades, chocolate, alcohol, caffeine, preservatives ...
Most people have a flour and sugar breakfast, attributed to the kelloggification of the Australian diet. You don't eat biscuits for lunch and dinner so why are you eating them for breakfast? The breakfast eating behaviour of Australians is dreadful. Few people have fruit. Even fewer have vegetables, or adequate protein and fat.
Few people take vitamin and mineral supplements. I believe there are good reasons to do so. If you don't believe me, I recommend you buy the book, What Your Doctor Doesn't Know About Nutrition May Be Killing You, by Ray Strand, MD.
By their own recognition a small number of people said they over-ate and were ruled by their addictions to junk food.
The operation of the back end of the system was only fair low scores being reflective of a diet that lacks sufficient fibre.
CHEMICAL INTAKE PROFILE
The chemical profile focuses principally on the mix of culturally acceptable stimulants and depressants.
Do you smoke?
How many alcoholic drinks do you have a week?
How much caffeine do you drink each day?
Do you persistently feed a sweet tooth?
Do you persistently feed a salt tooth?
How many hours a week do you spend watching TV?
Do you have a high intake of food additives?
How do you rate your reliance on headache and pain-killing tablets?
Are you on sleeping tablets or anti-depressants?
Are you on diabetes or blood pressure mediation?
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1 person smoked. |
Overall a good result. As people become fitter the need for alcohol declines. | ||
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Less is good. |
Time to stop putting sugar in tea and coffee. |
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No need to have extra salt on your food. We're getting enough out of packaged food as it is. |
A good result. |
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A good result. Poor sleep is not caused by a lack of Stilnox! The first causality of anxiety is poor sleep. Find out the cause of the problem. Exercise more, drink less. |
2 people were on anti-depressants. Depression is not caused by a lack of Zoloft. Find and treat the cause of the problem - exercise more, change your diet, take more omega 3 fat and attend regular counselling. |
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| This score conflicts with what people said in the Health Climate Survey. It shows 4 people on blood pressure medication. | No-one was on diabetes medication. | ||
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Average score: 89. Compared with other groups, this is a very good result. |
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Most people were moderate drinkers. It is usually the case that fit and healthy people dont drink to any great degree. In fact they only have one or two drinks per week.
However, weve well and truly entered the junk medical age when the medical priesthood is encouraging their clients to wash down an Aspro each day with a couple of glasses of claret, all in the name of good health! The people we see who are fittest and healthiest also have very low, or zero intakes of alcohol and coffee.
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 youd 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?
Whats 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 theyre 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.
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This is a poor score. 6 people didn't know what they wanted to do when they grew up! My encouragement to people who scored less than 6 is to move heaven and earth to work out what it is they really want to do - and develop a plan to get there as soon as they can. |
This is a pretty good result. Good managers have a responsibility to find out who the people scoring less than 7/10 are and assist them to move to the job they'd really like to have. It could be within the organisation or somewhere else. OR the current job could become transformed with a vitality transplant. | ||
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Patchy. Work is stressful for 40% of staff. 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. |
A fair result. Some people are not particularly focused. |
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This is a not a particularly good result. Of all our profile questions, this one is usually the worst answered. In this organisation there's some extra work for managers. For staff our recommendation is always to manage up. Get on the front foot. 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! |
There are a few people here who are selling themselves short. If you're not happy, you're selling yourself short. Log onto Seek and get your suit dry cleaned! |
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This is a mediocre result. With only a couple of exceptions, work is valued and appreciated. |
Mediocre. The aim is to have all staff recording a score of 7 or more. |
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| Except for 1 hiccup, this is a very good score. People like working with each other. We rarely see scores like this. | Mediocre. There's work to do here. It's generally the case that our morale is good when my morale is good. The exceptions need to be dealt with. | ||
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Average score: 60. Compared with other groups, this is a poor, result. For people who score less than 70, there is the whiff of a suggestion they're not in the right job. The situation is certainly redeemable. For people scoring less than 60 the smell is becoming distinctly stronger and below 50 it is very strong. Being in the wrong job sucks all vitality out of you.
For those who are in the wrong job there are several options; change your manager, change yourself or change your job. |
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The Buddha and Confucius both said 'Find the job you'd love to do and you don't have to do another days work in your life.'
RECOMMENDATIONS
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