WorkHealth, Fitness and Wellbeing	Healthy people, healthy workplace
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ASSESSMENTS

METABOLIC DYSFUNCTION

- the cardiodiabesity profile

This profile started off as the Cardiac and Diabetes Checkup but I've since come to the understanding that these are really just two of many symptoms of general metabolic dysfunction.

It is designed to provide insight into whether or not you are already suffering from the ravages of general metabolic dysfunction - in other places known as syndrome x. The word 'syndrome' is medical speak to 'we don't know what the cause is', but causes stick out like a sore thumb - sedentary lifestyle, a toxic environment and a reliance on flour and sugar to fuel the body.

General metabolic dysfunction, stimulated by growing levels of insulin in your body are triggering dysfunction in all manner of body system dysfunctions. It's an underlying cause of the well known cardio-vascular dysfunctions. Simply lowering cholesterol levels with a statin, without lowering insulin levels with diet, exercise and stress management is a tawdry treatment. High cholesterol is not due to a lack of Lipitor!

General metabolic dysfunction is the root cause of more and more cases of depression. If you keep yourself fit and healthy the likelihood of becoming depressed is dramatically reduced. If you are depressed, then getting fit and healthy is a sure-fire pathway to getting better. That's a definite, proven fact. Depression is definitely not caused by a lack of Zoloft!

Remember, it's a big ask expecting to stay healthy without keeping yourself fit.

The general metabolic dysfunction profile is unique because it includes

1. Stress

• Mind and Body Profile

2. Lifestyle habits

• Smoking behaviour

• Body composition

3. Fundamental measures of health status

• Blood pressure

• Total blood cholesterol

• Blood glucose

4. Fitness

• Aerobic fitness

The aerobic fitness test is the fundamental test of body system function. If fitness is low, then there is a high likelihood that you're on the way to falling victim to general metabolic dysfunction, the symptoms of which are obesity, high blood pressure, high blood insulin, high blood cholesterol,. cardiac insufficiency and high blood glucose - termed by Michael Smith, former Editor of the Melbourne Age as cardiodiabesity.

Not to include a measure of aerobic fitness in the mix of cardiac and diabetes tests misses the point.

SCORING

The pass-mark on each item is 7/10. It is readily achievable by people of working age who keep themselves in reasonable shape.

Add the appropriate co-efficient (based on the rating of importance of the item) to your raw score.

													Score	X	Ttl	ýþ
1.	Mind and Body profile The body is an ecosystem; all parts are connected, particularly the mind and the body. The body doesn't lie! What was your score on the Mind and Body Profile?
	>120	120	100	80	70	60	50	40	30	20	<20
	0	1	2	3	4	5	6	7	8	9	10			x1		o

2.	Smoking behaviour If you smoke score zero. Smoking is inconsistent with good health behaviour.
	If you smoke score 0					If you don't smoke score 10
														x1		o
3.	Systolic blood pressure Normal is 120 for men and 110-120 for women. Score 0 if on medication.
	>160			<160	<155	<150	<145	<140	<135	<130	<125
	0			3	4	5	6	7	8	9	10			x1		o

4.	Diastolic blood pressure Normal is 80 for men and 70 - 80 for women. Score 0 if on medication.
	>110			<110	<105	<100	<97	<95	<90	<87	<85
	0			3	4	5	6	7	8	9	10			x1		o

5.	Blood glucose - on-fasting - mmol/l ........... Score 0 if on medication
	>10	<10.0	<9.0	<8.5	<8.0	<7.5	<7.0	<6.5	<6.0	<5.5	<5.0
	0	1	2	3	4	5	6	7	8	9	10			x1		o

6.	Cholesterol - unfasted - mmol/l ........ Score 0 if on medication
	>8.5	<8.5	<8.0	<7.0	<6.5	<6.0	<5.5	<5.0	<4.6	<4.3	>4.0			x1
	0	1	2	3	4	5	6	7	8	9	10					o

7.	Body composition Are you carrying extra fat around your body? Scores based on percent body fat - measurable on Tanita scales. Weight Kg ........ Percent body fat ........
M	>36	<36	<34	<32	>30	<28	<26	<24	<22	<20	<18			x1
W	>46	<46	<44	<42	>40	<38	<36	<34	<32	<30	<28			x1
	0	1	2	3	4	5	6	7	8	9	10					o

	If you don't have scales that measure percent body fat, you can make an estimate of how many kilos you are over your ideal weight.
	>20	<20	<18	<16	<14	<12	<10	<8	<6	<4	>2			x1
	0	1	2	3	4	5	6	7	8	9	10					o

8.	Aerobic fitness 20m run. How many laps can you run in 5 minute? (20m equals one lap. Down and back is 2 laps.) Not having an aerobic exercise program is inconsistent with good health behaviour. No. ....
	<22	22	24	26	28	30	32	34	36	38	40
	0	1	2	3	4	5	6	7	8	9	10			x3		o

												Score/200

												Score/100				o

Attained more than 7/10 on all items Yes o No o

Attained more than 70/100 Yes o No o

YOUR HEALTH AND FITNESS IS ASSESSED AS: -


¡	Excellent if you scored over 90	o

¡	Very good if you scored over 80	o

¡	Very good if you scored over 80	o

¡	Good if you scored over 70	o

¡	Not bad 60 - 70	o

¡	Not good 50 - 60	o

¡	Poor 40 - 50	o

¡	Not good less than 40	o

However, the good news is that at any score is redeemable, providing you do the things that fit and healthy people do to keep themselves fit and healthy.

Keep in mind that very few people ever got fit and healthy in a surgery or a pharmacy and very few people ever got fit and healthy by someone doing something to them; sooner or later they had to do something to themselves.

GUNNADO

So what are you gunnado to get yourself back into exceptionally good shape. Try tracksuit therapy!