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    Global Alliancefor Health & Performance

    Applying Sport Science and Energy Management Principles

    as a New Frontier for Advancing Global Health and Performance

    A NEW GLOBAL PERSPECTIVE ON HEALTH,PERFORMANCE AND SUSTAINABILITY

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    A multitude of global health and government organizations are trying to crack

    the code on wellness in an effort to empower individuals, organizations and

    communities to build healthier, higher performing futures. According to the WorldHealth Organization, almost two-thirds of the estimated 56 million deaths each

    year worldwide are caused by non-communicable diseases, such as cardiovascular

    disease, cancer, diabetes and chronic lung diseases. Many of these diseases are

    preventable, and our current health care systems around the globe are failing to

    move the needle on prevention. We posit that a new prescription is needed one

    that incorporates energy management and embraces sport sciences proven,

    multidisciplinary principles to help improve the health and performance of

    individuals, businesses, organizations and communities across the globe. Health

    and wellness is multidimensional: in order to operate at peak performance, apersons physical, mental, emotional and spiritual components must work in

    concert.

    Given that the individual is the building block of organizations, businesses and

    communities, individuals operating at peak performance will result in productive

    and optimized groups. The holistic nature of sport science offers a new model

    for unleashing human potential and performance, where energy individually

    and organizationally gets optimized across physical, mental, emotional

    and spiritual dimensions. At the crux of optimal performance is the energymanagement concept, because without energy, everything is static. A large body

    of research confirms sport science benefits for elite athletes training mentality

    and performance; therefore extrapolating this training method to the wider

    population can help to create healthier global communities and improve worldwide

    competitiveness. We can transform individual and organizational health states

    by exploding the energy quotient and creating a new model that drives the

    wellbeing economy.

    Global Alliancefor Health & Performance

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    Its not just how long we live, but

    how well we live. Until now, high-level

    worldwide health initiatives havefocused on the global epidemic of

    non-communicable diseases and

    sustainable development. We propose

    a new model that moves us from the

    disease state to a population-centered

    health state that creates a value chain

    of physiological and psychosocial

    outcomes that optimize human

    potential and performance. We need are-think about health that moves us

    from surviving to thriving; where health

    and energy drive performance and

    socio-economic prosperity. Focusing

    on energy management and applying

    sport science principles could be a

    new frontier for disease prevention

    and management.

    Weve been conditioned to believe that

    time is the resource most in need of

    management. The premise is that if we

    manage it strategically and invest our

    time in those areas of our lives of the

    highest priority, we will be rewarded

    for our efforts. The more time invested,

    the greater the return and reward. The

    fallacy is that time inherently cant be

    managed: the march of time cannot bestopped or altered, and its not possible

    to manage something that cannot be

    influenced or expanded.

    There needs to be a cultural shift to

    human energy as a precious resource

    that should be managed. Energy is life,

    which begins with its first pulse and

    ends with its last. All human energy

    begins in the union of oxygen and

    glucose at the cellular level, which

    becomes the foundation of all our

    energy experiences in life physical,

    emotional, mental and even spiritual.

    Energy management is a category of

    performance training pioneered in the

    mid-1970s by the Human Performance

    Institute (HPI), a division of Johnson

    & Johnsons Wellness & Prevention,

    Inc., Today, athletes, business leaders,

    military and surgical teams are using

    energy management training to expand

    their energy and perform at their

    personal best, and this method can

    HUMAN ENERGY IS OUR MOSTPRECIOUS RESOURCE

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    be extrapolated beyond the business

    world to all individuals. The discipline

    of expanding and actively managing

    the quantity, quality, focus and force

    of energy throughout the day results insustained high performance in work

    and life.

    Jim Loehr, Co-Founder of the Human

    Performance Institute and Global

    Alliance member, notes that human

    energy is the most precious resource

    we have as individuals, teams,

    leaders and organizations. The energyinvestment made by people and

    the collective force of that energy

    is what drives individual, team

    and organizational productivity,

    profitability and performance

    across the stakeholder value chain.

    When energy is aligned physically,

    mentally, emotionally, spiritually and

    environmentally, then individuals,

    teams and organizations operate in a

    healthy state. This allows optimization

    of individual and collective efficiencies,innovation, bench strength and

    resiliency. Going further, when that

    harnessed energy is directed toward

    our values and prioritizations,

    performance is enhanced. The converse

    to this premise is that when energy is

    discordant in any of the domains, the

    healthy state of individuals and the

    organizational system is disrupted.

    Looking at the time and energy

    example, managing time only takes

    us from being absent to present, but

    managing energy takes us from being

    present to being engaged (Loehr &

    Schwartz, 2003). Being fully engaged

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    propels higher performance, better

    teamwork, deeper relationships and

    stronger leadership. If the goal is to

    manage, increase and sustain energy for

    full engagement and performance, our

    road map is the well-documented sport

    science principles.

    Sport Science Value Proposition

    Who wouldnt want the keys to unlocking

    more energy to meet the ever-increasing

    demands in ones life and fuel ones

    optimal self, whether as a parent,

    businessperson, teacher or community

    leader? The field of sport science draws

    broadly from medicine, kinesiology,neuroscience, physiology, psychology,

    motor learning, nutrition and sociology

    as a means of enhancing health, energy

    and performance. The aggregate of these

    sciences yields one important outcome:

    improved positive energy. This energy

    is the fuel that pushes athletes to go

    the extra mile in developing their

    capacities and competencies. It is thekey to their becoming fully engaged so

    to achieve optimal performance and

    extraordinary feats.

    Optimal performance is holistic. Sport

    sciences multi-disciplinary nature offers

    a new model for unleashing human

    potential and performance: a proven

    platform to accelerate the developmentof human capital in a unique and

    comprehensive way to improve overall

    health and performance.

    While sport science is not new, it is a

    new pathway for how we look at health

    as not something purely dependent

    on incentives to maintain as extrinsic

    motivation, but as something that is

    holistic, intrinsic and mission-centered,

    that can change lives, companies, and

    communities. Jim Whitehead, CEO of

    the American College of Sports Medicine

    (ACSM), says, "Sport science is a livinglaboratory for unleashing human

    potential. It creates a playing field for

    creating physical and psychosocial

    resiliency, team dynamics, flexibility,

    speed, endurance, self-efficacy, the

    regulation of emotions and interactions,

    recovery from adverse situations and

    organizational capacity."

    Sport Science Levers of Change

    Research shows that sport science

    principles can improve an athletes

    overall performance: Its application has

    resulted in an extraordinary progression

    in athletic performance during the

    last 50 years. Athletes, as a whole, are

    typically bigger, faster, stronger, more

    powerful and more emotionally resilient

    today than a half century ago. They eat

    better and understand how to recapture

    energy quickly in order to perform

    well the next day. The Global Alliance

    for Health and Performance believes

    that using the multi-dimensional

    performance science principles can

    dynamically unify individual andorganizational health, thereby creating

    a team win. It not only promotes

    collective good health for individuals,

    but also contributes to building healthy

    organizations and communities with

    healthier productivity and bottom lines.

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    The progress in sport science has been

    founded on four important discoveries

    that we believe are relevant to individuals,

    organizations and global communities:

    (1) Human beings are multidimensional

    in nature.For performance to improve,humans should work to make

    improvements in four dimensions:

    physical, emotional, mental and

    spiritual (for our purposes, spiritual

    refers to ones mission or purpose in

    life). Athletes learn how to train, prepare

    and perform more effectively when they

    increase their capacity in all four realms.

    Emotionally, they learn techniques to

    increase resiliency and how to access

    opportunistic emotions, for instance, a

    sense of challenge and optimism, and

    to fend off negative and performance-

    clouding emotions, such as impatience,

    frustration, fear and defensiveness.

    Mentally, athletes and teams have

    learned to increase focus and to managetheir time as a tool to effectively manage

    their energy. Spiritually, they have learned

    how to develop a sense of personal, team

    and organizational mission.

    (2)As finite energy systems, energy recovery

    is essential. Stress is the stimulus for

    growth, and growth occurs during the

    recovery period. Therefore, withoutrecovery, there is no growth (Loehr,

    1990; Loehr & Groppel, 2008). The

    research literature brims with evidence

    on the importance of recovery to the

    performance equation. For example, if you

    are an athlete and you exercise a

    muscle today, you should not stress

    it again for at least 48 hours because

    it needs the recovery time for growth

    to occur. This is a component of life

    rhythms, or oscillations. Most human

    functions oscillate rhythmically upand down, such as EEGs, EKGs, sleep

    cycles and blood glucose levels. A lack of

    oscillation, or linearity as it is known, is

    completely dysfunctional for individuals,

    teams and organizations.

    To illustrate the role of oscillation,

    consider the work of renowned

    performance psychologist, Jim Loehr,

    who studied the in-between point time of

    some of the worlds best tennis players.

    The heart rates of world-class tennis

    players rise to anywhere from 170 to over

    200 beats per minute, and they have 20

    seconds to recover in between the points.

    During an entire tennis match, a player

    actually plays tennis just 35 percent of

    the time, so the remaining 65 percent theplayer is resting in between points and

    games.

    How do great tennis players use their

    small recovery times in a productive

    way? Loehr found that after every

    point, they went through four stages:

    1) A positive physical response (to

    visualize the correction of an error);2) A relaxation/recovery phase (for

    the physical, emotional and mental

    recapture of energy); 3) A preparation

    phase (to mentally prepare for what

    is about to happen); and 4) A stage

    of pre-performance rituals (where

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    they put themselves in a state of

    multidimensional readiness for the

    next point).

    (3)Periodization is required for long-term

    sustainability.One of the unique findingsin sport performance is periodization,

    or the long-term and short-term

    work/rest ratio that allows an athlete

    to endure grueling training and

    competition schedules (Bompa & Haff,

    2009; Groppel, 1999). By altering the

    activity as well as the volume, intensity

    and frequency of training according to

    the sports season, athletes can peak

    physiologically and psychologically

    for their respective sport. Additionally,

    periodization involves training at two

    levels: macrocycles and microcycles.

    A macrocycle is a long-range plan

    assisting individuals and teams in

    preparing for the big events, while a

    microcycle can be very short-term,

    for example, a practice plan. In either

    area, the goal revolves around work/

    rest ratios to maximize performancein the most effective way. Imagine the

    beneficial results if individuals and

    teams learned to optimize their

    work-to-rest ratios (Groppel, 1999).

    (4)Resilience. Athletes mental focus

    and emotional regulation are critical to

    their performance capabilities, because

    they must constantly withstand a

    wide range of pressures to attain and

    sustain high performance. For athletes

    and non-athletes alike, personal life

    situations and business challenges

    can result in strain and generate

    fatigue leading to poor judgments

    and decision-making. Over time, this

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    may lead to exhaustion, burnout and

    serious health problems.

    Noted positive psychologists who

    work with the military and sports

    sectors found that coping with change,

    challenge and threats requires building

    up competencies that reinforce

    positive emotions, character strengths,

    cooperation and trusting relationships.

    They have a profound effect on how

    the immune system functions and the

    climate state that drives performance

    (Seligman, Reivich & McBride (2011),

    B.L. Frederickson, 1998, 2001).

    To tap into positive emotions andachieve this state, athletes practice

    rituals that concentrate on internal

    rather than external work. These rituals

    include meditation and visualization

    techniques to conjure what they

    want to happen or feel as a means

    of rehearsing an intended outcome,

    commonly referred to as stepping into

    the feeling. Athletes emotional and

    spiritual content of their heart directly

    impacts their mental and emotional

    energy, as the emotion imprints

    information into the brain through

    inter-cellular communication. Mind,

    intention and belief influence both

    performance and healing at the cellular

    level. Athletes realize that they will

    perform at their best when they achieve

    a state of high, positive energy (Loehr &

    Schwartz, 2003).

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    Physical Activity is the Linchpin of Wellness

    At the core of wellness is physical activity, and we need to think of

    exercise as medicine. The benefits of physical activity are undisputed:

    There is a 20-30 percent reduced risk of all-cause mortality and

    premature death in active individuals.1Science also confirms the risks of

    sedentary lifestyles: Physical inactivity is linked to 21-25 percent of colon

    and breast cancer, 27 percent of Type 2 diabetes and up to 30 percent of

    ischemic heart disease cases.2

    The Exercise is MedicineTM(EIM) Solution offers a new primary care

    paradigm for our worlds physical inactivity crisis. The EIM Solutionaligns a physicians clinical goals with a patients personal lifestyle

    goals to keep the healthy, healthy and to slow the rate of chronic disease

    progression. It aims to have physical activity part of every provider,

    payor and community wellness programs in which consumers will enroll

    in effective physical activity interventions. A network of credentialed

    health and fitness professionals will engage consumers in activating and

    managing their own personalized plan for improving health and reducing

    risk. The EIM Solution provides a new approach for not only improving

    and measuring the health and performance of individuals, but also for

    bending the cost curve dramatically as 80 percent of the healthcare

    dollar is being spent in preventing, treating and managing chronic

    disease, stress and depression disorders.

    1 Woodcock, J., O.H. Franco, N. Orsini and I. Roberts, Non-vigorous physical activity and all-causemortality: systematic review and meta-analysis of cohort studies, Int J Epidemiol 2011, 40(1): 12138:http://www.ncbi.nlm.nih.gov/pubmed/20630992.

    2http://www.who.int/mediacentre/factsheets/fs385/en/.

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    TAKING SPORT SCIENCE AND ENERGYMANAGEMENT PRINCIPLES TO A NEW LEVEL FORINDIVIDUALS, BUSINESSES AND COMMUNITIES

    Individuals: The Power ofValues and Full Engagement

    In his book, The Only Way to Win, Jim

    Loehr (2012) powerfully demonstrates

    that sport is the true living laboratory

    for witnessing the role that character

    plays in achievement, personal

    fulfillment and life satisfaction. He

    discusses that success at work and

    fulfillment in life require a complete

    repurposing of achievement, one

    where value is derived from growth

    in areas such as integrity, honesty,gratefulness, humility, optimism and

    compassion. These attributes become

    the navigational North Star, and

    combined with a spiritual element of

    working towards something greater

    than oneself, is a recipe for great

    performance no matter who you are.

    Successful athletes who sustain

    high performance year after year are

    striving toward something bigger than

    themselves. People who are engaged

    are open and receptive to new ideas,

    and when feeling good, they do well.

    They are empathetic and move from a

    me-centered universe to a we-centered

    universe where the focus is on forging

    deep relationships and giving back.

    Its not the length of time we spend on

    earth that defines success, but how

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    engaged we are in the time we have and how aligned with our most cherished values

    and beliefs. If we take a look again at the comparison of time and energy, we begin

    to grasp that once we define our spiritual missions and values, its the amount of

    energy that we dedicate to, and how engaged we are in, these causes that result in

    success, not solely how much time we spend on them. For instance, invest energy

    in ones bicep by lifting weights and the bicep will grow. Cut off energy investment

    by immobilizing ones arm and the bicep will atrophy. The same is true for our

    marriages, jobs, friendships, spiritual life and physical health.

    To enhance sustainable

    performance, we need to

    have both an offensive

    and defensive game plan

    that aligns culture, values

    and individual strengths

    against practices that

    are mindful of what the

    body needs to fuel, train,

    prepare and recover.

    The more energy we can

    dedicate to our own

    human meaning, the

    more engaged well be in

    whats important to us,

    whether its our personal

    relationships, work

    life or extracurricular

    endeavors. When were

    truly present, focusing on

    one thing at a time andserving a purpose greater

    than oneself, there is a

    value chain that has our

    health and well being

    firing on all cylinders.

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    Business: Taking a Page from the Sport Science Playbook

    to Improve Health and Productivity

    Organizations that embrace an understanding of human performancebiology in workplace, medical or institutional health can shift theirinvestment emphasis from one of failure costs to one of detection andprevention costs. The majority of health promotion approaches have

    not been aligned to a strategic vision, nor do they have a systems focus.As an example, we need to redesign our workforce health programsfrom "Employee-Condition and Program-Centric to Employee-Team-Leadership Health/Performance-Centric." Institutions that promotewalking, biking, access to public transportation and neighborhoodconnectivity are supportive environments that inspire the health andhappiness that leads to enhanced productivity.

    Following is an example of the effectiveness and importance of thephysical dimension on impacting employees mental and emotionalstates. In this 2012 study, employees were asked to move every 25-30minutes, whereas movement was allowed and encouraged -during meetings.

    After 90 days, Figure 1 below shows that self-reported energy levels wentup at all times of the day, including times away from work. In Figure 2,42 percent of these employees self-reported that their engagement andfocus at work improved (Groppel & Alexander, 2012).

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    2%

    55%

    30%

    10%

    2%

    0% 10% 20% 30% 40% 50% 60%

    Decreased

    Not changed

    Increased a little

    Increased a moderate amount

    Increased a lot

    Percent of Respondents

    Base: Total New Balance Respondents Post-wave (n=233)Q5b. Thinking about how engaged and focused you feel at work, since the start of the Organization in Motion Program,would you say how engaged and focused you feel has...

    Figure 2

    Figure 1

    More people report higher energy levels especially in the middle of the workday!

    42% of respondents report increased engagementand focus at work.

    Thinking about how engaged and focused you feel at work, since the startof the Organization in MOTIONTMProgram, would you say how engaged andfocused you feel has...

    35%

    46%

    26%21% 23%

    61%39%

    54%

    37%

    23%28%

    66%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    At homebefore

    workday begins

    At beginningof

    typical workday

    Middleof

    typical workday

    Towards end of

    typical workday

    Athome after

    workday is over

    On days off

    weekends

    +4

    +2

    +11+8

    +4

    +5

    Energy Level Throughout The Day

    PRE-WAVE

    POST-WAVE

    Base - Total New Balance Respondents: Pre Wave (344), Post Wave (239) Q4. How would you rate thelevel of energy you typically experience in each of the different situations listed below?

    Percentage of participants pre-wave and post-wave who reported high energy level (8-10 out of 10)

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    Prior to the application of sport science in the 1960s, elite athletes suffered in

    much the same way many employees do today. After the introduction of sport

    science, athletes took a multidimensional approach to training, with excellent

    results. Individuals and businesses that take a page from the world of sport science

    and deploy a multidimensional approach to performance can drastically improve

    productivity, innovation and engagement (Groppel & Wiegand, 2012).

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    The Lower Performance Approach

    Elite Athletes Prior toIntroduction of SportScience (1960s)

    Employees Today

    Coping Strategies: Push harder, train longer,dont allow for recovery

    Push harder; work longer hours;

    dont allow for recovery

    Symptoms of Stress: Anxiety, depression, injury;psychological problems

    resulting in negative

    behaviors (uncooperativeness,

    defensiveness, frustration,

    hypercriticality, pessimism)

    Disengagement from work;

    anxiety; depression; sleeplessness;

    indulging in unhealthy behaviors

    (smoking, overeating, failure to exercise);

    psychological problems resulting in

    negative behaviors (uncooperativeness,defensiveness, frustration,

    hypercriticality, pessimism)

    Results of Stress: Resulting in shortenedcareers; lifelong health

    issues

    Absenteeism and presenteeism; burnout;

    lack of productivity; low performance;

    lack of innovation; poor physical and

    emotional health

    The High-Performance Approach

    Elite Athletes Today Employees of the Future

    Approach to athletes: Work to balance multipledimensions of the whole

    person (physical, mental,

    emotional and spiritual);

    improve performance by

    allowing for recovery,

    periodization, macro and

    micro-cycles

    Allow for balance multiple dimensions

    of the whole person (physical, mental,

    emotional and spiritual); allow for

    recovery, periodization, macro and

    micro-cycles; support employee

    needs for nutrition, hydration,

    exercise and sleep

    Effects of

    New Approach:

    Improved speed, strength,

    physical and emotional

    health; high engagement and

    endurance; better teamwork;

    longer careers

    Highly engaged, higher-performing,

    healthier and more energetic

    employees; improved teamwork

    and innovation

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    Community Level: Performance by Design

    We understand that driving performance requires more than simplistic fixes.

    The optics of and access to healthcare needs to move from an approach that is

    focused on disease management to one that realizes that human capital and peak

    performance is energy-based. Ensuring a person has the proper environment, ismotivated and has the resources to enable him or her to perform is what the sports

    equation is all about: Performance = Ability X motivation X opportunity. To sustain

    the performance of human lives, we need an offensive and defensive game plan

    that understands intrinsic motivations more than extrinsic motivations: societal

    level interventions are key to helping people live their best lives.

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    http://www.euro.who.int/data/assets/pdffile/0009/98424/E89498.pdf

    Naturalenvironment

    water

    air land-usepatterms

    socialcohesion

    culture

    transport urbandesign

    weather

    greenspace

    topographygender

    beliefs

    motivationskills

    age

    income

    equity

    socialsupport

    Builtenvironment

    Socialenvironment

    Individualenvironment

    Physical activityand active living

    A critical component of this equation

    is opportunity. Communities that

    adopt and support green building

    practices; open spaces and

    infrastructure for recreational and

    walking, biking and rolling use;

    access to public transportation;

    and neighborhood connectivity

    create high impact for the health

    of the community and low impact

    on the environment.

    Take for example Lake Nona, a

    community in Orlando, Florida, as an

    example of purposeful design. It fosters

    individual health and performance

    not just in promoting outdoor activity,movement, and social connectivity,

    but also in using intelligent design

    and advanced technology within the

    houses. For instance, homes can

    include design and technologies in

    the kitchen that encourage healthier

    eating. An innovative longitudinal

    study, called the Lake Nona Life Project,

    has been initiated to help evaluate

    modern day health and wellness in

    a community such as this. Studying

    health on a larger scale will enable

    better understanding of the different

    segments, behaviors, triggers and

    behavioral interventions and deliver

    new insights in preventing the onset

    and progression of chronic illness.

    Many communities are also working

    to create open or complete street

    events that promote health and

    social integration. The Everybody Walkcollaborative that advances walking

    as a community norm is an example of

    a policy and engagement opportunity

    that produces resilient individuals and

    communities.

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    Human energy is the currency of wellness and high performance. Nothing

    happens without human energy, and as sport science has illustrated, investing

    in energy management is vital for personal and professional success. We have a

    host of issues that are overwhelming individual, family and community energy

    and resilience capacities: recessionary economics, poor market performance,

    demanding workloads, generational differences in how people communicate

    and interact, toxic behaviors, family care demands, growth in co-morbid chronic

    pain and desensitization to drug therapies, depression, anger, fear stressorsand lack of sleep. We need a new prescription for renewing and expanding

    human energy, and we believe we have found an answer in sport sciences

    multidimensional principles.

    Energy is Four-Dimensional

    FOCUS

    QUALITY

    QUANTITY

    FORCESPIRITUAL

    MENTAL

    EMOTIONAL

    PHYSICAL

    we developwe become

    extraordinary

    Imagine our Energy Futures

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    Like athletes, people need to fuel their bodies and brains

    adequately, train for emotional resilience, practice mindfulness

    and improve their mental toughness.

    Sport science shows us there is a pathway for:

    Health igniting performance! Like athletes, we need to manage our

    energy curve through proper work/rest ratios, engaging in micro-

    cycles of activity throughout the day, practicing mindfulness and

    building positive emotions. By enabling ourselves to do more, feelbetter and live longer, we create the energy, resilience and recovery

    systems that help us to achieve extraordinary health outcomes and

    a new wellbeing economy!

    Enabling active and supportive environmental policies and

    interventions to promote healthy and active living, deepen

    engagement with others and build social cohesion.

    Understanding the body is organizationally relevant. By turning

    the organizational mission inward, we can grow the health and

    fitness of employees, teams and entire organizations, reducing

    risk and improving long-term financial performance.

    Fueling bodies, brains and behavior change across human

    capital domains and the life course: physically, mentally,

    socially, emotionally and spiritually (mission/purpose).

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    "When we are physically energized, emotionally connected, mentally

    focused and spiritually aligned, we increase our resiliency and

    performance levels. When funds in employee, team and organizational

    energy accounts become depleted, the ability of people and

    organizations to rally and optimize their talent and skills gets

    compromised", says Jack Groppel, co-chair of the Global Alliance for

    Health and Performance.We have to ask ourselves, What would health look like if we were

    operating at peak performance? The need has never been greater to

    clearly understand the connection between health, engagement and

    performance. A plethora of data supports the performance science

    model learned from the past half century in world-class sports arena.

    The application of sport science and energy management principles

    outlined above can serve as a new frontier for disease prevention-

    offering health systems around the world a new approach tooptimizing health and performance for individuals, organizations and

    communities.

    It is time to forge a new pathway of health igniting performance in a

    new world, for health to become who we are as a way of life, and not just

    something we do.

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    References

    Bompa, T. & Haff, G. Periodization: Theory and Methodology (5th edition). Champaign, IL: Human Kinetics,2009.

    Brandon, J., Joines, R., Powell, T., Cruse, S.,Kononenko, C. Developing Fully Engaged Leaders That Bring outthe Best in Their Teams at GlaxoSmithKline. Online Journal of International Case Analysis. 3(2), 2012.

    Coulson, J, . McKenna, J. & Field, M. Exercising at work and self-reported work performance, InternationalJournal of Workplace Health Management, Vol. 1 (3), pp.176 197, 2008.

    Frederickson, B. Positivity 2.0. NY: Hudson Street Press, 2013.

    Gallup. The State of the American Workforce, 2013.

    Gallwey, T. The Inner Game of Tennis, Random House, 1977.

    Groppel, J. and Alexander, J. Becoming an Organization in MOTION: Investigating the OrganizationalImpact of Strategic Movement throughout the Workday. Wellness & Prevention, Inc., 2012.

    Groppel, J. & Wiegand, B. The Biology of Business Performance. Wellness & Prevention, Inc., 2012.

    Groppel, J. and Wiegand, B. A Staircase of Individual and Organizational Health: Bringing the Biology ofBusiness Performance to Life. Wellness & Prevention, Inc, 2013.

    Groppel, J. The Corporate Athlete. New York: John Wiley & Sonds, 1999.

    Groppel, J. Thinking Beyond the Playing Field: Leading Change in Your Community. Journal of PhysicalEducation, Recreation & Dance. 82: 6, 2011, 35-39.

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    References Cont.

    Human Performance Institute. Client assessment, 2011.

    LANCET: Lee,I., Shiroma E., Lobelo,F., Puska,P., Blair,S., & Katzmarzyk, P. Effect of physical inactivity onmajor non-communicable diseases worldwide: an analysis of burden of disease and life expectancy.Lancet Physical Activity Series Working Group, July, 2012.

    Levine, J. Move a Little, Lose a Lot. NY: Random House, 2009.

    Loehr, J. The Only Way to Win. New York: Hyperion, 2012.

    Loehr, J. The Mental Game. New York: Penguin Books, 1990.

    Loehr, J. and Groppel, J. The Corporate Athlete Advantage. Human performance Institute, 2008.

    Loehr, J. and Schwartz, T. The Power of Full Engagement. NY: Free Press, 2003.

    Pentland, A. The New Science of Building Great Teams. Harvard Business Review, April, 2012.

    Ratey, J. Spark: The Revolutionary New Science of Exercise and thePBrain. New York: Little, Brown &Co., 2008.

    van der Ploeg HP, Chey T, Korda RJ, Banks E, Bauman A. Sitting time and all-cause mortality risk in222 497 Australian adults. Archives of Internal Medicine. 2012 Mar 26, 172(6):494-500.

    Waitzken, J. The Art of Learning. New York: Simon & Schuster, 2007.

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