sitting will kill you. can mobile save us? sxsw2013
DESCRIPTION
Data from a panel discussion at SxSWi 2013: We all know the sad truth: the majority of working Americans are chained to their desks – namely, their computer screens – for eight hours per day and the “massive” obesity epidemic persists. Recent research suggests that sitting is killing people and the industry continues to debate the harmful health effects stemming from sedentary lifestyles, with many arguing that technology is only adding fuel to the fire. So if sitting is killing us, then can mobile save us? Forget traditional wellness programs - the healthiest workplace is one where employees are actively mobile. Hosted by Sharon Mandler, VP, Senior Digital Strategist of Saatchi & Saatchi Wellness, this session will bring together a group of leading health experts who will challenge old thinking about healthy workplaces and take a deep dive into the new technologies and devices that are coming to the rescue and mobilizing America’s workforce.TRANSCRIPT
Sitting will kill you.
Can mobile save us?
Illustration by Chris Silas Neal
Dr. PeterKatzmarzykHead researcher:The Dangers of Our Sedentary Behavior
The Panel
Sharon Mandler
(moderator)Digital Strategist,Saatchi & Saatchi Wellness
Believes digital strategy will save the world
@Saatchiwellness@sharonmandler
JaneSarasohn-
KahnHealth Economist, Fierce Health Blogger
@healthythinker
FranMelmed
Co-founder, CoHealth and Context Communications
Redefining workplace wellness.
@femelmed
2
Physical inactivity is nowthe fourth leading cause ofdeath throughout the world.
More than 90,000 new cancercases per year in the US maybe due to physical inactivityand prolonged periods of sitting.
3
For people who sit most of the day, their risk of heart attack is about the same as smoking.
MARTHAGROGAN,MD, PhD
Every 2 hours spent just sitting reduces blood flow and lowers blood sugar, increasing the risk of obesity, diabetes and heart disease.
JAMESA. LEVINE,MD, PhD
Sitting for more than 3 hours a day can shave a person’s life expectancy by 2 years.
PETER T.KATZMARZYK,PhD
4
“Slow Motion Catastrophe”
Source: Global status report on noncommunicable diseases 2010, WHO, April 2011.
Non Communicable Diseases kill 2 in 3 people on the planet
63% of the world’s deaths aredue to chronic disease: CV, Ca,respiratory, and diabetes
• 4 lifestyle contributors:- Tobacco use- Physical inactivity- Harmful use of alcohol- Poor diet/nutrition
5
Sitting Time and Mortality from All Causes, Cardiovascular Disease and Cancer
Source: Katzmarzyk P, et al. Med Sci Sports Exerc. 2009:41(5);998-1005.
Canadian Fitness Survey: 12-year Mortality Follow-up (1981-1993)17,013 male and female survey respondents
0 YEARS 2 YEARS 4 YEARS 6 YEARS 8 YEARS 10 YEARS 12 YEARS
100%
90%
80%
93.5%
91.4%
88.3%
86.2%
81.4%
CUMULATIVE SURVIVAL (%)
Time Spent Sitting
None of the time1/4 of the time
1/2 of the time3/4 of the time
All of the time
6
Sitting Time and Mortality from All Causes, Cardiovascular Disease and Cancer
Source: Katzmarzyk P, et al. Med Sci Sports Exerc. 2009:41(5);998-1005.
Canadian Fitness Survey: 12-year Mortality Follow-up (1981-1993)17,013 male and female survey respondents
INACTIVE ACTIVE*
180
120
60
AGE-ADJUSTED ALL-CAUSE DEATH RATE PER 10,000 PERSON-YEARS
1.00 0.99
1.21
1.50
1.86
(p <0.0001) (p=0.008)
1.000.92
1.01
1.311.40
Time Spent Sitting
None of the time1/4 of the time1/2 of the time3/4 of the timeAll of the time
*ACTIVE defined as ≥7.5 MET-hr/week.7
Television Watching and Other Sedentary Behaviorsin Relation to Obesity and T2 Diabetes Risk in Women
Source: Hu F, et al. JAMA. 2003:289(14);1785-1791.
Nurses Health Study: Relative Risk* Over 6 YearsWomen 30-55 years-of-age
OBESITY T2 DIABETES
2.1
1.6
0.8
RELATIVE RISK
1.00
1.22
1.42
1.65
1.94
(p <0.001) (p <0.001)
1.001.09
1.31.44
Hours Watching TV/Week
0-12-56-20
21-40>40
*Adjusted for age, smoking, alcohol use, hormone use, physical activity, total fat and calories and glycemic load.
1.7
8
Television Viewing and Risk of Type 2 Diabetes, Cardiovascular Disease, and All-Cause Mortality
A Meta-Analysis: Dose-Response Relationship
2.0
1.0
0.5
RELATIVE RISK
0 2 4 6 8
1.5
TYPE 2DIABETES
TV VIEWING (h/d)
2.0
1.0
0.5
0 2 4 6 8
1.5
CARDIOVASCULARDISEASE
TV VIEWING (h/d)
2.0
1.0
0.5
0 2 4 6 8
1.5
ALL-CAUSEMORTALITY
TV VIEWING (h/d)
95% CI for fitted trend
Source: Grøntved A, Hu F. JAMA. 2011:305(23);2448-2455.9
Sedentary Behaviour and Life Expectancy in the USA: A Cause-Deleted Life Table Analysis
Source: Katzmarzyk P, Lee I. BMJ Open. 2012;2:e000828. doi:10.1136/bmjopen-2012-000828.
The analyses indicates that, in the US,population life expectancy would be:
2.0YEARShigher if adults reduced their time
spent sitting to <3 hours per day
and
1.4YEARS
higher if they reduced their TVviewing to <2 hours per day
10
Source: www.medicalbillingandcoding.org/sitting-kills/11
Source: docandrewmurray.com/category/infographics/12
“Inertia” by Jason deCaires Taylor—Cancun, Mexico
13
Source: Spine Health Institute. www.visual.ly/how-sitting-affects-your-health
How Sitting Affects Your Health
14
Tobacco smokeis estimated to
have caused about
60,000cased of cancer in
Britain in 2010
Regular exercisers are
20% to 50%less likely to be affectedby serious and expensive
illnesses, including stroke,cancer, heart disease,obesity and diabetes
86%of lung cancer
deaths in Britainare caused by
tobaccosmoking
An inactive personwill spend
37%more days in the hospitalthan an active one, make
5.5% more GP visits,13% more specialist
services and 12% morenurse visits than an
active person
Smoking vs Inactivity
Source: img.metro.co.uk/news_focus/Inactivity.png15
Source: www.dietpilluniverse.com/diet-articles/fattest-states-in-the-us-infographic/
What’s Really Behind Your Belly Fat?
16
How Did This Happen?!
A 2008 Vanderbilt University study of 6,300 people published in the American Journal of Epidemiology estimated that the average American spends 55% of waking time (7.7 hours per day) in sedentary behaviors such as sitting.
Source: www.juststand.org/tabid/674/language/en-US/default.aspx17
Source: awesome.good.is/transparency/web/1008/driving-and-obesity-3/flat.html
Driving is Why You’re Fat
18
Source: www.sustainweb.org/resources/images/other_pics/CFC_ObesityGamesInfographic_lrg.jpg19
Physical Activity is on the Decline and it’s Dangerous
Source: visual.ly/30-minutes-longer-life-how-exercise-reduces-your-risk-premature-death20
Obesity is an Epidemic
Source: visual.ly/30-minutes-longer-life-how-exercise-reduces-your-risk-premature-death21
What MakesUs Healthy
What We SpendOn Being Healthy
Source: bipartisanpolicy.org//projects/lotstolose/infographic22
Source: visual.ly/spending-healthcare-north-america23
Source: www.hsph.harvard.edu/news/magazine/f12-infographic-chronic-disease/24
Source: www.hitconsultant.net/2012/08/29/rising-healthcare-costs-infographic/
We Spend 2.5x More Than Other Countries On Health Care, But Don’t Have the Highest Life Expectancy
25
US Healthcare Spending
Source: www.misfitwearables.com/references26
Source: www.hitconsultant.net/2012/08/29/rising-healthcare-costs-infographic/
If Healthcare Costs Continue to Rise at This Rate, We May Be Paying A Lot More in 2021
27
Source: info.totalwellnesshealth.com/blog/bid/240490/Why-Your-Worksite-Needs-to-Make-Wellness-a-Priority-Infographic
The Financial Impact of Poor Health on Employers
28
Source: info.totalwellnesshealth.com/blog/bid/240490/Why-Your-Worksite-Needs-to-Make-Wellness-a-Priority-Infographic
The Financial Impact of Poor Health on Employers
29
Stress in the Workplace
Source: visual.ly/stress-workplace30
Stress in the Workplace
Stress in the workplace can have a negative impact on employee productivity and health. Implementing a workplace wellness program provides employees with the tools to manage stress effectively so that they can perform their best.
Source: visual.ly/stress-workplace31
Source: www.thejanedough.com/hot-to-minimize-stress/32
Six Healthcare Consumer Segments
Source: visual.ly/meet-today%E2%80%99s-health-care-consumer-infographic33
Source: GetHotseatApp.com34
Don’t Just Sit There!
GetHotseatApp.com
Turn short breaks intomeaningful activity.
Source: GetHotseatApp.com35
Source: www.sciencedaily.com/releases/2013/01/130129100118.htm36
37
The Health Benefits of Walking
Source: www.everybodywalk.org38
Source: www.dietpilluniverse.com/diet-articles/fattest-states-in-the-us-infographic/
To Combat Stubborn Belly Fat
39
Source: suffolkfitnessblog.com/category/a-to-z-benefits-of-exercise/40
Source: visual.ly/30-minutes-longer-life-how-exercise-reduces-your-risk-premature-death
30 Minutes of Exercise: Secret to Weight Loss
41
Source: visual.ly/30-minutes-longer-life-how-exercise-reduces-your-risk-premature-death
30 Minutes of Exercise: Boost Your Brain Power
42
Source: visual.ly/30-minutes-longer-life-how-exercise-reduces-your-risk-premature-death
30 Minutes of Exercise: The Key to a Happier,Healthier You
43
12 Mental Benefits of ExerciseExercise will make you feel betterExercising releases endorphins, makingyou feel happy and positive about yourself.
Overall mood boosterExercising regularly will release tension.This translates into solved problems with depression and stress.
ConfidenceWhen you exercise and relieve tension while taking care of yourself, you can’t help but be proud of your accomplishments. You feel like a brand new you, and you know you look good.
It helps your body to have a high pain toleranceExercise can make you sore sometimes. At first,it might be horrible, but after it happens a few times, you learn how to deal with it. This leadsto an overall increase in your pain threshold.
Work to improve your brain powerExercise causes your body to create more connections between brain cells, enablinga greater capacity for learning and memory.
Exercise improves your characterSticking to an exercise routine will help you to develop the qualities of discipline, dedication, and determination.
1
2
3
4
5
6
Self disciplineExercise helps you develop the skills of compliance and adherence. These skills can be useful in several aspects of life.
Exercise can help with addiction recovery and depressionExercise induces “happy chemicals”which can act as a replacement for an addictive substance as well as temporarily relieve symptoms of depression.
It also helps combat depressionDepression is caused by a chemical imbalance in the brain. Exercise induces “happy chemicals” to be produced more abundantly.
Fitness reduces anxietyUsing your energy in an effectiveway helps you to relax better.
Ever heard of “runner’s high”?That’s right! Vigorous exercise canmake you feel great.
ConcentrationExercise can boost your concentration and mental awareness.
7
8
9
10
11
12
Source: www.treadmillreviews.com/blog/mental-benefits-exercise44
Listen to Dr. Benjamin, US Surgeon General
We can't look at health in isolation. It's not just in the doctor's office...
...It’s got to be where we live, we work, we play, we pray.
Source: Surgeon General discusses health and community. Los Angeles Times. March 13, 201145
People Define Health and Wellbeing Beyondthe Absence of Disease
Source: Edelman Health Engagement Barometer. October 2008.
Health Engagement Barometer: Physical, Mental/Emotional, Appearance, Financial
Spirituality
State of your local community
State of your country
State of the economy
Level of achievement/accomplishment
Social connections with others
Financial health
Personal appearance/hygiene/self-care
Mental/emotional health
Physical health
57%
57%
64%
64%
68%
79%
82%
87%
91%
94%
46
47
Employers Willing to Spend Money to Boost Employee Participation in Health Management Programs
Source: Mercer’s National Survey of Employer-Sponsored Health Plans.
Employer-Sponsored Health Plans Survey: (%)
EMPLOYERS WITH 500+ EMPLOYEES EMPLOYERS WITH 10,000+ EMPLOYEES
75%
50%
25%
EMPLOYERS PROVIDING FINANCIAL INCENTIVES ORPENALTIES FOR HEALTH MANAGEMENT PROGRAMS
27%
33%
48%
43%
52%
65%
Year
201020112012
48
Google’s Next Headquarters is an Environment That Fosters Health and Wellness
Source: data.qz.com/2013/explore-googles-next-headquarters/#49
Source: news.xerox.com/news/Buck-Consultants-A-Xerox-Company-Survey-on-Global-Wellness-Programs
Upping the Ante on Wellness
51
Source: www.prudential.com/media/managed/Wellness_Programs_Gain_Attention_Infographic.png
Wellness Programs Gain Attention
52
Source: www.greatplacetowork.com/publications-and-events/blogs-and-news/714
The100 Best Companies to Work for Provide for Wellness on the Job
53
The More Activated a Patient Is, the Less TheirHealth Costs
PatientActivation Level
Predicted PerCapita Billed Costs
Ratio of Predicted Costs
Relative to Level 4 PAM
Level 1 (lowest) $966 1.21
Level 2 $840 1.05
Level 3 $783 0.97
Level 4 (highest) $799 1.00
Source: Hibbard JH, et al. Patients With Lower Activation Associated With Higher Costs; Delivery Systems ShouldKnow Their Patients’ ‘Scores’. Health Affairs. 32, no. 2 (2013):216-222.5
4
Source: relevantlin.com/2013/02/20/health-and-fitness-it-translates-to-work-too/55
Source: www.ifpma.org/uploads/RTEmagicP_Wellness_infographic.jpg56
Source: visual.ly/stress-workplace57
Source: www.hitconsultant.net/wp-content/uploads/2012/12/6-Characters-Rebooting-Medicine-and-Health.jpg58
Source: www.instant.ly/blog/2013/01/how-mhealth-will-transform-the-health-of-billions/
Mobile Health Market: A Snapshot
59
Source: mhealthwatch.com/infographic-88-percent-of-doctors-want-patients-to-track-healthcare-at-home-17767/
The mHealth Platform Ecosystem
60
Source: www.gsma.com/mobilefordevelopment/wp-content/uploads/2012/12/mHealth_MDG6_Infographic.png
How mHealth is CombatingHIV/AIDS, Malaria and Other Diseases
61
Source: healthpopuli.com/wp-content/uploads/2013/02/eclinicalworks-infographic.jpg
Download a Health App and Call Me In the Morning
62
Source: www.hitconsultant.net/wp-content/uploads/2012/09/Envisioning-The-Future-of-Health-Technology-Infographic.png
Envisioning the Future of Health Technology
63
Get Moving!
64