Wellness programs at the workplace

More and more are spending people more time sitting behind the desk looking at the computer screen than doing physical exercise. This is one of the reasons why obesity and cardiovascular diseases are becoming an epidemic in the developed world.

“Obesity costs U.S. employers more than $13 billion annually and it also adversely affects the quality of life and health of their workers,” according to LuAnn Heinen, director of the National Business Group on Health’s (NBGH) Institute on the Costs and Health Effects of Obesity.

The American Heart Association through it’s Start! Program

“…supports employers’ efforts to get their employees physically active and adopt healthier habits.”

The program commissioned Harris Initiative to assess the impact of workplace wellness programs on the well-being of the employees.

An online survey was conducted between July 12 and July 24, 2007 involving about 3000 employees 18 years and older. The results show that employers fall into 2 categories:

• “Actively encouraging” or “highly encouraging” organizations are those that extremely or very well encouraged participation in wellness programs.
• “Not actively encouraging” or “not highly encouraging” organizations are those which somewhat or did not really encourage participation in wellness programs.

And here are the evaluation results of the employees:

My employer encourages “extremely well.”	6%
My employer encourages “very well.”	12%
My employer encourages “well.”	17%
My employer encourages “somewhat well.”	33%
My employer encourages “not well at all.”	32%

There are a lot of reasons why employers should actually encourage the wellness programs, namely:

• lower health care costs
• healthier and happier employees
• more productivity and fewer absences in the workplace

Wellness programs pay off for both the employee and the employer, according to this San Antonio Business Journal report.

“…just apply an average wage to the number of sick days and you can easily establish the potential dollar savings from keeping people healthy.”

In a Boston Globe article last year, the companies IBM, Wesley Willows Corp were cited for their health and wellness programs.

Now what let’s have a look at the ways that employers can encourage wellness in the workplace.

In another survey conducted by the NBGH in 2005, the following most common fitness initiatives that employers provide are:

• On-site fitness center
• On-site fitness programs
• Sponsored fitness programs
• Informational materials on local programs
• Web-based tools for tracking and information

Here are some additional suggestions from the AHA Start! Program:

• Healthy snacks in vending machines
• Healthy food at company gatherings 
• A “walking time” or “walking course”
• Access to health screenings such as blood pressure readings and cholesterol screenings
• Access to flu shots and other preventive health treatments
• Incentives such as reduced health care costs, money or trips
• Regular communications about all aspects of the wellness program

So, what do you think? Does your workplace/employer extremely encourage fitness and wellness? If yes, are you participating? If no, can’t you do something about it?

Photo credit: maffu at stock.xchng

               

Consulting A Physician First - What To Look For

When you read online that you should consult a physician before starting a new fitness routine … there is a reason for this - and, it’s not just a disclaimer to protect the site owner against potential legal actions. It’s a recognition of the fact that exercise, done improperly, can be harmful and sometimes you can’t get everything you need to know with a few google searches.

A medical doctor, especially one that specializes in sports medicine - a relatively new focus - can check your overall fitness before beginning, help you define your limits and recommend specific routines to help you accomplish your chosen goals.

Regrettably, not all physicians are created equal. They’re rushed, overburdened with government regulations and paperwork and sometimes they’re just not very good doctors. This shouldn’t be surprising. Every other profession has a range of competence, there’s no reason to expect medical doctors to be any different.

Unless you are fortunate enough to get a great recommendation, experience (a part of which is simple trial and error) will ultimately land you a medical doctor suitable for your purpose. Asking the right questions like “What is your experience with sports medicine?”, “What is your stance on diet ‘X’ or drug ‘Y’?”, “What would you recommend for someone like me?” - will help you reach that goal.

Don’t be put off by a busy doctor, you’re paying for his or her time. Also, find one that’s willing to explain in terms you can understand, without acting like you’re an idiot for asking.

Nearly all physicians will have a basic knowledge of anatomy, nutrition, proper functioning and so forth. But physicians who specialize in sports or fitness will have a thorough, in-depth experience-based knowledge of the subject. It’s no criticism of physicians that they do not all have that. No one can be an expert in every area.

That in-depth expertise will help you in a dozen ways.

Avoiding injury is primary in developing any workout routine. Mild discomfort is normal, especially when beginning or after a long period of inactivity. But pain is a signal that something is wrong. It could just be improper technique, or it may be something more serious. A physician can help you find out the cause of your pain, or help develop a routine that avoids it in the first place.

Optimizing your cardiovascular and pulmonary systems, strength, endurance, balance, flexibility and overall fitness involves understanding first and foremost how different routines will effect you in particular.

Men and women have basic differences and even racial differences play a part in developing correct routines. Body types differ among different groups. Each individual has a specific arrangement of joints and muscles, a unique level of lung and heart capacity, a distinctive genetic inheritance and so forth. Ultimately, you need a workout that is optimized for you specifically.

A sports physician can help you achieve those goals, beyond the level at which most fitness professionals - good as many of them are - can generally do so. Make time to see one before beginning any strenuous exercise program.

               

Exercise After Surgery, For Women

Exercise after surgery can be part of recommended physical therapy, or a return to pre-operative routines. In either case, done properly, exercise will help create flexibility, improve balance - by strengthening muscles that help stabilize joints - and keep the cardiovascular and other systems functioning well.

When and how you can begin exercise routines after major surgery will vary with the type of treatment you had. Most physicians will recommend at least a week, sometimes 6-12 weeks, of recuperation before even attempting regular routines. Consult your physician.

Most people will want to perform some kind of toning exercises and probably induce some weight loss. Most surgery reduces the metabolic and activity level - leading to weight gain and flabbiness.

Be sure to keep well hydrated, no matter what form of exercise you perform. This is helpful in order to keep the endocrine system functioning properly and aids the process that keeps joints lubricated.

Take it slow and return to your pre-operative level gradually. Here are some specific exercises for two different types of surgery. Again, consult your physician first.

Breast Surgery

About a week after surgery, you’ll still be experiencing discomfort. But recovery will be aided by some simple arm exercises. Perform steady breathing during the following:

Lift the arm on the operative side and simulate hair brushing and eating. Do a few reps at most the first few times. Raise that same arm above the heart for an hour, two to three times per day in order to reduce swelling. With the arm raised, gradually open and close the hand, building up to clenching a tennis ball as the discomfort decreases. Alternately bend and straighten the elbow.

After a couple of weeks you may feel fit enough to perform the following exercise.

Hold a broom handle (with the broom cut off), in both hands with your palms up, arms outstretched. Lift above the head and hold for a few seconds, then lower the broom handle to the pelvis. Repeat several times.

Hysterectomy

In these exercises, you’ll work the abs, pelvic, and back muscles. As with any routine, be sure to get the advice of your doctor before beginning.

Lie on the floor, knees bent, hands behind your head. Press the small of the back gently into the floor, then more firmly. Don’t try to work ‘through the pain’.

Raise your head and shoulders slightly off the floor, paying attention to the contraction of the abs. Take care not to move the chin toward the chest. Then slowly lower the head and shoulders back to the floor. Repeat several times.

Lift the hips, hold for a few seconds, then lower them. Do 10 reps. Then, alternate with the abdominal exercises. Roll over onto the knees, making sure you have some knee pads or carpeting to soften the point of contact.

Slowly raise one arm and the alternate leg. Alternate. Right arm out, left leg out, then, left arm out, right leg out. Hold each for a second or two, switch and repeat 10 times.

Again, don’t try to exercise if you feel intense pain as distinguished from mild discomfort. Take it slow, building up strength over time.

               

Avoid Workout Injuries

From some trainers ‘No pain, no gain’ really means ‘you should feel some pain’. While mild discomfort is to be expected, especially for those just beginning a new fitness routine, pain is a natural warning sign. Pay attention to it.

A good workout routine will test you, but shouldn’t damage you. As muscles get used, especially somewhat beyond their usual range, lactic acid, micro-tears and other physiological changes occur that result in muscles being built up stronger than before.

But if you are experiencing back pain, neck aches, knee joint soreness and other symptoms, you should consult with an expert. Your technique may be wrong, you may be trying to do too much, too soon, or you may have a medical problem that should be addressed.

Work up to any vigorous routine slowly. How slowly will vary from person to person, depending on age, experience, prior exercise routines and overall fitness. Get muscles warm and limber before cranking it up. Most strains and rips result from being too cold and not stretching, or extending more than you’re ready for.

Warm-ups should take at least 15 minutes and include very gentle jogging in place or jumping jacks to get the cardio and lung systems working well. They should include some slow, gradual stretching to get joints lubricated and muscles relaxed and gently lengthened. Warm-ups that are too short can easily lead to stretched or torn cartilage that takes a long time to heal.

Don’t let inexperienced trainers, or so-called ‘friends’ embarrass you into believing you have to get out and run five miles two weeks after an injury, surgery or other debilitating condition. Physical therapy and exercise sometimes requires that you work against discomfort, but you don’t leap over tall buildings the first day out.

Every person committed to fitness will want to push him or herself to achieve excellence. But an attitude that leads to overdoing it is counter-productive to your goal. You’re working to improve or maximize health and overall body tone and strength - not proving you are ‘mentally tough’.

Before you begin a new routine that involves activities that are unfamiliar, get guidance from an expert. Next to bad warm-ups or overdoing it, incorrect technique is the leading cause of injury. If you don’t know how to use a station at the weight machine correctly, don’t be embarrassed to ask. No one is born with this knowledge. Anyone who mocks you for ignorance, isn’t someone whose opinions you have reason to heed.

Be aware of your environment while you go through your routine. It’s easy to get into a rhythm, get concentrated on your workout and end up crashing into a wall or a nearby person. Jogging especially requires that you pay attention to the surface you run on and the people and cars around you. No shoe in existence will keep you from slipping on a muddy patch. Only awareness and good reflexes can help.

Stay within your comfort zone as you gradually expand it. One of the foremost reasons people give up on workouts is injuries produced by working beyond their capacity. That makes working out no longer fun. Building up, while you build out, to increase your ability to do more, faster will keep you going for years to come.

Your health will thank you for exercising common sense, while you exercise your body.

               

What Good Is Sweat?

Perspiration isn’t generally considered desirable. It makes clothes wet and uncomfortable, it makes our skin unpleasant to touch and it often smells bad. But the biological fact is that sweating is essential to good health, especially during exercise.

Why?

Humans take in and use water for a number of important physiological functions. It provides a medium for cells and tissues. It makes possible the transport throughout the body of important elements or compounds like sodium and sugar not to mention forming part of the blood that moves them. It provides structural cohesion and lubrication between all parts. But there’s one more highly important function it helps perform: temperature control.

Homeostasis is the body’s ability to keep certain processes and factors in equilibrium, this is not too far from a central point. Body temperature is one key item among those. When body temperature gets too high, we experience fever and ultimately heat stroke. If it’s too low, we get chills. Both are signs that the body is in a less than ideal state.

One major reason is that all chemical reactions within the body have to take place within a very narrow range in terms of rate. Compounds have to be used and produced at just the right quantities within a certain time in order to proceed properly, or at all. Temperature, for very basic physical chemistry reasons, is a key factor in controlling that rate.

So how does sweat play a role in that?

Perspiring does not occur primarily in order to keep the amount of fluid in homeostasis - urination does that, along with breathing (though sweating plays a small part). But it has a huge effect on body temperature. As we exercise, chemical reactions speed up and mechanical motion is taking place. Both those produce more heat energy, which raises the internal temperature.

But the body is constantly seeking homeostasis - an equilibrium within a narrow range around a central point. For humans, that’s 98.6F/37C on average - a small deviation is within normal range. As we sweat, the excess heat energy is moved from inside the body to the outside, along the surface of the skin, carried along with the perspiration.

Outside the body a physical principle is at work - Newton’s Law of Cooling. Inside too, but never mind for now. Ignoring advanced mathematics, it says essentially that warmer bodies lose heat to cooler ones. We get cooler, the air gets a little warmer. Air molecules collide with the sweat molecules and pick up some of the heat energy they contain. That lowers the temperature of the sweat, lowering our temperature in the process (on the outside).

The net effect is to take excess heat on the inside and move it to the outside, somewhat like a home air conditioner or a car radiator. That helps keep the internal temperature at a constant 98.6F/37C.

That process takes place with breathing and just simple exposure. But sweating makes the process much more efficient, since water can carry a lot more heat than air does alone.

So, though it may have its unpleasant aspects, be thankful you perspire. After all, if you lacked sweat glands like your dog does, you’d look very silly panting.

               

Avoid Workout Injuries

From some trainers ‘No pain, no gain’ really means ‘you should feel some pain’. While mild discomfort is to be expected, especially for those just beginning a new fitness routine, pain is a natural warning sign. Pay attention to it.

A good workout routine will test you, but shouldn’t damage you. As muscles get used, especially somewhat beyond their usual range, lactic acid, micro-tears and other physiological changes occur that result in muscles being built up stronger than before.

But if you are experiencing back pain, neck aches, knee joint soreness and other symptoms, you should consult with an expert. Your technique may be wrong, you may be trying to do too much, too soon, or you may have a medical problem that should be addressed.

Work up to any vigorous routine slowly. How slowly will vary from person to person, depending on age, experience, prior exercise routines and overall fitness. Get muscles warm and limber before cranking it up. Most strains and rips result from being too cold and not stretching, or extending more than you’re ready for.

Warm-ups should take at least 15 minutes and include very gentle jogging in place or jumping jacks to get the cardio and lung systems working well. They should include some slow, gradual stretching to get joints lubricated and muscles relaxed and gently lengthened. Warm-ups that are too short can easily lead to stretched or torn cartilage that takes a long time to heal.

Don’t let inexperienced trainers, or so-called ‘friends’ embarrass you into believing you have to get out and run five miles two weeks after an injury, surgery or other debilitating condition. Physical therapy and exercise sometimes requires that you work against discomfort, but you don’t leap over tall buildings the first day out.

Every person committed to fitness will want to push him or herself to achieve excellence. But an attitude that leads to overdoing it is counter-productive to your goal. You’re working to improve or maximize health and overall body tone and strength - not proving you are ‘mentally tough’.

Before you begin a new routine that involves activities that are unfamiliar, get guidance from an expert. Next to bad warm-ups or overdoing it, incorrect technique is the leading cause of injury. If you don’t know how to use a station at the weight machine correctly, don’t be embarrassed to ask. No one is born with this knowledge. Anyone who mocks you for ignorance, isn’t someone whose opinions you have reason to heed.

Be aware of your environment while you go through your routine. It’s easy to get into a rhythm, get concentrated on your workout and end up crashing into a wall or a nearby person. Jogging especially requires that you pay attention to the surface you run on and the people and cars around you. No shoe in existence will keep you from slipping on a muddy patch. Only awareness and good reflexes can help.

Stay within your comfort zone as you gradually expand it. One of the foremost reasons people give up on workouts is injuries produced by working beyond their capacity. That makes working out no longer fun. Building up, while you build out, to increase your ability to do more, faster will keep you going for years to come.

Your health will thank you for exercising common sense, while you exercise your body.

               

Exercising During Pregnancy

Exercise throughout the entire nine months is healthy for most women - provided they exercise (pun intended) the proper caution.

Mild exercise, of types appropriate to the various stages, will help keep the circulatory system healthy, increase pelvic muscle tone and strength, and help to smooth out mood swings. Done right, you can lessen the severity of backaches, keep joints flexible and firm, and improve sleep.

Mild exercise helps release endorphins, which can help elevate mood. Proper strengthening and toning of the back, buttocks, and thighs helps improve posture and relieve backaches. Daily stretching keeps joints well-lubricated with synovial fluid. Moderate working out burns up some of that anxious energy, leading to more restful sleep.

Three exercises in particular are appropriate for most soon-to-be mothers: swimming, spinning and pelvic strengtheners.

Swimming is a great cardiovascular exercise and has the added benefit of easing the back and leg burden during later stages. Most women enjoy the (all too temporary) relief during those final months. Keeping the cardiovascular system active helps regulate the endocrine system and keeps muscle tissues full and joints flexible.

Swimming has the added benefit of working nearly all the muscles and joints in a low-impact way. Knees get a break from the higher stress of carrying additional weight and breathing exercises can be done while wading, in between laps.

Spinning, provided it isn’t done too strenuously, can be a terrific exercise up until the last two months or so. The cardiovascular benefits are similar to swimming and the legs as well as stomach and pelvic muscles can get a really good workout. That benefits fitness overall, while helping to keep legs in shape to prevent falls. It also helps two particular muscle groups that will be needed during delivery.

A 10-minute routine on a stationary bike is plenty, keeping in mind that you should stop at the first sign of bleeding, fluid loss, dizziness or intense pain.

‘Kegels‘ are a commonly recommended exercise - and for good reason. They help develop those very specific muscles that aid in giving birth.

To find the right muscles to focus on, pretend you’re trying to halt urination in the middle of elimination. Squeeze those specific muscles for a few seconds, then relax. During the exercise, avoid tightening the legs or stomach. That will help isolate the right muscles you need to zero in on. Remember to continue to breathe normally, in and out slowly and regularly.

Before beginning or continuing any exercise routine once you know you are pregnant, be sure to have a long talk with your physician. Many of them are rushed, but be firm and get the answers you need in order to stay fit in a safe way.

Stop immediately any activity that produces heart palpitations, back pain or light-headedness. Don’t concern yourself with weight loss during pregnancy, just keep fit in order to maximize your overall health and mental well-being.

               

Exercise - The Diet Partner

Most people will try a hundred different fad diets, at least as many nutritional supplements and even all sorts of wacky alternatives. But, getting them to exercise can be a real challenge.

Nevertheless, it’s an inescapable fact that proper diet has to be accompanied by an age-appropriate, regular exercise program - if the goal is good health and an attractive body. Diet is essential, but exercise is its essential partner. Diet provides the proper fuel, but exercise uses that fuel to generate health and fitness.

There’s no need to become a fitness fanatic, but there are several simple exercises you can begin today. Start a daily stretching routine of at least 10 minutes before doing any vigorous training. A 20-minute walk every other day is a great beginning for those not used to exercise.

Work up to more effort slowly. Most of those new to exercise get discouraged and quit too soon because they try too hard at first. This produces soreness and sometimes injury. That reduces the motivation.

Instead, start with some light weight training, using 5lb, 10lb, then 20lb weights. Curls, squats and other exercises are simple and you’ll soon graduate. Then add a 10-minute jog, a 20-minute jog, then 30-minutes. Once you hit an hour-long run, you’re into the serious workout category.

If you can, invest in equipment that may help you get motivated. Others will need the social stimulus of a gym to keep their willpower up. But in either case, don’t let your money go to waste. Make a commitment to regular workouts, whether at home or away. If you do join a gym, don’t be shy. Take advantage of the expertise of more experienced fitness enthusiasts and the staff.

In order to lose weight, you want to be sure to include some cardiovascular exercises in your routine. That can be running, cycling or any number of alternatives. To tone muscles and tighten the slack skin that will result from major body fat reduction, you’ll need to add resistance and weightlifting exercises. You can use stretchers, rope and pulley or other equipment to supply the resistance. Weight machines are great for lifting exercises.

As you get into the routine, you may or may not actually lose weight. If you’re not obese but merely overweight, you may not see much loss. As you reduce fat deposits the difference can be made up by gains in muscle mass. Don’t pay much attention to early losses, they may well be due as much to water loss as anything else.

But as you reduce excess body fat and tone muscles you’ll experience many side benefits beyond a more attractive body. You’ll feel better overall, be more energetic and should experience a heightened mood.

Feel good about it. You worked hard for the results.

               

The Body’s Energy System

Some of the major goals of exercise are to improve muscle tone, strength, and endurance. All of this is made possible by, and requires, the body’s energy production-and-use system. Central to that system is a complex molecule called ATP, Adenosine Triphosphate.

ATP is a core element of a process known in biochemical studies as (ready for it?): the tricarboxylic acid cycle, or the Kreb’s cycle. But don’t worry about the complicated names. The basic ideas are very simple.

Carbohydrates are broken down into sugars which produce ATP. Simple sugars break down more easily and therefore, on average, more quickly. Complex carbohydrates take longer - and therefore supply the body with a longer lasting storehouse of compounds needed to produce ATP.

Sugar, per se, is NOT bad, only excess sugar, consumed in unhelpful forms, can lead to poor health effects.

ATP is broken down into ADP (Adenosine Diphosphate) and releases energy in the process. ADP later in the process then picks up the needed molecules to produce more ATP. That’s why it’s known as a cycle, since the process ‘cycles around’ to the beginning and starts over. That energy is used to maintain and repair cells, fuel respiration and organ systems and - more to our purpose here - produce the energy needed to fuel muscle contractions.

As byproducts of the cycle, heat and carbon dioxide are produced. The heat is eliminated by a number of means, including respiration and sweating. The carbon dioxide is carried through the system and some of it is expelled during respiration.

In order to carry out exercise, one essential element of which is muscle contraction, ATP must be produced continuously over varying stretches of time. In order to carry out this task, the body actually has three different ATP producing systems, with different production rates.

The phosphagen system replenishes ATP quickly, but only for short periods. That aids sprinters, fast-twitch fibers and other short-term uses. The glycogen-lactic system produces more slowly, but lasts up to 90 seconds or so. Aerobic respiration (normal oxygen breathing) makes ATP the most slowly, but can continue indefinitely.

As you exercise, ATP is consumed. That’s one of the chief reasons you have to eat - in order to replenish the building blocks that can produce more ATP. Once you have more ATP, you have the basic molecule needed to engage in exercise and we’re back where we began.

The body is an amazing, self-regulating complex of interconnected systems. None is more fascinating or central than the way it produces and consumes energy, an essential component of life itself.

               

Exercise to Control Diabetes

Many factors contribute to the onset of diabetes, including genetic predisposition and diet. But exercise can help reduce the odds of getting and the severity of this disease.

Diabetes comes in two types, Type I and Type II. In either case, the body has difficulty regulating the level of blood glucose. Glucose is the primary source of energy for the body’s activities.

One basic reason is the inability to produce the proper amount of insulin, a hormone that helps transport glucose to the cells. In Type I diabetes the body can’t produce adequate insulin, so the loss has to be made up from the outside, usually via injection. This is the more serious type and control of the condition requires obtaining medical advice.

In Type II diabetes, individuals produce insulin, but it’s less effective in performing its role as a transport aid. This is the type that is more likely to occur as we age. The kidneys become less efficient and we tend to adopt a more sedentary lifestyle. We sometimes worsen our odds by being more indulgent about food. The long term effects add up.

Type II can be controlled with diet and exercise and with careful self-monitoring under the care of a physician, the effects can be minimal.

Exercise helps increase insulin sensitivity. It also reduces body fat, which helps regulate the amount of glucose needed and used. Weight training helps by increasing the metabolic rate, reducing body fat. At the same time, it increases the use of glucose used by muscles and improves the ability of muscle tissue to store it. All those help achieve the preferred glucose level.

Get professional advice and start any new program slowly, particularly if you have not been active habitually. Pain from doing too much too soon is one of the leading factors that discourages people from continuing a program. Also, the body needs time to adjust to changes in hormone level, metabolic level and thus glucose and insulin levels.

Be sure to warm up for five to ten minutes at minimum. Easy stretches and low-impact, low heart rate exercise help get the muscles infused with blood and joints limber. Take care not to exercise when it is too hot. Heat stroke (from too high an internal temperature and lack of fluid) is a risk, and more so for those who are older.

Humidity levels are a factor to consider, as well. The body’s ability to regulate internal temperature is made less efficient when the moisture content of the air is high. The heat doesn’t travel out of the sweat and off the skin so readily. On hot and/or humid days, wear loose fitting clothing and reduce the time and vigor of your routine.

Walking is a great way to get started. Try to walk on grass rather than concrete or asphalt, but with good shoes you do either. An hour per day every day is best, but even 20 minutes three or four days per week will help.

Persistence is key. Reducing the odds of getting diabetes, or controlling it once you have it, require permanent lifestyle changes. But the benefits are not only the absence of a debilitating disease, but a healthy body and improved mood.

               

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