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11/11/2011




Championing Healthy Ageing
  Programmes and Health
 Promotion at Workplaces




           Statistics: Singapore
  Trend of ageing: By 2030, 1 in every 5
  Singaporeans will be aged 65 years and
  above
    • Surging trend of non-communicable
        diseases
    •   Disabilities among older persons
    •   Increased demand for healthcare
        facilities, long term care services and
        others




                                                          1
11/11/2011




              THE FACT IS:
We change when we age




        Physiological Changes
• Cardiovascular
  • Heart muscle becomes less efficient —
      working harder to pump the same amount
      of blood through your body.
  •   Blood vessels lose some of their elasticity
  •   Hardened fatty deposits may form on the
      inner walls of your arteries
      (atherosclerosis).




                                                            2
11/11/2011




        Physiological Changes

Bones, joints and muscles
  • Bones tend to shrink in size and density
      — weakens them and makes them more
      susceptible to fracture.
  •   Muscles lose strength and flexibility --
      become less coordinated or have trouble
      balancing.




        Physiological Changes
Metabolic System
  • Gradual decline in the activity of the
      thyroid gland and decline in the ability of
      the pancreas to produce insulin.
  •   -- Decrease in the body's ability to use
      fats and sugars and to convert them into
      energy.
  •   Increase in weight; an increased blood
      sugar level




                                                            3
11/11/2011




        Psychological Changes
• May experience some        significant loss
    of mental lucidity and independence
•   60 years and older experience
    significant cognitive decline, including
    declines in memory, concentration,
    clarity of thought, focus and judgment




So, do we accept this as a fact or
something can be done to it.




                                                        4
11/11/2011




Team Hoyt
Dick and Rich Hoyt




         As of July 2010, the Hoyts had
         competed in 1032 endurance
         events, including 68 marathons and
         six Ironman triathlons
                                        10




                                                      5
11/11/2011




              Blue Zone
Residents of Okinawa, Sardinia, and
Loma Linda, California, live longer,
healthier lives than just about anyone
else on Earth.




            Marge Jetton




                                         12




                                                      6
11/11/2011




              Closer Home




        Secrets to Healthy Ageing

•   For the Centenarians - Don’t smoke,
    stay physically active, keep socially
    engaged, cherish family, eat a plant-
    based diet




                                            14




                                                         7
11/11/2011




   Healthy Ageing is possible!




       Secrets to Longer life
• Science: Study of Breslow and Belloc




                                                 8
11/11/2011




    Seven Habits of Healthy People

•   People who followed these 7 habits
    lived 10-12 years longer.
•   Began aging 20-30 years later
•   Enjoyed a greater quality of life than
    those who didn’t follow a healthy
    lifestyle



                                              17




7 Lifestyle Factors identified that
       influenced longevity
•   Sleep 7 to 8 hours
•   No eating between meals
•   Eat breakfast regularly
•   Maintain proper weight
•   Regular exercise
•   Moderate or no use of
    alcohol
•   No smoking
                                         18   18




                                                           9
11/11/2011




 Key Initiatives to promote health and
             healthy ageing.


                                         19




  How HPB can Support Your
        Organization

1.Health for M.E. (Mature Employees)
2.Workplace Health Promotion (WHP)




                                                     10
11/11/2011




                            1) Health for M.E.
           Main Emphasis
                 • Keep your mature workforce in the pink
                   of health for greater productivity.
                 • Help them reach their next peak




                                                                                       21




                    Recommendation for
                   Essential Screening Test
Screening Test            Condition     Who should go      How often
•   Body Mass Index       Obesity       18 years & above   Once a year
    (BMI)
•   Waist circumference
    measurement
Blood pressure            High blood    18 years & above   Once every 2 years or
measurement               pressure                         more frequently as
                                                           advised by your
                                                           healthcare provider
Fasting venous blood      Diabetes      40 years & above   Once every 3 years or
glucose                                                    more frequently as
Fasting venous blood      High blood                       advised by your
lipids                    cholesterol                      healthcare provider

•   Faecal              Colorectal      50 years & above   •   Once a year (for FIT)
    Immunochemical Test cancer
    (FIT) or
•   Colonoscopy                                            •   Once every 10 years
                                                               (For colonoscopy)
                                                                                       22




                                                                                                   11
11/11/2011




              Additional Tests for Women
Screening Test        Condition   Who should      How often
                                  go
Pap smear             Cervical    25 years &      Once every 3 years
                      cancer      above (who
                                  have ever had
                                  sexual
                                  intercourse)
Mammogram             Breast      50 years &      Once every 2 years
                      cancer      above




                                                                       23




 1.CHRONIC DISEASE MANAGEMENT (CDM)

              Nurse Educator Programme (NEP)

         Individuals with diabetes, high
            blood pressure and high
        cholesterol (referrals from ISP &
                 Wellness Prog)
            • 3 workshops (2 - 3 hr each)
              - Lifestyle modifications to manage
                             chronic
                             diseases.
                 - Goal setting, action planning,
                           recording
                          and monitoring
            - Regular follow-up with family doctor

       • Support & complement GP’s role




                                                                                   12
11/11/2011




    Benefits of Retaining Mature
             Employees
• Mature workers possess more work experience and
  on-the-job education, which has honed their
  analytical and personal skills, making them cost-
  effective workers.
• Able to share this massive resource with your
  company to increase value and productivity!
• Mature workers stay longer at an organization after
  training than younger workers;




   I) Health for Mature Employees
                 (M.E.)
1.ADOPT A HEALTHY LIFESTYLE
   a.Stay physically active
   b.Eat Healthily
   c.Keep your mind active
   d.Be smoke-free
2.Go for Regular Health Screening
3.Manage Chronic Conditions Well
4.Be Socially Connected




                                                               13
11/11/2011




                                27




  Healthy ageing starts young
2. Workplace Health Promotion
Programmes (WHP)




                                            14
11/11/2011




Why Workplace Health Promotion
           (WHP)?
• A reciprocal relationship
• Work affects health (factors at work can improve or
  affect health negatively)
• Health affects work (how you feel physically,
  mentally and emotionally affect your performance)




1. Most companies have a sick care plan and not a
   health care plan.


2. Most disease that kills are lifestyle related. They
   can be prevented to a great extend.




                                                         30




                                                                     15
11/11/2011




     Investment in human capital
• Optimizing the performance and productivity of
    human capital is critical, given our limited
    resources.
• Especially true in a knowledge economy, where
    talent and innovation of an energetic and vibrant
    workforce are essential
• Investing in the health of employees should be
    seen as an investment rather than a cost




                                                        31




    Workplace is the ideal setting
•   More than 60% of Singaporean adults
    spend at least half of their waking
    hours at work.
•   The workplace is an ideal setting to
    promote health where peer support
    and communication structures are
    already in place


                                                        32




                                                                    16
11/11/2011




                Benefits of WHP
• Improving
   • productivity
   • morale and employee
        satisfaction
    •   staff retention
    •   loyalty to company
    •   ease of recruitment
    •   presenteeism (ability to
        concentrate at work and to
        achieve work outcomes, not
        distracted by health problems




                Benefits of WHP

•   Reducing
    • medical leave
    • staff turnover and
        therefore lower
        recruitment and
        training cost
    •   work time lost
    •   health cost
    •   absenteeism

                                        34




                                                    17
11/11/2011




    What can you do, to help your
     employees age healthily?
• By providing a conducive environment -- plays an
    important role in enabling people to reach a state of
    optimal health.
• By providing access to health information,
    opportunities for making healthy choices, social and
    cultural environments that are supportive such as
    access to reasonably-priced healthier food choices




       Health Promotion Involves
•   Health education (eg. health topics)
•   Health prevention (health screening
    and immunisation)
•   Health protection (smoke free policy
    and healthy environment)




                                                        36




                                                                    18
11/11/2011




  Workplace Health Promotion
            Grant
• A grant by Health Promotion Board
  (HPB) since 2001 to encourage
  companies to START or
  EXPAND/SUSTAIN workplace health
  promotion programmes


• 2 types of WHP Grant:
• WHP Grant
• WHP Grant for SMEs




  Workplace Health Promotion
            Grant
1.Funding Guidelines
2. Funding up to $10,000
3. WHP Grant: Co-funding (50:50 basis)
4. WHP Grant for SMEs: Co-funding (90:10
   basis)
5. Funds
  a. health screening
  b. health education activities such as healthy eating,
     mental wellbeing, smoking control
  c. sports and physical activities
  d. targeted health programme i.e. cholesterol
     management




                                                                  19
11/11/2011




                 HEALTHWORKS
a.   A convenient Workplace Health Promotion (WHP) package
     targeted at SMEs
b.   Covers health risk assessment, physical activity, healthy
     eating, mental wellbeing and smoking control
c.   Pre-selected service providers:
d.   Apply for WHP Grant
e.   Publicize and implement WHP programme to employees
f.   Evaluate and report effectiveness of programme


      HealthWORKS
      Physical   Healthy    Smoking    Health     Mental
      Activity   Eating     Control    Risk       Wellbeing
                                       Assessm
                                       ent




           Trust and Recognition
•    HEALTH Awards
•    Individual Awards
-    Health leader award
-    Health promoter award




                                                                        20
11/11/2011




  Workplace Health Promotion
            Grant
• More to gain, nothing to lose
• Compare to other countries
• Comprehensive HPB initiatives that
  involve National coverage




           Contact HPB
1.Workplace Outreach Enquiry Centre
2.Email:
  HPB_Health_At_Work@hpb.gov.sg
3.Tel: 6435 3704
4.www.hpb.gov.sg/healthatwork




                                              21

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1330 dr eric teo championing healthy ageing programmes and health promotion at workplaces

  • 1. 11/11/2011 Championing Healthy Ageing Programmes and Health Promotion at Workplaces Statistics: Singapore Trend of ageing: By 2030, 1 in every 5 Singaporeans will be aged 65 years and above • Surging trend of non-communicable diseases • Disabilities among older persons • Increased demand for healthcare facilities, long term care services and others 1
  • 2. 11/11/2011 THE FACT IS: We change when we age Physiological Changes • Cardiovascular • Heart muscle becomes less efficient — working harder to pump the same amount of blood through your body. • Blood vessels lose some of their elasticity • Hardened fatty deposits may form on the inner walls of your arteries (atherosclerosis). 2
  • 3. 11/11/2011 Physiological Changes Bones, joints and muscles • Bones tend to shrink in size and density — weakens them and makes them more susceptible to fracture. • Muscles lose strength and flexibility -- become less coordinated or have trouble balancing. Physiological Changes Metabolic System • Gradual decline in the activity of the thyroid gland and decline in the ability of the pancreas to produce insulin. • -- Decrease in the body's ability to use fats and sugars and to convert them into energy. • Increase in weight; an increased blood sugar level 3
  • 4. 11/11/2011 Psychological Changes • May experience some significant loss of mental lucidity and independence • 60 years and older experience significant cognitive decline, including declines in memory, concentration, clarity of thought, focus and judgment So, do we accept this as a fact or something can be done to it. 4
  • 5. 11/11/2011 Team Hoyt Dick and Rich Hoyt As of July 2010, the Hoyts had competed in 1032 endurance events, including 68 marathons and six Ironman triathlons 10 5
  • 6. 11/11/2011 Blue Zone Residents of Okinawa, Sardinia, and Loma Linda, California, live longer, healthier lives than just about anyone else on Earth. Marge Jetton 12 6
  • 7. 11/11/2011 Closer Home Secrets to Healthy Ageing • For the Centenarians - Don’t smoke, stay physically active, keep socially engaged, cherish family, eat a plant- based diet 14 7
  • 8. 11/11/2011 Healthy Ageing is possible! Secrets to Longer life • Science: Study of Breslow and Belloc 8
  • 9. 11/11/2011 Seven Habits of Healthy People • People who followed these 7 habits lived 10-12 years longer. • Began aging 20-30 years later • Enjoyed a greater quality of life than those who didn’t follow a healthy lifestyle 17 7 Lifestyle Factors identified that influenced longevity • Sleep 7 to 8 hours • No eating between meals • Eat breakfast regularly • Maintain proper weight • Regular exercise • Moderate or no use of alcohol • No smoking 18 18 9
  • 10. 11/11/2011 Key Initiatives to promote health and healthy ageing. 19 How HPB can Support Your Organization 1.Health for M.E. (Mature Employees) 2.Workplace Health Promotion (WHP) 10
  • 11. 11/11/2011 1) Health for M.E. Main Emphasis • Keep your mature workforce in the pink of health for greater productivity. • Help them reach their next peak 21 Recommendation for Essential Screening Test Screening Test Condition Who should go How often • Body Mass Index Obesity 18 years & above Once a year (BMI) • Waist circumference measurement Blood pressure High blood 18 years & above Once every 2 years or measurement pressure more frequently as advised by your healthcare provider Fasting venous blood Diabetes 40 years & above Once every 3 years or glucose more frequently as Fasting venous blood High blood advised by your lipids cholesterol healthcare provider • Faecal Colorectal 50 years & above • Once a year (for FIT) Immunochemical Test cancer (FIT) or • Colonoscopy • Once every 10 years (For colonoscopy) 22 11
  • 12. 11/11/2011 Additional Tests for Women Screening Test Condition Who should How often go Pap smear Cervical 25 years & Once every 3 years cancer above (who have ever had sexual intercourse) Mammogram Breast 50 years & Once every 2 years cancer above 23 1.CHRONIC DISEASE MANAGEMENT (CDM) Nurse Educator Programme (NEP) Individuals with diabetes, high blood pressure and high cholesterol (referrals from ISP & Wellness Prog) • 3 workshops (2 - 3 hr each) - Lifestyle modifications to manage chronic diseases. - Goal setting, action planning, recording and monitoring - Regular follow-up with family doctor • Support & complement GP’s role 12
  • 13. 11/11/2011 Benefits of Retaining Mature Employees • Mature workers possess more work experience and on-the-job education, which has honed their analytical and personal skills, making them cost- effective workers. • Able to share this massive resource with your company to increase value and productivity! • Mature workers stay longer at an organization after training than younger workers; I) Health for Mature Employees (M.E.) 1.ADOPT A HEALTHY LIFESTYLE a.Stay physically active b.Eat Healthily c.Keep your mind active d.Be smoke-free 2.Go for Regular Health Screening 3.Manage Chronic Conditions Well 4.Be Socially Connected 13
  • 14. 11/11/2011 27 Healthy ageing starts young 2. Workplace Health Promotion Programmes (WHP) 14
  • 15. 11/11/2011 Why Workplace Health Promotion (WHP)? • A reciprocal relationship • Work affects health (factors at work can improve or affect health negatively) • Health affects work (how you feel physically, mentally and emotionally affect your performance) 1. Most companies have a sick care plan and not a health care plan. 2. Most disease that kills are lifestyle related. They can be prevented to a great extend. 30 15
  • 16. 11/11/2011 Investment in human capital • Optimizing the performance and productivity of human capital is critical, given our limited resources. • Especially true in a knowledge economy, where talent and innovation of an energetic and vibrant workforce are essential • Investing in the health of employees should be seen as an investment rather than a cost 31 Workplace is the ideal setting • More than 60% of Singaporean adults spend at least half of their waking hours at work. • The workplace is an ideal setting to promote health where peer support and communication structures are already in place 32 16
  • 17. 11/11/2011 Benefits of WHP • Improving • productivity • morale and employee satisfaction • staff retention • loyalty to company • ease of recruitment • presenteeism (ability to concentrate at work and to achieve work outcomes, not distracted by health problems Benefits of WHP • Reducing • medical leave • staff turnover and therefore lower recruitment and training cost • work time lost • health cost • absenteeism 34 17
  • 18. 11/11/2011 What can you do, to help your employees age healthily? • By providing a conducive environment -- plays an important role in enabling people to reach a state of optimal health. • By providing access to health information, opportunities for making healthy choices, social and cultural environments that are supportive such as access to reasonably-priced healthier food choices Health Promotion Involves • Health education (eg. health topics) • Health prevention (health screening and immunisation) • Health protection (smoke free policy and healthy environment) 36 18
  • 19. 11/11/2011 Workplace Health Promotion Grant • A grant by Health Promotion Board (HPB) since 2001 to encourage companies to START or EXPAND/SUSTAIN workplace health promotion programmes • 2 types of WHP Grant: • WHP Grant • WHP Grant for SMEs Workplace Health Promotion Grant 1.Funding Guidelines 2. Funding up to $10,000 3. WHP Grant: Co-funding (50:50 basis) 4. WHP Grant for SMEs: Co-funding (90:10 basis) 5. Funds a. health screening b. health education activities such as healthy eating, mental wellbeing, smoking control c. sports and physical activities d. targeted health programme i.e. cholesterol management 19
  • 20. 11/11/2011 HEALTHWORKS a. A convenient Workplace Health Promotion (WHP) package targeted at SMEs b. Covers health risk assessment, physical activity, healthy eating, mental wellbeing and smoking control c. Pre-selected service providers: d. Apply for WHP Grant e. Publicize and implement WHP programme to employees f. Evaluate and report effectiveness of programme HealthWORKS Physical Healthy Smoking Health Mental Activity Eating Control Risk Wellbeing Assessm ent Trust and Recognition • HEALTH Awards • Individual Awards - Health leader award - Health promoter award 20
  • 21. 11/11/2011 Workplace Health Promotion Grant • More to gain, nothing to lose • Compare to other countries • Comprehensive HPB initiatives that involve National coverage Contact HPB 1.Workplace Outreach Enquiry Centre 2.Email: HPB_Health_At_Work@hpb.gov.sg 3.Tel: 6435 3704 4.www.hpb.gov.sg/healthatwork 21