sitting will kill you. can mobile save us? sxsw2013

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

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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.

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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

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“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

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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

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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

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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

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Source: www.medicalbillingandcoding.org/sitting-kills/11

Source: docandrewmurray.com/category/infographics/12

“Inertia” by Jason deCaires Taylor—Cancun, Mexico

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Source: Spine Health Institute. www.visual.ly/how-sitting-affects-your-health

How Sitting Affects Your Health

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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?

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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

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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

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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

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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

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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

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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

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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

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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

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Source: visual.ly/30-minutes-longer-life-how-exercise-reduces-your-risk-premature-death

30 Minutes of Exercise: Boost Your Brain Power

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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

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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.

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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.

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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%

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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

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Google’s Next Headquarters is an Environment That Fosters Health and Wellness

Source: data.qz.com/2013/explore-googles-next-headquarters/#49

Value-Based Purchasing in Health

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Source: news.xerox.com/news/Buck-Consultants-A-Xerox-Company-Survey-on-Global-Wellness-Programs

Upping the Ante on Wellness

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Source: www.prudential.com/media/managed/Wellness_Programs_Gain_Attention_Infographic.png

Wellness Programs Gain Attention

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Source: www.greatplacetowork.com/publications-and-events/blogs-and-news/714

The100 Best Companies to Work for Provide for Wellness on the Job

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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

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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

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Source: mhealthwatch.com/infographic-88-percent-of-doctors-want-patients-to-track-healthcare-at-home-17767/

The mHealth Platform Ecosystem

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Source: www.gsma.com/mobilefordevelopment/wp-content/uploads/2012/12/mHealth_MDG6_Infographic.png

How mHealth is CombatingHIV/AIDS, Malaria and Other Diseases

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Source: healthpopuli.com/wp-content/uploads/2013/02/eclinicalworks-infographic.jpg

Download a Health App and Call Me In the Morning

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Source: www.hitconsultant.net/wp-content/uploads/2012/09/Envisioning-The-Future-of-Health-Technology-Infographic.png

Envisioning the Future of Health Technology

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Get Moving!

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