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Move More Treadmill Desks as a successful intervention to reduce sedentary time and increase physical activity Contents What is the current state of NCDs in SA? How are healthcare insurance companies trying to alter the risks?


  1. Move More Treadmill Desks as a successful intervention to reduce sedentary time and increase physical activity

  2. Contents • What is the current state of NCD’s in SA? • How are healthcare insurance companies trying to alter the risks? • What do we know about sitting? • What is the reality? Walking is a man’s • What does the workplace look like? best medicine • What are the benefits of moving while working? Hippocrates • Is there a business case for investing in active workstations? • About Walk & Work services 2 www.walkandwork.co.za

  3. What is the current state of NCDs? For the first time in human history, non- 50% of all communicable diseases (NCDs) are killing 50 people chronic more people than infectious diseases. Every die per conditions year, about 38 million people die from a day due to occur before the diabetes NCD—more than two-thirds of the world’s age of 50 annual deaths. 1 in 10 50% more 2 in 3 people suffer men die of from mental women are cardiovascula illness caused overweight by trauma or r disease or obese exposure to than women violence 40% of men 40 people above the per day die age of 35 are due to overweight hypertensive diseases or obese 3 www.walkandwork.co.za

  4. How are healthcare insurance companies trying to alter the risks? Pr Promoting g Ph Physical Health & Fitness Assessing current health Encouraging active lifestyle Gym membership ü Online questionnaires about health and wellness: ü Daily step counting ü o Family medical history Training programmes ü o Healthy activity Fitness events ü o Healthy nutrition Outdoor exercise programmes ü o Healthy mind and body Online lifestyle improvement ü o Healthy habits courses o Workplace wellness Exercise tracking Comprehensive annual Health Assessment: ü ü o Weight o Waist circumfence Recognising achievements o Body Mass Index o Blood pressure Gym visits, ü o Glucose levels Event participation, ü o Cholesterol levels Calories (>300 in 1 session), and ü Fitness assessment ü Steps (>10,000 per day) ü 4 www.walkandwork.co.za

  5. What do we know about sitting? Regardless of regular exercise, high rates of sedentary behaviour have been “Consistent independent associations have been observed associated with adverse physiological between sitting time/sedentary behaviors and elevated all-cause outcomes, such as: and cardiovascular disease mortality risk” 2011; Dunstan, DW et al o cardiovascular disease - 147% increased risk, o type 2 diabetes (112% increased risk), “Each extra hour of sitting time per day is associated with a 22% increased odds for type 2 diabetes” 2015; Van Der Berg, J.D, et al o all-cause mortality - 50% increased risk, o cancer (breast, colon, colorectal, endometrial, ”Prolonged sitting and unhealthy sleep duration are established as epithelial ovarian) - 30-66% increased risk. two additional risk factors for all-cause mortality that should be included in scores designed to quantify health risk.” 2015; Ding Ding et al 5 www.walkandwork.co.za

  6. What is the reality? 80% of our waking day is spent sitting, while commuting, working, and spending leisure time. 6 www.walkandwork.co.za

  7. What about the workplace? Work rkplaces have a significant t role to to play to to reduce sedenta tary ry ti time. Inte terv rventi tions aimed at t access to to faciliti ties, and th the physical environment t of th the office, are found to to be most t successful for r reducing sedenta tary ry ti time. 8-9 hours a day • secure bike ra racks, • work rkplace layout t (pri rinte ters rs furth rther r away from work rksta tati tions); • modified work rksta tati tions, i.e. acti tive work rksta tati tions where people can sta tand, walk, or r cycle. 7 www.walkandwork.co.za

  8. Summing it up: • Major efforts are made to influence lifestyle decisions to encourage better health • Still NCD rates are dramatically on the rise, and killing more people than infectious diseases • Incentives and tools are primarily aimed at bouts of exercise, whereas there’s compelling evidence that prolonged sitting is a major contributor of the development of NCD’s • Interventions at the workplace, where most of the time every day is spent are most effective when there are changes in the physical environment 8 www.walkandwork.co.za

  9. Compelling evidence for the use of treadmill desks “As an intervention to increase employees’ physical activity while working, the walking workstations, regardless of a person’s exercise habits or body mass index (BMI), had significant benefits in terms of higher satisfaction and arousal and experienced less boredom and stress than those in the passive conditions.” Sliter et al, 2015 “Measuring performance on a 10-point scale, participants scored a point higher when using a treadmill desk compared to those who didn’t” “Daily total physical activity increased as a result of the adoption of treadmill workstations.” Ben-Ner et al, 2014 “Study participants lost as much as eight pounds over the course of a year.” Koepp et al, 2013 “If sitting computer-time were replaced by walking-and-working, energy expenditure could increase by 100 kcal/h. Thus, if obese individuals were to replace time spent sitting at the computer with walking computer time by 2–3 h/day, and if other components of energy balance were constant, a weight loss of 20–30 kg/year could occur.” Levine et al, 2007 “Interrupting sitting time with frequent brief bouts of light-intensity activity, but not standing, imparts beneficial postprandial responses that may enhance cardiometabolic health. The findings may have importance in the design of effective interventions to reduce cardiometabolic disease risk.” Bailey et al, 2015 9 www.walkandwork.co.za

  10. Business Case Retur Ret urn on on In Investm stment Inc Increa eased da ed daily a activity, a , and r nd reduc educed s ed sedent edentary ho hour urs Achieving 10,000 steps* a day, during a normal workday: As people are more active, 0 steps/hour 4,000 steps/hour studies have shown weight loss, addressing obesity. Ben-Ner: “Weight-bearing and increasing circulation can also prevent osteoporosis, diabetes and X calories 2.5*X calories vascular disease, with obvious benefits to employers, given Contribution Con on to o employe oyee perfor ormance ce how costly those maladies can be to treat. You can wipe out the After the adjustment period, the quality of work, quantity of work and the quality of cost of the fanciest treadmill in exchanges with colleagues of those walking & working all improves. half a year of treatment,” (A Ben-Ner; 2014) 10 www.walkandwork.co.za

  11. Conclusion § Current rapid development of non-communicable disease is increasingly urging organisations to take action, and look for successful interventions to get employees moving, and develop healthier lifestyles § Sedentary lifestyles have been identified as a primary risk factor towards developing NCD’s § Interventions in the physical work environment are proven most successful § Millennials are looking for work environments that offer flexibility, and allows for activity § Treadmill desks, reduce sedentary hours, increase physical activity and metabolism, and improve work performance and job satisfaction § As a shared resource, placed in a hub in office spaces, the initial investment is marginal taking its benefits to the organisation and employee health into consideration 11 www.walkandwork.co.za

  12. Procure or Lease Walk & Work offers various procurement options, to suit the organisation’s needs: § Rental (minimum 6 months, to ensure success can be measured with a period for adjustment to the new way of working) § Lease-to-Own (offering you a flat monthly payment structure, to own after 1 year) § One-off purchase Proposals are customised for the organisation’s requirements 12 www.walkandwork.co.za

  13. Join the movement! Wa Walk & Work (Pty) Ltd Web: www.walkandwork.co.za Facebook: @WalkandWork 3 St Georges Mall Twitter: @WalkandWork The Colosseum – unit 505 Tel: 021 0125999 Cape Town 8000 Elisabeth th Sta tavenga Jan Fo Ja Folmer er Sales & Marketing Managing Director lisa@walkandwork.co.za jan@walkandwork.co.za 083 4441020 083 5551100 13 www.walkandwork.co.za

  14. Media Es Espr presso o Mo Morning Sho Show http://walkandwork.co.za/blogs/all/100995969-expresso-morning-show-on-the-dangers-of-sitting Ha Hashta tag R Radio ht http://ha //hasht htagradio.co.za/2016/04/p /2016/04/podcast-in intervie iew-wi with th-el elisabet eth/ h/ We Weekend Arg rgus ht http://w //www.iol.co.za/w /week eekend end-ar argus/just-st steppin ing-ou out-fo for-a-cu cup-of of-co coffe fee-2035955 2035955 Disrupt Africa Di ht http://d //disrup upt-af africa. a.com/2016/05/this-st startup-wi will-hel help-yo your-st startup-te team-ke keep-fi fit-on on-th the-jo job/ kykN kykNET - Di Die GR GROOT T On Ontbyt ht http://w //walkand ndwork.co.za/b /blogs/a /all/d /die-gr groot oot-on ontby byt-on onde dersoe oek-di die-tra trapmeul-le lesse ssenaar 14 www.walkandwork.co.za

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