Prince George’s County Fire/EMS
Wellness and Fitness Training
December 2007 – CRS 40
“Wellness & Fitness For Life”
Unacceptable
Average Life Expectancy
66
Problems
Adjusting to “Abnormal Culture” vs. “Normal World”
The National and Departmental “Cultural Attitude” Towards Wellness and
Fitness
Health Care System Policy and Procedure
Failure Rate of Programs
Alcoholism/substance abuse
Addictive/Extreme behaviors
Psychological Stress of the public safety officer
Physiological Stress of the public safety officer
Departmental Bureaucracy
Organizational and Individual Workload
Recruitment and Hiring Process
Economics
Public Safety
Typical Personality
Profile
–
–
–
–
–
–
–
Perfectionist
Driven to succeed
Willing to work long and irregular hours
Ideals of individual service and sacrifice
Independent/ self reliant
Tendency to be a “risk taker”
“Adrenalin Junkies”
“Wellness” - Defined
Physical
Emotional
Spiritual
Dimensions
Of
Wellness
Career
Family
Financial
Social
“Tip of the Spear”
Health risk factors:
Uncontrollable factors
- Increasing age
- Sex (gender)
- Hereditary (including race)
Controllable and/or treatable by changing lifestyle or medicine
-
Abnormal lipid profile (Cholesterol)
Hypertension
Obesity (Increase BMI, >30 lbs overweight)
Sedentary lifestyle
Smoking
Diabetes
Poor nutrition
Cardiac Risk Factor Profile
American College of Sports Medicine Risk Stratification
The Risk Factors
• Age
• Family Cardiac History
•
•
•
•
•
•
*Abnormal Cholesterol Levels
*High Blood Pressure
*Obesity
*Sedentary Lifestyles
*Smoking
*Diabetes
*Identified as primary risk factors by American Heart Association
Controllable
Risk Factor
Defining Criteria
-Male > 45 years old
-Female > 55 years old
Age
Risk Factor
Family History
Defining Criteria
-Male = Heart attack or sudden death before age
55 of father, brother, or son.
-Female = Heart attack or sudden death before age
65 of mother, sister or daughter.
Risk Factor
Hyper-Cholesterolemia
Defining Criteria
-Total serum cholesterol is > 200 mg/dL
-HDL (high density lipid) “good” cholesterol is < 40 mg/dL
-LDL (low density lipid) “bad” cholesterol is > 130 mg/dL
-Currently on cholesterol medication.
**Note: Negative Risk factor if HDL is > 60 mg/dL**
Good, Bad, and Ugly Cholesterol
“GOOD”
High Density Lipids
(HDL)
Good, Bad, and Ugly Cholesterol
“Bad”
Low Density Lipids
(LDL)
Good, Bad, and Ugly Cholesterol
“Ugly”
Total Cholesterol > 200
High Density Lipids (HDL) < 40
Coronary Risk Ratio > 5.0
Good, Bad, and Ugly Cholesterol
“Ideal”
Total Cholesterol < 200
High Density Lipids (HDL) > 40
Coronary Risk Ratio < 5.0
**Negative Risk factor if HDL is > 60**
Risk Factor
Hypertension
Defining Criteria
-Systolic blood pressure > 140 mmHg
-Diastolic > 90 mmHg
-Confirmed on at least two separate readings.
-Currently on high blood pressure medication.
What are High Blood Pressure Risks?
Likelihood of cardiovascular event by
the chronic hypertensive numbers……
115/75…………………………….Normal
135/85……………………………. 3X
155/95……………………………. 4X
175/105………………………….. 8X
*National Heart, Lung & Blood Institute
Risk Factor
Obesity
Defining Criteria
-Body Mass Index > 30
~ 30lbs over ideal weight
-Male waist girth > 40 inches
-Female waist girth > 35 inches
*Use clinical judgment when evaluating obesity and BMI
Obesity






CAN CAUSE
Premature death
Cardiovascular Disease
High Blood Pressure
Osteoarthritis
Some Cancers
Diabetes
PATTERNS
Abnormal lipid profile
(Cholesterol)
Sedentary lifestyle
Poor nutrition
Obesity
Diabetes
Hypertension
Smoking
Obesity Trends Among U.S. Adults
between 1985 and 2006
Source of the data:
The data shown in these maps were collected
through CDC’s Behavioral Risk Factor Surveillance
System (BRFSS). Each year, state health
departments use standard procedures to collect
data through a series of monthly telephone
interviews with U.S. adults.
Prevalence estimates generated for the maps
may vary slightly from those generated for the
states by BRFSS (http://aps.nccd.cdc.gov/brfss)
as slightly different analytic methods are used.
Obesity Trends* Among U.S. Adults
BRFSS, 1985
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1986
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1987
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1988
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1989
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1991
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1992
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1993
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1994
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1996
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1997
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 1998
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 1999
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 2001
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
≥25%
Obesity Trends* Among U.S. Adults
BRFSS, 2002
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
≥25%
Obesity Trends* Among U.S. Adults
BRFSS, 2003
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
≥25%
Obesity Trends* Among U.S. Adults
BRFSS, 2004
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
≥25%
Obesity Trends* Among U.S. Adults
BRFSS, 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Obesity Trends* Among U.S. Adults
BRFSS, 2006
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Risk Factor
Sedentary Lifestyle
Defining Criteria
-Persons not participating in regular exercise
program.
-Persons not accumulating 30 minutes of
moderate physical activity at least 4 – 7 days
per week.
Durable and Multi-Disciplined
Muscular Strength
The ability to exert a maximal force at a given
speed in a single voluntary contraction.
Muscular Endurance
The ability to exert a sub-maximal
force for voluntary contractions or
one extended contraction.
Public Safety
Fitness
Cardio-Pulmonary Endurance
The ability of the heart and lungs to
deliver oxygen to working muscles for
extended periods of time.
Flexibility
The ability to have a range of motion at a joint
and/or spine.
Risk Factor
Tobacco Use
Defining Criteria
-Current tobacco user of any type (cigarette,
cigar, pipe, chewing tobacco)
-Tobacco user that has quit within last 6 months.
Risk Factor
Diabetes
Defining Criteria
-Physician diagnosed diabetes (insulin, diet
or exercise controlled)
Is there something on your six?
A Healthy Stress Pattern
Excited
Relaxed
Uh Oh!
Normal
Ah!
A Unhealthy Stress Pattern
Excited
Uh Oh!
Uh Oh!
Breakdown
Relaxed
Uh Oh!
Commonly Used Maladaptive
Coping Techniques
Harder, Faster, Better
Hyper-Activity
Impulsive and Reckless
Behavior w/o Thought
Substance Abuse
PURSUIT OF OUTSIDE INTERESTS/ HOBBIES
DIET
Longevity
The Centenarian Personality*
What can you learn from 100 year old people?
Never
Smoked
Sense
Of
Humor
Sense
Of
Hope
Not
Obese
Centenarian
>100 years
Willing
To
Engage
Healthy
Coping
Mechanisms
No
Major
Illnesses
Practices
Stress
Reduction
*Information taken from “Aging Smart…Aging Well” Monika White, PhD, President/CEO Center for Healthy
Aging, March 2006
Take Home Message
Take Home Message
Take personal responsibility for your Wellness
Take Home Message
Take personal responsibility for your Wellness
Avail yourself of Proper Resources
Take Home Message
Take personal responsibility for your wellness
Avail yourself of proper resources
Establish & practice good habits
FOR MOST OF US….
FOR MOST OF US….
CHANGE ISN’T EASY
Thanks
For questions & comments
cdbussing@co.pg.md.us