11/11/2011

1

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

11/11/2011

2

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).

11/11/2011

3

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

11/11/2011

4

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.

11/11/2011

5

Team HoytDick and Rich Hoyt

10

As of July 2010, the Hoyts had

competed in 1032 endurance

events, including 68 marathons and

six Ironman triathlons

11/11/2011

6

Blue Zone

Residents of Okinawa, Sardinia, and

Loma Linda, California, live longer,

healthier lives than just about anyone

else on Earth.

12

Marge Jetton

11/11/2011

7

Closer Home

14

Secrets to Healthy Ageing

• For the Centenarians - Don’t smoke,

stay physically active, keep socially

engaged, cherish family, eat a plant-

based diet

11/11/2011

8

Healthy Ageing is possible!

Secrets to Longer life

• Science: Study of Breslow and Belloc

11/11/2011

9

17

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

18

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 smoking18

11/11/2011

10

19

Key Initiatives to promote health and

healthy ageing.

How HPB can Support Your

Organization

1.Health for M.E. (Mature Employees)

2.Workplace Health Promotion (WHP)

11/11/2011

11

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

22

Screening Test Condition Who should go How often

• Body Mass Index

(BMI)

• Waist circumference

measurement

Obesity 18 years & above Once a year

Blood pressure

measurement

High blood

pressure

18 years & above Once every 2 years or

more frequently as

advised by your

healthcare provider

Fasting venous blood

glucose

Diabetes 40 years & above Once every 3 years or

more frequently as

advised by your

healthcare providerFasting venous blood

lipids

High blood

cholesterol

• Faecal

Immunochemical Test

(FIT) or

• Colonoscopy

Colorectal

cancer

50 years & above • Once a year (for FIT)

• Once every 10 years

(For colonoscopy)

11/11/2011

12

Additional Tests for Women

23

Screening Test Condition Who should

go

How often

Pap smear Cervical

cancer

25 years &

above (who

have ever had

sexual

intercourse)

Once every 3 years

Mammogram Breast

cancer

50 years &

above

Once every 2 years

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

11/11/2011

13

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

11/11/2011

14

27

Healthy ageing starts young

2. Workplace Health Promotion

Programmes (WHP)

11/11/2011

15

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)

30

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.

11/11/2011

16

31

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

32

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

11/11/2011

17

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

34

Benefits of WHP

• Reducing

• medical leave

• staff turnover and

therefore lower

recruitment and

training cost

• work time lost

• health cost

• absenteeism

11/11/2011

18

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

36

Health Promotion Involves

• Health education (eg. health topics)

• Health prevention (health screening

and immunisation)

• Health protection (smoke free policy

and healthy environment)

11/11/2011

19

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

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 screeningb. health education activities such as healthy eating,

mental wellbeing, smoking controlc. sports and physical activitiesd. targeted health programme i.e. cholesterol

management

Workplace Health Promotion

Grant

11/11/2011

20

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

HealthWORKS

Physical

Activity

Healthy

Eating

Smoking

Control

Health

Risk

Assessm

ent

Mental

Wellbeing

Trust and Recognition

• HEALTH Awards

• Individual Awards

- Health leader award

- Health promoter award

11/11/2011

21

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