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Prince George’s County Fire/EMS Wellness and Fitness Training December 2007 – CRS 40

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”

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Prince George’s County Fire/EMS Wellness and Fitness Training December 2007 – CRS 40

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  1. Prince George’s County Fire/EMSWellness and Fitness TrainingDecember 2007 – CRS 40 “Wellness & Fitness For Life”

  2. Unacceptable Average Life Expectancy 66

  3. 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

  4. 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”

  5. “Wellness” - Defined

  6. “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

  7. Cardiac Risk Factor ProfileAmerican 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

  8. Risk Factor Age • Defining Criteria -Male > 45 years old -Female > 55 years old

  9. 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.

  10. 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**

  11. Good, Bad, and Ugly Cholesterol “GOOD” High Density Lipids (HDL)

  12. Good, Bad, and Ugly Cholesterol “Bad” Low Density Lipids (LDL)

  13. Good, Bad, and Ugly Cholesterol “Ugly” Total Cholesterol > 200 High Density Lipids (HDL) < 40 Coronary Risk Ratio > 5.0

  14. 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**

  15. 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.

  16. 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

  17. 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

  18. Obesity PATTERNS CAN CAUSE • Premature death • Cardiovascular Disease • High Blood Pressure • Osteoarthritis • Some Cancers • Diabetes

  19. 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.

  20. Obesity Trends* Among U.S. AdultsBRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  21. Obesity Trends* Among U.S. AdultsBRFSS, 1986 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  22. Obesity Trends* Among U.S. AdultsBRFSS, 1987 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  23. Obesity Trends* Among U.S. AdultsBRFSS, 1988 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  24. Obesity Trends* Among U.S. AdultsBRFSS, 1989 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  25. Obesity Trends* Among U.S. AdultsBRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  26. Obesity Trends* Among U.S. AdultsBRFSS, 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  27. Obesity Trends* Among U.S. AdultsBRFSS, 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  28. Obesity Trends* Among U.S. AdultsBRFSS, 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  29. Obesity Trends* Among U.S. AdultsBRFSS, 1994 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  30. Obesity Trends* Among U.S. AdultsBRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  31. Obesity Trends* Among U.S. AdultsBRFSS, 1996 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  32. Obesity Trends* Among U.S. AdultsBRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  33. Obesity Trends* Among U.S. AdultsBRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  34. Obesity Trends* Among U.S. AdultsBRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  35. Obesity Trends* Among U.S. AdultsBRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  36. Obesity Trends* Among U.S. AdultsBRFSS, 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  37. Obesity Trends* Among U.S. AdultsBRFSS, 2002 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  38. Obesity Trends* Among U.S. AdultsBRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  39. Obesity Trends* Among U.S. AdultsBRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  40. Obesity Trends* Among U.S. AdultsBRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  41. Obesity Trends* Among U.S. AdultsBRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  42. 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.

  43. 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. • 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. Durable and Multi-Disciplined Public Safety Fitness

  44. Risk Factor Tobacco Use • Defining Criteria -Current tobacco user of any type (cigarette, cigar, pipe, chewing tobacco) -Tobacco user that has quitwithin last 6 months.

  45. Risk Factor Diabetes • Defining Criteria -Physician diagnosed diabetes (insulin, diet or exercise controlled)

  46. Is there something on your six? S T R E S S

  47. A Healthy Stress Pattern Uh Oh! Excited Normal Ah! Relaxed

  48. A Unhealthy Stress Pattern Uh Oh! Uh Oh! Excited Breakdown Uh Oh! Relaxed

  49. Commonly Used Maladaptive Coping Techniques • Harder, Faster, Better • Hyper-Activity • Impulsive and Reckless Behavior w/o Thought • Substance Abuse S T R E S S

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