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Brown & Brown — Metabolic Health Summer Series (September 2023)
37 slides from Brown & Brown's conference presentation, Sep 13, 2023
Slide 1: Metabolic Health Summer Series
Metabolic Health Summer Series Beyond the Drugs: Human-Centered Strategy that Supports the Metabolic Health of Your People September 13, 2023 Presented By: Kelly Polinski, MPH, CPH, CWPM Linda Gigliotti, MS, RDN, CDCES, CSOWM, FAND Gina Julian, MS, RD
Slide 2: Disclaimer
Disclaimer Brown & Brown, Inc. and all its affiliates, do not provide legal, regulatory or tax guidance, or advice. If legal advice counsel or representation is needed, the services of a legal professional should be sought. The information in this document is intended to provide a general overview o
Slide 3: Today's Presenters & Agenda
Today’s Presenters & Agenda OPENING KEYNOTE EMPLOYER REMARKS SPEAKER PERSPECTIVE Kelly Polinski, Linda Gigliotti, Gina Julian, MS, RD MPH, CWPM MS, RDN, CDCES, Managing Consultant, National Population Health CSOWM, FAND Brown & Brown Consultant, Brown & Brown Wellness Consultant
Slide 4: Opening Remarks
01 Opening Remarks
Slide 5: Previously on the Metabolic Health Webinar Series…
Previously on the Metabolic Health Webinar Series… Metabolic health is a spectrum. Recent GLP-1 weight loss drugs …they’re expensive for have a promising impact on weight BUT employers to cover. loss and metabolic health… Plan design changes, such as …employers and employees prior authorizations rel
Slide 6: What Are We Trying to Accomplish?
What Are We Trying to Accomplish? Help employees practice sustainable, healthy behaviors that help reduce their risk of (and better control) metabolic health conditions. Manage Eat well! Move more! stress well! But how do we help our employees do this? What is the role of the employer, aside from co
Slide 7: Designing a Human-Centered Strategy
02 Designing a Human-Centered Strategy
Slide 8: Objectives
Objectives Discuss ways that employers Identify lifestyle factors Outline recommendations for can support the lifestyles and that can impact diet, physical activity, sleep behaviors of their employees metabolic health and mental health to help to boost the holistic metabolic maximize metabolic healt
Slide 9: Chronic Disease Accounts for 86% of Healthcare Costs
Chronic Disease Accounts Obesity is a chronic disease. for 86% of Healthcare Costs1 Obesity is also a risk factor for other chronic diseases. 1. Holman HR. The Relation of the Chronic Disease Epidemic to the Health Care Crisis. ACR Open Rheumatol. 2020 Mar;2(3):167-173. doi: 10.1002/acr2.11114. Epub
Slide 10: Measures of Metabolic Health
Measures of Metabolic Health HDL Cholesterol • <40 mg/dL men Blood Pressure • <50 mg/dL women • <130/85 Fasting Glucose Triglycerides Waist Circumference • <100 mg/dL • <150 mg/dL • <35 inches women • <40 inches men BROWN & BROWN | 10
Slide 11: Can Lifestyle Make a Difference?
Can Lifestyle Make a Difference? 1. Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, Nathan DM; Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002 Feb 7;346(6):393-403. doi: 1
Slide 12: Foundation for Lifestyle Therapy
Healthy Food Plan Foundation for Lifestyle Therapy Mental Physical Health Activity BROWN & BROWN | 12
Slide 13: What's a Healthy Food Plan?
What’s a Healthy Food Plan? Eating Patterns • Mediterranean • Vegetarian or Vegan • Low-Fat • Low- & Very Low- Carbohydrate • DASH Diabetes Care 2019;42(5):731-754 • Paleo https://doi.org/10.2337/dci9-0014 *Source: RCTs, meta-analyses, observational studies, nonrandomized single-arm studies, cohort
Slide 14: Macronutrient Manipulation
Macronutrient Manipulation Carbs Protein Fats 35-65% 10-35% 10-40% Most food plans focus on the manipulation of macronutrients. BROWN & BROWN | 14
Slide 15: What Do the Eating Patterns Have in Common?
What Do the Eating Patterns Have in Common? Very Very USDA Mediterranean Vegetarian Vegan Low-Fat Low-Carb DASH Keto/Paleo Low-Fat Low-Carb Dairy Cheese Cheese Fruit Berries Berries Berries Vegetables Leafy Green Leafy Green Beans, Peas & Lentils F
Slide 16: Healthy Food Plan
Healthy Food Plan Encourage • Consumption of vegetables, leafy greens, fruits, berries, whole grains, nuts, legumes, fish • Complex carbohydrates over simple sugars • High-fiber foods over low-fiber foods • Reading labels rather than marketing claims Limit • Highly processed foods of minimum nutriti
Slide 17: High Calorie-Dense Processed Foods Are a Concern
High Calorie-Dense Processed Foods Are a Concern 1 Cup 6 Bananas = HIGH CALORIE-DENSE FOOD LOW CALORIE-DENSE FOOD BROWN & BROWN | 17
Slide 18: What's the Best Dietary Plan?
What’s the Best Dietary Plan? One that is sustainable! 1. Dansinger ML, Gleason JA, Griffith JL, Selker HP, Schaefer EJ. Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: a randomized trial. JAMA. 2005 Jan 5;293(1):43-53. doi: 10.1001
Slide 19: Mediterranean Diet Pyramid
Mediterranean Diet Pyramid Requires kcal restriction for weight loss Higher • Mono-unsaturated fats (olive oil, nuts) • Plant-based foods (fruits, vegetables, legumes, whole grains) • Fish Moderate • Milk and dairy • Red wine Lower • Meat/meat products Associated with low mortality from cardiovascul
Slide 20: DASH Diet Pyramid
Dietary Approaches to Help Stop Hypertension (DASH Diet) Pyramid More of These • Vegetables • Fruits • Whole grains Some of These • Low-fat dairy foods • Lean meats, poultry, fish and legumes Less of These • Nuts and seeds • Fats and oil • Sweets and add sugars Source: https://www.nhlbi.nih.gov/educ
Slide 21: How Can the Employer Create an Environment for Healthy Food Choices?
How Can the Employer Create an Environment for Healthy Food Choices? Choose vendors who provide Make healthier choices available: water healthier meals and beverages. Wednesdays, fresh fruit Fridays, etc. Offer discounted rates for community Avoid scheduling meetings at supported agriculture (CSA) b
Slide 22: What Is Weight Lifestyle Management?
What Is Weight Lifestyle Management? • Addresses an individual’s weight benchmarks in relation to impact on health and/or quality of life • Is not a certain weight on a chart • Includes food and physical activity behaviors • But not limited to food and physical activity • Engage in shared-decision m
Slide 23: What Lifestyle Differences Are Needed to Keep Excess Weight Off?
What Lifestyle Differences Are Needed to Keep Excess Weight Off? N AT I O N A L W E I G H T CONTROL REGISTRY Maintain a low-calorie, lower fat diet • ~1,800 calories, <30% total kcals from fat • Eat breakfast every day • Count calories or fat grams • Limit meals away from home o (<3x/week, fast food
Slide 24: Obesity As a Chronic Disease
Obesity As a Chronic Disease OLD Weight Gain Weight Loss Done PA R A D I G M CHANGE Weight Gain THE N A R R AT I V E Weight Weight Loss Maintenance BROWN & BROWN | 24
Slide 25: Physical Activity Guidelines for Americans
Physical Activity Guidelines for Americans • Move more and sit less throughout the day o Some physical activity (PA) is better than none • For health benefits: Do at least 150 to 300 minutes a week of moderate-intensity, or 75 to 150 minutes a week of vigorous-intensity aerobic PA • For weight and o
Slide 26: Role of Physical Activity
• Impact on metabolism dependent on type, intensity and volume of physical activity. • Long-term exercise training: o Increases fat free mass o Reduces fat mass Role of o Improves metabolic function Physical Activity o Improves insulin sensitivity o Controls low-grade systemic inflammation • Exercis
Slide 27: How Can the Employer Create an Environment for Healthy Movement?
How Can the Employer Create an Environment for Healthy Movement? Emphasize the value of taking breaks and Offer free or discounted registration getting away from the desk or workstation fees for local charity walks Provide opportunities for all ability Offer onsite yoga, HIIT, dance, etc. classes le
Slide 28: Mental Health
Mental Health IS… ISN’T… A part of everyone A sign of weakness Something to look after All in your head Real and complex Something you can just snap out of Really important Always a negative thing Something you can change Something to be ashamed of BROWN & BROWN | 28
Slide 29: How Can the Employer Support a Healthy Work-Life Balance?
How Can the Employer Support a Healthy Work-Life Balance? BROWN & BROWN | 29
Slide 30: Contributors to Metabolic Health
Contributors to Metabolic Health BROWN & BROWN | 30
Slide 31: Employer Considerations
03, Employer Considerations
Slide 32: What Can Employers Do?
What Can Employers Do? Shape an environment that’s conducive to healthy habits The healthy choice 72% needs to be… Easy Teach skills to facilitate healthy habits Attractive 28% Motivate employees to be healthier Social Timely Behavior explained by environment Provide education and Behavior explained
Slide 33: How Do Employers Help Shape a Healthy Environment?
How Do Employers Help Shape a Healthy Environment? ONSITE WORKPLACE HOME WORKPLACE • Offer healthy snacks and lunches onsite • Offset the cost of building a healthy • Subsidize healthy food onsite environment by offering spending accounts for: • Designate walking paths o Healthy food purchases (e.g.
Slide 34: Actionable Take-Aways
Behavior explained by environment Actionable Take-Aways Behavior explained by intention Work with your Population Health & What Employers Can Do: Well-Being Consultant to: • Assess your current snack and lunch options and identify Shape an environment that is opportunities for improvement/change con
Slide 35: How We Can Help
How We Can Help The Brown & Brown Population Health & Well-Being team takes a proactive and comprehensive approach to help prevent metabolic conditions from developing and helping those with existing Healthcare costs for those with metabolic conditions to manage their health. syndrome are on average
Slide 36: Thank You
Thank You KEYNOTE EMPLOYER SPEAKER PERSPECTIVE Linda Gigliotti, Gina Julian, MS, RD MS, RDN, CDCES, Managing Consultant, CSOWM, FAND Brown & Brown Wellness Consultant [email protected] BROWN & BROWN | 36
Slide 37: How Brown & Brown Can Help
How Brown & Brown Can Help Connect with your local Brown & Brown representative or visit us on the web to learn more about our population health and employee benefits services. V I S I T B B R O W N . C O M / C O N TA C T → Brown & Brown, Inc. and all its affiliates, do not provide legal, regulatory
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