LIFESTYLE MANAGEMENT

THE CURRENT APPROACH TO CORPORATE HEALTH CARE

EVOLUTIONARY CAUSES OF DISEASES

• PRE – HISTORIC AGE - VIOLENCE, MALNUTRITION

• INDUSTRIAL AGE - INFECTIONS DISEASE

• AUTOMATION AGE - LIFESTYLE DISEASE

Source: American College of Lifestyle Medicine

LIFESTYLE RELATED DISEASES

• CARDIO VASCULAR DISEASE• DIABETES• OBESITY• HYPERLIPIDEMIA• HYPERTENSION• METABOLIC SYNDROME• SKELETAL DISORDERS• CANCERS• HIV / AIDS

80 % MEDICARE COST FACTORS WORLDWIDE

MORTALITY (DEATH)

• CARDIAC• CANCER• ACCIDENTS• AIDS

MORBIDITY (ILLNESS)

• CARDIAC (HBP, Diabetes)• CANCER • MUSCULO SKELETAL• PSYCHOSOMA• DIGESTIVE PROBLEMS• RESPIRATORY PROBLEMS• INJURY

SOURCE : WORLD HEALTH CARE 1995

LIFESTYLE CO-RELATIONAILMENTS CAUSES

• CARDIAC• CANCER• JOINT PROBLEM• PSYCHOSOMA• DIGESTIVE PROBLEM• RESPIRATORY PROBLEM• INJURY / ACCIDENT

PAAN/ DIET SEDENTRY STRESS

ALCOHOL/SMOKING

* * * ** * * ** * * ** * * ** * * ** * * ** * * *

Inappropriate Lifestyle is associated with 80% ofMedicare costs. A high fat diet, sedentary Lifestyle,high level of Stress, Alcohol & Smoking are either

causative or an aggravating factor in most ailments.

SOURCE : WORLD HEALTH CARE 1995

DISEASE TREND – DEVELOPED WORLD

DISEASE TREND – DEVELOPING WORLD

INTERNATIONAL HEALTH

Source: Australian Bureau of Statistics www.cdc.gov/nchs/data/hus/hus07.pdf#073

Component AUS % USA %

In active 55 43 40Over weight 64 54 66Stress 41 13 55Chronic Ailments 84 77 -Diabetes 16 3.6 10.2Cardiac Problems 67 23 26.4Smoking 20 23 20.8Alcohol 18 139

IND %

THE CORPORATE HEALTH SURVEY - 1999-2000

NUTRITION AND FITNESS STATUS

PROBLEMS (%)

PHYSICALLY UNFITNO DAILY EXERCISEUNABLE TO TOUCH TOESABDOMEN LARGER THAN CHESTOVERWEIGHTHIGH FAT INTAKEHIGH SUGAR INTAKEHIGH COMMERCIAL FOODS INTAKE

48.4643.8558.6556.1370.9855.5248.1535.28

SOURCE : MASTER HEALTH CHECK-UP, APOLLO HOSPITALS

THE CORPORATE HEALTH SURVEY – 1999-2000

THE STRESS SCENARIO

FACTORS (%)

MULTI DIMENTIONAL STRESSPERSONALITY STRESS (TYPE A)OCCUPATIONAL STRESSFAMILY STRESSSTRESSFUL ROUTINE

32.7657.5248.03 1.62 8.84

SOURCE : MASTER HEALTH CHECK-UP, APOLLO HOSPITALS

THE CORPORATE HEALTH SURVEY - 1999-2000

THE DISEASE SCENARIO

PROBLEMS (%)

PSYCHOSOMATIC STRESSHEADACHESRESPIRATORY DISORDERDIGESTIVE AILMENTSJOINT PROBLEMSSKIN AILMENTSINSOMNIA

83.7130.0711.4840.0537.4732.0215.02

SOURCE : MASTER HEALTH CHECK-UP, APOLLO HOSPITALS

THE CORPORATE HEALTH SURVEY – 1999-2000

CARDIAC PROFILE

FACTORS (%)

HIGH CARDIAC RISKHIGH BLOOD PRESSUREDIABETESHIGH BLOOD CHOLESTEROLEXISTING HEART PROBLEMS

56.0525.3015.5038.23 6.19

SOURCE : MASTER HEALTH CHECK-UP, APOLLO HOSPITALS

THE CORPORATE HEALTH SURVEY - 1999-2000

THE CANCER CONNECTION

FACTORS (%)

MULTIFACTOR CANCER RISKSMOKING EXCESS ALCOHOL INTAKEEXCESS PAAN PRODUCTS USAGEINDUSTRY & ENVIRONMENT

30.3114.09 5.72 6.4911.02

SOURCE : MASTER HEALTH CHECK-UP, APOLLO HOSPITALS

PARAMETERS CEO EXEC SUPERVISORS WORKERS

OBESITY 82.05 54.37 28.35 18.92 UNFIT 69.23 57.67 54.62 56.08 STRESS 100.00 34.56 53.19 -- High B.P. 35.90 20.58 11.18 2.38 DIABETES 12.82 17.28 5.72 4.96 CHOLESTEROL 23.08 8.16 3.64 -- CARDIAC 58.97 48.93 34.46 18.92 ALCOHOL 15.38 3.11 4.29 5.44 SMOKING 15.38 18.83 15.34 14.58 PAAN 2.56 11.50 17.17 42.50 CANCER 30.77 29.13 41.26 33.40 GOOD HEALTH 40.55 55.07 57.63 68.17 INDEX

SOURCE : Medical Check-up 95, VIP 95, MHS/Coke Ovens Check-up-97-98

WEALTH & WELLNESS

COMPARISON

CORPORATE VS NATIONAL

Corp. % National

Physically unfit 49 - 55

Over Weight 71 - 64

Stress 32 - 41

Smoking 20 - 14

Alcohol 5 - 18

Cardiac Prone 56 - 67

Health Score 60 - 56

U.S.A. - MEDICAL BUDGET - $ 500 Billion Per Annum - $ 1.3 Billion Per Day

INDIAN MEDICAL BUDGET - Rs. 15,000 Crores Per Annum

- Rs. 50 Crores Per DayTATA STEEL MEDICAL BUDGET - Rs. 36 Crores per annum

- Rs. 10 Lakhs Per Day - Rs. 6,000/- per

employ/year HEALTH COST FORMULAHEALTH COST FORMULA

• QUANTIFIABLE COST - 100% Medical Cost• INTANGIBLE COST - 3% of Turnover (+/-)

1996 Medical budget - Rs.24 Crores Turnover - Rs.5600 Crores

COST OF POOR HEALTH

CII- APOLLOCORPORATE SOLUTIONS

I MEDICAL & HEALTH CHECK-UP & AUDITII HEALTH MANAGEMENT EDUCATIONIII CORPORATE HEALTH FACILITIESIV CORPORATE WELLNESS PROFESSIONALS

FROM CURATIVE: Augmentation & Sophistication of Medical Facilities

TO PREVENTIVE: Management & Control of Lifestyle Factors

PHASE - I (A)ANNUAL MEDICAL CHECK-UP

BLOOD X-RAY ECG PAPSMEAR URINECT-SCAN EEG STOOL MAMOGRAPHY

LIPIDSECHO LYMPHNODES HORMO

ENDOSCOPY P.F.T.ULTRASOUND BARIUMMEAL TMT

etc.

PATHOLOGY EYE SURGEONCARDIOLOGY E.N.T. PHYSICIANDENTAL

FOR IDENTIFICATION OF AILMENTLIFESTYLE

ANDHEALTH

PHASE - I (B)(The Computerized Health Scan)

ASSESSMENT • Health Status %• Physiological Age• Lifestyle Status• Cardiac Risk %• Cancer Risk %• AIDS Risk• Fitness Status• Metabolic Rate• Nutritional Profile• Stress Status and Causes• Psychosomatic Stress• Dependency Status /

Causes

INDIVIDUAL PRESCRIPTION

PRESCRIPTION• Cardiac Cure• Cancer Risk Management• AIDS Risk Management• Fitness Programme• Yoga Therapy• Age Reversal• Diet, Weight Loss• Therapeutic Nutrition• Stress Management• Stress Defense• Quit Alcohol/Smoking/Paan• PATH Ranges, THZ• HBP, Sugar, Lipid, Body Fat,

Calories, etc.CORPORATE OFF LINEPROFILING ON LINE

HaldiaCoal fields Hindalco

Primary cardiac risk 22.06 47.69 29.72

Physically Unfit 78.80 68.21 31.14

Over Weight 69.92 54.44 74.20

Psychosomatic stress 58.82 89.74 62.28

Smoking 38.90 39.49 35.59

Paan 02.81 14.87 14.41

Cancer Risk 39.04 21.03 20.11

Health Score 60 56 56

CORPORATE HEALTH AUDIT

PHASE - I (C)

PHASE – II HEALTH MANAGEMENT EDUCATION PROGRAMMES

HEALTHY HEART & - HIGH RISKCARDIAC CARE - FAMILY PROFILE

- H.B.P., DIABETESE, HYPER LIPIDS

- EXISTING HEART PROBLEMCANCER RISK & - GENETIC PROFILEDEPENDENCY MANT. - SMOKERS

- ALCOHOL, PAAN- OCCUPATIONAL

LIFESTYLE MANAGEMENT - PHYSICALLY UNFIT- OVER WEIGHT - HIGHLY STRESSED

- TYPE ‘A’ PERSONALITYWELLBEING Programms - YOUNG EXECUTIVES &

TRAINEESON LINE CUSTOMISED CONTENT COUNSELLING

PHASE - IIICORPORATE HEALTH FACILITIES

• OFFICE EXERCISE PROGRAMME

• INTER DEPARTMENT SPORTS• AGE GROUP SPORTS• FAMILY SPORTS• TREKKERS CLUBS• WALKERS CLUB• DAILY YOGA CLASSES• DAILY EXERCISE CLASSES• WEEKLY QUIT SMOKING • WEEKLY ALCOHOL MANGT.• WEEKLY WEIGHT WATCHERS

Etc.

HIGH COST FACILITIES

• STADIUMS - INDOORS -

OUTDOORS• GYMNASIUMS• DEADDICTION

CENTRES• NATUROPATHY

CENTRES• HEALTH CLUBS

- SWIMMING- GOLF- SQUASH, Etc.

NO COST/ LOW COST FACILITIES

PHASE IVCORPORATE HEALTH PROFESSIONALS

within industryPost Graduate Diploma in

Preventive And Promotive Health Care

Cardiac Care Cancer Management Disease Management Health Management Stress Management Exercise & Fitness Nutrition & Dietetics Health Assessment and Prescription

Each Year We Accept Over 500 Medical & HealthGraduates for Our One Year Post Graduate Program

(Peer review – upgradation – validation)

WEL

LNES

S

MAN

AGEM

ENT

WOW !! USA(Working on Wellness)

HOSPITALS Mayo Clinic – 16 clinics covering 100,000 MHC

annually

CORPORATES American Heart Association Registered Corporates 10000 covering 6 million

persons General Motors - 1.6 million persons

FINANCIAL BENEFITS Sumex Corporation Indianapolis saved $1.5

million on Health Care costs @ $519 less per person

Hagar Apparel Company (USA) saving of half a million Dollars

Sara Lee Corporation; reduced medicine costs @$150 for 250000 employees a saving of $3.75 million

AT&T (USA) Lower insurance claims @$40 for 350000

employees a saving of $14 million

SOURCE : WELLNESS PROGRAMS MANAGEMENT 1999

WOW !! SINGAPORE

HEALTH PROMOTION BOARD School Health Programs Work place Health Promotion

PROGRAMS Health Screening, Counseling, Audit Health Programs & Education ACTIVE Programs & Sports Food & Canteen SHE (Safety Health Environment) Ergonomics Wellness Participation Vouchers / Memberships Health Awards for Improved Health

CORPORATES Glaxo Dupont Motorola Civil Aviation Police

WOW !! AUSTRALIA

• AUSTRALIAN BETTER HEALTH INITIATIVES.• GO FOR YOUR LIFE PROGRAMS• HEALTHY LIFESTYLE CHOICES.• HEALTHY SCHOOL PROGRAMS• SUPPORTING SENIORS• PROMOTION OF WALKING & CYCLING• CHRONIC DISEASE PREVENTION• OBESITY & PHYSICAL ACTIVITY PROGRAMS• HEALTH ACTION PLAN

Source: Victoria Queensland Ministry of Health

WOW !! INDIA

COMPONENT INTERNATIONAL NATIONAL TISCO

(USA/CANADA) (INDIA) (1995-1990)

• CARDIAC RISK 48 %

• CANCER RISK 33 %

• OVER WEIGHT 59 %

• UNFIT 40 %

• HIGH STRESS 55 %

• SMOKING 28 %

• ALCOHOL 9%

• EXPENDITURE• A - HUMAN KINETICS, CAN - MIN OF HEALTH 1995,

TISCO - PATH CLAPSCAN

67% 44%< 52%

29% 29%< 47%

64% 49%< 58%

55% 48%< 69%

41% 34%< 48%

20% 18%< 22%

8% 2%< 4%

24CR < 36CR

CII (SR) Corporate Health Survey – 2005

55 Participating Corporates

Loyal TextilesStuser Tools Pvt. Ltd.Susira IndustriesTaylor Rubber Pvt. Ltd.T.I. Cycles Of IndiaTake Solutions Ltd.CII Chennaie-LogisticsAmer Raja BetteriesGKSProductive ElementsT. C. S

A P Paper MillsDr. Reddy's LabShakti Alternative Energy Ltd.

Chennai Hyderabad Bangalore

John Flower Ind. Pvt. Ltd.

Hewlett Packard

Mindtree Consulting

Tata Infotech

United Beweries

Kennametal Widia Ltd.

HAAT Incinerators India Ltd.

Kurlon Ltd.

L & T

HCL Info

Aurofood (P) Ltd.

Chemin C & I Ltd.

Pondichery

CII HEALTH SURVEYCII HEALTH SURVEY

WOW - CII

CII (SR) Corporate Health Survey – 2005

55 Participating Corporates

Airport Authority Of IndiaChandna Textiles Ltd.Lakshmi Graha ApparelsMagna Rieter LMW Machinery Ltd.MahindraAmar Metering PumpsE. BrahmaWilsonAutoprint Machinery Manufactures P Ltd

Indian Foods Pvt. Ltd.Thiagaraja Mills Ltd.TVS Cherry Pvt. Ltd.TVS Interconnect Ltd.

Coimbatore Madurai Mysore

Supreme PlasticizerVijya Wire Foundation IndustriesACE ComponentsAscar Microns (P) Ltd.Deco Equipment Pvt. Ltd.Hydroulic FluidicsSuprem PharmceuticalsNeuliteTriveni Engg.Vasu Agarbatti

Cochin

G T N Textiles Ltd.

Neptune Readymix Concrete Pvt. Ltd.

Patspin India Ltd.

Vaidyanatham O S

CII HEALTH SURVEYCII HEALTH SURVEY

WOW - CII

WOW !! C.I.I.

National Corporate Wellness Plan

- Covering 500,00 Employees from 500 Corporate each year

- Major Cities & Smaller Towns

- Manufacturing & services

Healthiest Corporate in India

Award

Thank Thank YouYou

PROF. ADRIAN KENNEDY

Managing DirectorLifetime Wellness Rx International

Ltd.(An Apollo Hospitals Group Initiative)

Hyderabad, India.Phone: 040-23388328, 23301650Email: wellnessrx@apollolife.com