dr peter dingle, director, dingle wellness - wellness at the core of health and safety

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Wellness at the core of health and safety. Dr Peter Dingle Dingle Wellness www.drdingle.com [email protected]

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Dr Peter Dingle delivered this presentation at the Safety in Action 2014 Conference in Melbourne. This conference brings thought leadership and showcases topical, innovative safety methods and practices. For more information, please visit http://www.safetyinaction.net.au/SIA2014Melbourne

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Page 1: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Wellness at the core of health and safety.

Dr Peter Dingle Dingle Wellness

www.drdingle.com [email protected]

Page 2: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Why Workplace Wellness?

• We spend most of our waking hours

• Has a significant affect on the mental, physical, economic and social well-being of workers

• Attention and focus of workers

• Make up a significant group in the population

• Established communication channels

• Provides a convenient, familiar physical and social setting

• Direct and indirect $ return

• Improve OHS outcomes

• OHS responsibilty

Page 3: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

The costs of poor health

The cost of poor health on personal and professional productivity is high.

• stress,

• absenteeism,

• low morale,

• low productivity,

• poor concentration and focus,

• low output, sub-par performance,

• Tardiness, and disruption of other workers (presenteeism).

• Accidents /injuries and OHS

Page 4: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Hidden causes of injury/accidents

• Poor Wellbeing/illness

• Stress

• Obesity

• Sleep and fatigue

• Mental health

• Medication

• Negative ageing

Page 5: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Accidents Incidents

Injury $

Negative behaviour

Negative states

Poor health

Page 6: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Negative Behaviour

Diet Environment

Attitude Lifestyle (DEAL)

Page 7: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Negative States Stress

Poor sleep Fatigue

Page 8: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Negative Health Obesity

CVD High blood pressure

Diabetes Mental health

Alzheimer’s Negative ageing

Page 9: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Accidents Incidents

Injury $

Negative mind body response

Mental and physical fatigue Poor thinking, concentration,

Focus Errors of omission

Errors of admission

Page 10: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

SLEEP “8 hours a day keeps the

doctor away”

Dr Peter Dingle www.drdingle.com .com

Page 11: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Sleep is not an option • Rest

• Recovery

• Recuperation

• Repair and Growth

– Immunity

– Hormones

Dr Peter Dingle

www.drdingle.com .com

Page 12: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Health Disorders

• Depression and anxiety • Cardiovascular Disease 30-100% • Diabetes 50% • Weight gain 50% • Obesity • Cancer • ADHD • One study conducted showed that sleep

deprived rats died within 2-3 weeks.

Dr Peter Dingle

www.drdingle.com .com

Page 13: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Cognitive Effects of lack of sleep

• Deterioration of performance, attention and motivation

• Diminishment of mental concentration, creativity and intellectual capacity

• Increased likelihood of accidents and injuries

Dr Peter Dingle

www.drdingle.com .com

Page 14: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Sleep problems: potential risk factor for work injuries

• In total, 27 observational studies (n = 268,332 participants) that provided 54 relative risk estimates were included

• workers with sleep problems had a 1.62 times higher risk of being injured than workers without sleep problems.

• Approximately 13% of work injuries could be attributed to sleep problems. (Sleep problems and

work injuries: A systematic review and meta-analysis, Uehli et al)

Page 15: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Grumpy boss syndrome

• It is known that a lack of sleep will affect a person’s mood.

• in participants who slept only 5 hours per night for 7 days their mood progressively worsened.

Dr Peter Dingle

www.drdingle.com .com

Page 16: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Voluntary Sleep killers

• Television / telephone/internet. • Thomas Edison • Stress/ active mind • Shiftwork/irregular hours • Work: shift-work, early starts,

excessive hours. • Study. • Social commitments e.g.

excessive partying.

• Dietary-big dinners • Caffeine • Alcohol • Medication

Page 17: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Causes of Fatigue

• Medical and Illness such as anemia, Thyroid gland, Depression or grief , Persistent pain

• Arthritis, including juvenile rheumatoid arthritis, Autoimmune diseases, Diabetes

• Infection • Medications

– sedatives or antidepressants – statins

• Use of alcohol or drugs • Low fitness • Poor nutrition

– Iron deficiency (without anemia), zinc, B vitamins, magnesium

Page 18: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Seven major reactions of fight-or-flight

• 1. Digestion slows

• 3. Heart rate and blood pressure increase

• 6 Chemicals released to make the blood clot more rapidly.

Page 19: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Stress on the not so good side

• Your body halts long term building projects – Digestion,

– Growth

– Reproduction-irregular or no female cycles • Low sperm count, decreased testosterone levels

– Sexual function

– Immune function, increased risk of disease

– Fatigue- Wears you down wears you out

– Poor sleep

Page 20: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Stressed health conditions

• Migraines

• Irritable bowel syndrome

• Hypertension

• Coronary heart disease

• Diabetes

• Asthma

• Obesity

• Cancer

• Age related illness

Page 21: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Implication of Stress:

Lowered Immune System.

Viral infections Allergies Cancer Lupus

Arthritis

Page 22: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Implications of Stress: Memory Function

concentration focus

accidents injury

.

Page 23: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Perception Stress

Page 24: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Stress and nutrition

• Increase an individual’s requirement for certain nutrients; and

• there is the role of various nutrients in reducing the severity of an individual’s stress response – C, E, A and B-complex vitamins, magnesium, zinc

and calcium and amino acids

• Poor nutritional behaviour

Page 25: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Stress and weight gain

• Cortisol • Promotes hunger

• Reduces mobilisation

• Releases glycocorticoids

Page 26: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Obesity increases

• the risk of: – Heart disease

– Stroke

– High blood pressure

– Type 2 diabetes

– Arthritis

– Breathing problems

– Some cancers including endometrial, gallbladder, ovarian, breast and prostate

– Age related illness

Page 27: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Obesity increases

• Social stigmatism and discrimination

• bullying

• Sleep

• Fatigue

• Injury and Accidents

Page 28: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Obese workers are also at increased risk to injury (traumatic and non-traumatic) from:

• Motor vehicle accidents

• Falls

• Strenuous exercise

• Manual handling tasks

• Biological agents (from reduced well being)

Page 29: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Obesity related injuries

• Manual handling tasks - obese workers can have difficulty holding objects close to their bodies when lifting exposed to increased risk of injury (Thompson, 2007; Xiang, 2005).

• Injuries may include Carpal Tunnel Syndrome and musculoskeletal injuries (sprains, strains, back, knee and shoulder) (Leboeuf-Yde, et al, 1999; Lievense, et al, 2002; Oliveria, et al, 1999; østbye, et al, 2007;

Pollack, et a/, 2007; Thompson, 2007; Xiang, 2005).

Page 30: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Case study

Physically demanding occupations

• The study also showed that fire-fighters with BMI > 28.5 had a 70% increased risk of job disability and that this cohort was at particular risk of obesity related cardiovascular disease.(Soteriades et al (2008).

Page 31: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Obesogenic workplaces

• Weight gain may be associated with some workplaces and practices.

• Including long work-hours, high-demand and low-control pressures and extended periods of performing sedentary tasks (laIa and Pronk, 2001; Kiser, 2007; White and Jacques, 2007,

Schulte et al (2007).

• Such working conditions are exacerbating the effects of obesity and, in turn, increasing obesity related costs (The

National Obesity Taskforce, 2005).

• Loss of mobility for extended periods of time not only results in loss of opportunity for energy expenditure but it also increases risk to injury the musculoskeletal system due to sudden, rapid movement (Hamilton, et al, 2007).

Page 32: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

OHS and obesity

• OSH duty of care has traditionally applied to the identification and control of workplace hazards and diseases, but may have a future role in the control of workplace risks relating to obesity.

Page 33: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Mental health and injury

• The researchers estimated mental health problems and psychotropic treatments might account for an "important minority" of workplace injury events (approximately one in 10). (Palmer et al 2014 Occup Environ Med doi:10.1136/oemed-2013-101948 )

Page 34: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Exercise and depression

Page 35: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Medication and OHS

• Fatigue

• Sleep

• Obesity

• Accidents

• Injury

Page 36: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Workplace wellness

Thinking

• A study in DuPont found a reduction of 47.5% in absenteeism and 14% fewer disability days

• Mental performance was significantly better in physically fit workers compared to unfit workers.

• Fit workers committed 27% fewer errors on tasks involving concentration and short term memory tasks compared to unfit workers

Page 37: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Decision making

• In a 9 month study of 80 executives those

who regularly worked out improved their

fitness by 22% and demonstrated a 70%

improvement in their ability to make

complex decisions compared with non

exercisers.

Page 38: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Less accidents

• One study found that employees who

participated in a regular fitness program

had a 50% reduction in job grievances and

on the job accidents and a 40% reduction

in lost time.

Page 39: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Nutrition and Injury/illness recovery

• Immune • Asthma • Cancer • CVD • Diabetes • Reproduction • Obesity

Patient recovery

Patients receiving nutrient supplementation had 70% fewer infections, fewer complications and accelerated recovery compared with controls.2

Page 40: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety
Page 41: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

Why is health behavior change so hard?

• “miracle drug” or “silver bullet” mentality

• Too much pressure to be unhealthy

• Lack of awareness/education

• Lack sufficient motivation

• I- don’t know how

• I-don’t-care-itis

• Barriers are too great to overcome

• Feel overwhelmed

Page 42: Dr Peter Dingle, Director, Dingle Wellness - Wellness at the core of health and safety

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