How Childhood Obesity is Impacting Your Company E Key Stats • 1 in 3 of U.S. kids are overweight or obese • Children typically comprise 25% of an employer’s total covered population • Annual medical costs for obese children are 3x higher • Overweight children are hospitalized 3x more often • Overweight kids miss 12.2 days of school each year • Parents of overweight kids lose 2–4 hours of work each day dealing with issues related to their child’s weight very year, employers in the U.S. spend over $14.3 billion on healthcare for overweight children. It is estimated that childhood obesity will cost society over $1 trillion dollars if all of today’s obese American youth become obese adults.i But childhood obesity has more than just a financial cost. Parenting an overweight child can be a serious source of stress for an employee, resulting in reduced focus, creativity, and efficiency at work. The many costs of childhood obesity affect not only individuals and families, but also coworkers and employers. Childhood obesity is becoming prevalent in the U.S., where more than half of adults are overweight. Today, one in three American children are overweight or obese — that’s 24 million children. This rate has tripled in the last 30 years and the numbers continue to rise. Despite public health campaigns such as First Lady Michelle Obama’s Let’s Move initiative, childhood obesity has largely been marginalized as a public health concern and few employers have recognized the role of childhood obesity on their employees’ wellness. But the numbers are becoming too high to ignore: childhood obesity is a growing problem, with tremendous costs for employers. Overweight and obese children impact their parent’s employers in three critical ways: direct payment for obesity related medical care, lost productivity from caregivingrelated absenteeism, and lost productivity from presenteeism. Let’s explore each one. Overweight children cost more Overweight and obese children are 20 times more likely to need medical care and their medical © 2016 Kurbo Health, Inc. • 1.800.444.7158 • www.kurbo.com • [email protected] Overweight children are 20 times more likely to need medical care. costs are three times higher than those of healthy weight children. The average annual health care expense for an obese child under private insurance is $3,743 compared to $1,108 for a healthy weight child. The picture is worse for Medicaid, where an obese child costs $6,730 compared to $2,446 for a normal weight child. With children under 25 comprising approximately one-third of the total population covered by an employerii, these costs are significant. Importantly, it is not the excess weight that is the only issue — there’s also the increased incidence of other costly health issues such as type 2 diabetes, high blood pressure, high cholesterol, sleep apnea, bone and joint problems, and social and psychological issues. Each of these related issues compounds the costs of childhood obesity. Overweight children are hospitalized three times more frequently than healthy weight children, and hospitalizations are on average 40% longer.iv Costs for children can be much higher than for adults — for instance, the insurance claim for a child with type 2 diabetes can be $2,000 more than the insurance claim for an adult.iii Childhood obesity triggers absenteeism Needing more medical care more frequently not only costs employers and parents money, but also costs a parent’s — and a company’s — time. Obese children are absent more often than normal weight children; obese children miss 12.2 days of school each year, often due to health-related issues.v Parents of overweight children tend to miss more days of work, have higher rates of work tardiness, and leave work early more often for childcare-related reasons. A source of stress and distraction Besides being absent more often from work, parents of overweight children also contribute to higher presenteeism. Overweight kids are likelier to fall behind in school, and to face social difficulties, emotional trauma, and psychological illnesses such as low self-esteem and depression. This can be extremely stressful for a parent juggling their own health issues with their career and family roles. The stress of parenting an overweight child can impact an employee’s productivity at work in several ways. While at work, these employees will spend time calling doctors, dealing with insurance claims, and seeking resources to help their children. They will worry about their child’s health, bullying issues, missed days of school, and whether they are being responsible parents. Stress not only reduces focus, but also Parents of overweight children are less productive and more stressed at work. © 2016 Kurbo Health, Inc. • 1.800.444.7158 • www.kurbo.com • [email protected] Family-based health interventions can be more effective than those targeting individuals. efficiency, creativity, and workplace positivity. Further, stress and negativity are known to be socially contagious. This social influence spreads quickly and has been termed a “halo effect”.vi The presenteeism cost of an obese employee is estimated to cost employers $506 per obese worker each year.vii While the presenteeism cost of childhood obesity is unknown, we do know that parents tend to worry about their children much more than about themselves. Consequently, the presenteeism cost for parents with an obese child is likely higher than that of an obese adult. This loss of productivity is a significant indirect cost for employers. How employers can change this Childhood obesity is a societal challenge, and everyone is impacted — financially, emotionally, or physically. But employers are uniquely positioned to help change this. Employers can ensure that parents have the necessary information, education, and tools to raise healthier families. It’s not enough to create a healthy work environment only by changing cafeteria food, promoting healthy food rules at meetings, or providing on-site fitness centers. In order to address employee wellness thoroughly, employers must equip employees with the right tools to develop healthy lifestyles at home. By supporting employees to raise healthier children, employers can make their workforce healthier. Corporate interventions that involve the entire family can be more than twice as effective in establishing healthy changes than strategies that target just the employee. IBM conducted a study, vetted by the American Academy of Pediatrics, which showed that getting children involved leads to healthier habits for the entire family.viii The halo effect also applies to weight gain and weight loss: those who lose weight influence others around them to adopt healthier habits and lose weight too.vi The good news is that there are science-based tools proven to reduce childhood obesity and address wellness on a family scale. When integrated into a company’s wellness program, these tools can help everyone — from alleviating the day-to-day stresses of the parent, to cutting back the healthcare costs and long-term price of reduced productivity and creativity that employers pay. With 80% of overweight youth becoming overweight adults, employers that address childhood obesity are going far beyond making their company immediately healthier… they are also investing in a healthier future workforce. i. http://www.brookings.edu/~/media/events/2015/05/12-economic-costs-of-obesity/0512obesity-presentation-v6-rm.pdf ii. http://www.businessgrouphealth.org/pub/f312aec3-2354-d714-51ef-520ecd67dbfc iii. http://content.healthaffairs.org/content/29/3/513.full iv. https://www.hcup-us.ahrq.gov/reports/statbriefs/sb138.jsp v. http://www.nccor.org/downloads/ChildhoodObesity_020509.pdf vi. http://www.npr.org/sections/health-shots/2012/03/12/148330045/gain-together-lose-togetherthe-weight-loss-halo-effect vii. http://stateofobesity.org/cost-containment/ viii. http://pediatrics.aappublications.org/content/126/5/e1153.full.pdf © 2016 Kurbo Health, Inc. • 1.800.444.7158 • www.kurbo.com • [email protected]
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