Obesity Fact Sheets Safety Absence Management Risk Management Overview Health Care Costs Risk. Reinsurance. Human Resources. Productivity Health Safety Overview Absence Management Risk Management Overview Productivity Summary Obesity has become an epidemic in the workplace. Research has now found that obesity impacts not only population health, but also health care cost, productivity, absence management, safety and risk management. With obesity reaching epidemic proportions, there is a strong need to review the impacts of obesity in the workplace. Health Care Costs Health Key Findings More than 2.1 billion people—nearly 30 percent of the global population—are overweight or obese.2 Obesity is responsible for around 5 percent of all global deaths.2 In America alone, obesity rates have doubled among adults over the last 20 years, resulting in more than 35% of adults living with obesity and an additional 33% being overweight.2 More than The global economic impact from obesity is roughly $2.0 trillion, or 2.8 percent of global GDP.5 2.1B In 2011 there was estimated cost of more than $153 billion lost in productivity annually. 6 people – nearly Obese employees are 80% more likely to have absences and were absent 3.7 more days (7.7 vs. 4.0 days) per year compared to employees with normal body weights. 7 Obesity is linked to a 25% higher rate of work-related injury.2 More Information For more information on obesity’s impact on health, health care cost, productivity, absence, safety and risk, please visit the following: Healthy Americans Report: F as in Fat: How Obesity Threatens America’s Future 2012 http://healthyamericans.org/report/100/ Gallup-Healthways Well-Being Index Jan. 2 to Oct. 2 Survey, 2011. McKinsey MGI Obesity Report, 2014. "Obesity among American Workers Costs the Nations Billions in Lost Productivity.“ http://news.yale.edu/2014/11/14/obesity-among-americanworkers-costs-nations-billions-lost-productivity Occupational Safety and Health Administration’s (OSHA) website. https://www.osha.gov "Unhealthy U.S. Workers' Absenteeism Costs $153 Billion.“ http://www.gallup.com/poll/150026/unhealthy-workers-absenteeism-costs153-billion.aspx 30% of the global population are overweight or obese Obesity is responsible for around 5% of all global deaths. Safety Health Absence Management Risk Management Overview Productivity Summary Numerous research studies document the harmful health effects of excess body weight. Due to it’s contribution to co-morbid risk for diabetes, heart failure, multiple cancers, and other serious chronic conditions, obesity currently accounts for one out of every eight deaths in America. Without interventions for the current workforce and for youth, it is estimated that half of the adult population will be obese by 2040. Health Care Costs Health Key Findings Without effective interventions in place, it is estimated that 50% of the adult population will be obese by 2040.2 The workforce’s health is directly impacted by obesity, as it accounts for one out of every eight deaths in America, which makes millions of Americans at risk from a preventable disease.2 It is estimated that nearly 86% of full-time workers are above normal weight or have at least one chronic health condition.3 The harmful effects are magnified dramatically taking into account that approximately 17% (or 12.7 million) of the youth poised to enter the US workforce have obesity.4 More Information For more information on obesity and the diagnosis, symptoms, treatment, prevention, screening and research, visit the National Institutes of Health’s obesity website: http://www.nlm.nih.gov/medlineplus/obesity.html For more on how to assess your weight and health risk, visit the National Heart, Lung and Blood Institute’s Aim for a Healthy Weight site: http://www.nhlbi.nih.gov/health/educational/lose_wt/risk.htm Strategies to combat obesity can be found on the Center for Disease Control and Prevention’s website: http://www.cdc.gov/obesity/strategies/index.html It is estimated that nearly 86% of full-time workers are above normal weight or have at least one chronic health condition. By 2040, it is estimated that 50% of the adult population will be obese in America Safety Health Care Costs Absence Management Risk Management Overview Productivity Summary Due to the burden of associated health risks, ever-increasing costs and pervasiveness, obesity has become a major global health challenge. More so, obesity is increasing at an unprecedented pace world-wide, with no truly successful or sustainable interventions implemented in more than three decades. Health Care Costs Health Key Findings Obesity accounts for 21% of total U.S. national health care spending, equating to $210 billion annually and the indirect costs are far higher.1 When also accounting for the U.S. nonmedical costs of obesity, the overall annual cost is estimated to be $450 billion.2 Recent data indicates that increased health and work-related expenses associated with obesity cost an excess of $4,879 for women and $2,646 for men annually.3 The global economic impact from obesity is roughly $2.0 trillion, or 2.8 percent of global GDP.5 Globally, 2 to 7 percent of all health-care spending relates to measures to prevent and treat this condition, with up to 20 percent of all health-care spending attributable to obesity, through related diseases such as type 2 diabetes and heart disease.5 In 2012, obesity had the second highest social and economic impact in the United States with $663 billion a year, or 4.1 percent of GDP.5 More Information For more information on the economic costs of obesity, please visit these obesity resource sites for more information: Obesity accounts for 21% of total national health care spending, equating to $210B annually and indirect costs are estimated at Center for Disease Control and Prevention: Obesity Data $450B http://www.cdc.gov/obesity/data/adult.html annually Healthy Americans Report: F as in Fat: How Obesity Threatens America’s Future 2012 http://healthyamericans.org/report/100/ Harvard Obesity Prevention Source: Economic Costs http://www.hsph.harvard.edu/obesity-prevention-source/obesityconsequences/economic/ Safety Productivity Absence Management Risk Management Overview Productivity Summary A recent study published in the Journal of Occupational and Environmental Hygiene found that workers with a high body mass index (BMI) had significantly lower endurance than workers of normal body weight. Individuals who are overweight or obese tend to take more sick days than their normal-weight counterparts, decreasing their overall productivity. Furthermore, the continuing stigma against obesity may interfere with the ability to get a new job, negotiate a raise, or obtain a promotion. Health Care Costs Health Key Findings Productivity losses related to personal and family health problems cost U.S. employers $1,685 per employee per year, or $225.8 billion annually. 7 Moderately or extremely obese workers (BMI ≥35) experienced a 4.2% health-related loss in productivity (1.18% more than all other employees), which equates to an additional $506 annually in lost productivity per worker. 4 In 2011 there was estimated cost of more than $153 billion lost in productivity annually. 6 Using DALYS (disability-adjusted life years), The McKinsey Global Institute found that of the DALYs lost to obesity across the world 71% are due to premature mortality. 3 In the United Kingdom, the impact of obesity on employers is a total of $7 billion. Of this, $5 billion, or more than two-thirds, came from decreased productivity in the workplace. 3 Job performance is 11% higher among those workers who were not obese. 5 Obesity is associated with significant increases in absenteeism among American workers and costs the nation over $8 billion per year in lost productivity. 5 More Information For more information on the economic costs of productivity lost due to obesity please visit these obesity resource sites for more information: McKinsey MGI Obesity Report, 2014 "Obesity among American Workers Costs the Nations Billions in Lost Productivity." http://news.yale.edu/2014/11/14/obesity-among-american-workers-costsnations-billions-lost-productivity "Worker Productivity." Centers for Disease Control and Prevention. http://www.cdc.gov/workplacehealthpromotion/businesscase/reasons/produ ctivity.html 4.2% Health-related loss in productivity with workers who had a BMI ≥35 This equates to an additional $506 per worker Productivity losses related to family health problems cost $225.8B annually Safety Absence Management Absence Management Risk Management Overview Productivity Summary Overall, the national loss in productivity due to obesity-related absenteeism is estimated at $8.65 billion per year, which is 9.3% of all absenteeism costs. Along with absenteeism, employees with disabilities are also at risk for becoming obese. There are some contributing factors that can lead disable employees to becoming obese. For example, physical limitations that prevent them from getting the required amount of physical activity. Health Care Costs Health Key Findings The cost of obesity, including medical expenditures and absenteeism, for a company with 1,000 employees is estimated to be $277,000 per year. 2 Absenteeism costs associated with obesity total $4.3 billion annually in the United States. 5 Annual health care costs of obesity that are related to disability are estimated at approximately $44 billion. 5 Nearly 20% of US citizens are disabled. Studies showed that people with physical disabilities have a 1.2- to 3.9-fold increase in obesity prevalence. 3 Obese employees are 80% more likely to have absences and were absent 3.7 more days (7.7 vs. 4.0 days) per year compared to employees with normal body weights. 3 more likely to have absences and were absent With no additional risk factors, overweight employees lost 4.2 vs. 2.6 days per year, and obese employees 7.2 vs. 2.6 days compared with their normal-weight colleagues. 2 3.7 Full-time workers in the U.S. who are overweight or obese and have other chronic health conditions miss an estimated 450 million additional days of work each year compared with healthy workers. 5 More Information For more information on the economic cost of disability, absence and workers compensation due to obesity, please visit these sites for more information: http://www.statelocalgov.net/50states-workers-compensation.cfm McKinsey MGI Obesity Report, 2014 "Unhealthy U.S. Workers' Absenteeism Costs $153 Billion.“ http://www.gallup.com/poll/150026/unhealthy-workers-absenteeism-costs153-billion.aspx Physical Disability and Obesity http://onlinelibrary.wiley.com/doi/10.1111/j.1753887.2005.tb00110.x/abstract Obese employee are 80% more days per year compared to employees with normal BMIs Absenteeism costs associated with obesity total $4.3B annually Safety Safety and Risk Management Absence Management Risk Management Overview Productivity Summary Obesity impacts safety at home, work, in the health care setting, and even on the road. Employers should keep in mind that there are safety considerations for obese employees in both sedentary and non-sedentary job functions. Due to the high risk of obesity-related medical complications post-injury, employers should work with their medical providers to ensure that high quality doctors and hospitals with lower levels of errors are included in their networks. Health Care Costs Health Key Findings Work and workplace exposure can lead to obesity while obesity can modify occupational morbidity, mortality and injury risk. Obesity is linked to a 25% higher rate of work-related injury.2 Obese individuals have a 1.34x greater risk of work-related injury than their healthy weight counterparts. 5 In 2011, 28% of injured workers reported being obese, but less than 1% of their job injury claims included obesity as a comorbidity. On average, obese workers filed twice as many workers compensation claims, and claims cost seven times more than those from their nonobese counterparts. Also, the injuries were more severe, and they had longer absence.4 The American Medical Association’s (AMA) reclassification of obesity as a disease state may impact workers comp medical bills. The Indiana Workers Compensation Board decided that an injured worker was entitled to bariatric surgery through their workers comp claim.2 Current workplace safety standards may be inadequate to address worker obesity. Obesity may limit the availability or effectiveness of the currently available personal protective equipment in reducing exposures to occupational hazards. This applies across all types of work including sedentary job functions.2,3 More Information For more information on obesity and safety in the workforce, visit the following: Occupational Safety and Health Administration’s (OSHA) website. https://www.osha.gov For more information on ergonomic strategies addressing obesity in the workforce, visit Aon Risk Solutions website. http://www.aon.com/risk-services/ergonomics.jsp# The safety impacts of obesity affect all types of jobs from sedentary to active. Obesity related workplace injuries have increased significantly in recent years. Obesity is linked to a 25% higher rate of workrelated injury Workplace safety standards and equipment should be modified to address obesity Changes to the workplace should impact sedentary and non-sedentary jobs Sources Overview 1. Healthy Americans Report: F as in Fat: How Obesity Threatens America’s Future 2012 http://healthyamericans.org/report/100/ 2. Gallup-Healthways Well-Being Index Jan. 2 to Oct. 2 Survey, 2011. 3. McKinsey MGI Obesity Report, 2014. 4. "Obesity among American Workers Costs the Nations Billions in Lost Productivity.“ http://news.yale.edu/2014/11/14/obesity-among-americanworkers-costs-nations-billions-lost-productivity 5. Occupational Safety and Health Administration’s (OSHA) website. https://www.osha.gov 6. "Unhealthy U.S. Workers' Absenteeism Costs $153 Billion.“ http://www.gallup.com/poll/150026/unhealthy-workersabsenteeism-costs-153-billion.aspx Health 1. McKinsey MGI Obesity Report, 2014. 2. The Obesity Crisis in America. 2003. www.surgeongeneral.gov/news/testimony/obesity07162003.htm 3. McKinsey MGI Obesity Report, 2014. 4. CDC Healthy Living Topics, 2014, The Call to Control: At A Glance. Health Care Costs 1. Finkelstein et al. “Annual Medical Spending Attributable to Obesity: Payer- and Service-Specific Estimates.” Health Affairs, 28, no. 5 (2009). 27 July. http://content.healthaffairs.org/content/28/5/w822.full.pdf+html 2. Hoffman, B. (2012, August 16). What The Obesity Epidemic Costs Us [Infographic]. Forbes. http://www.forbes.com/sites/bethhoffman/2012/08/16/what-the-obesityepidemic-costs-us-infographic/ 3. Dor et al. A Heavy Burden: The Individual Costs of Being Overweight and Obese in the United States. The George Washington University, School of Public Health and Health Services, Department of Health Policy. 21 November 2010. 4. Gallup-Healthways Well-Being Index Jan. 2 to Oct. 2 Survey, 2011. 5. McKinsey MGI Obesity Report, 2014. Sources Productivity 1. Brehm, Bonnie J. et al. Obesity and Presenteeism: The Impact of Body Mass Index on Workplace Productivity. Journal of Occupational and Environmental Medicine, Jan. 2008. http://journals.lww.com/joem/toc/2008/01000 2. JOEH: Obesity Linked to Low Endurance, Increased Fatigue in the Workplace." AHA Protecting Worker Health. American Industrial Hygiene Association, 23 July 2014. 3. McKinsey MGI Obesity Report, 2014 4. Orciari, Megan. "Obesity among American Workers Costs the Nations Billions in Lost Productivity." YaleNews. Megan Orciari, 14 Nov. 2014. 5. "Study of 20,000 Workers Shows Different Factors Drive Abesenteeism and Job Performance." Healthways - News Release. Journal of Occupational and Environmental Medicine, 7 Jan. 2013. 6. Unhealthy U.S. Workers’ Absenteeism Costs Costs $153 Billion. Gallup, 27 Oct. 2011 http://www.gallup.com/poll/150026/unhealthy-workersabsenteeism-costs-153-billion.aspx 7. "Worker Productivity." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 23 Oct. 2013.http://www.cdc.gov/workplacehealthpromotion/businesscase/reason s/productivity.html > Sources Absence Management 1. McKinsey MGI Obesity Report, 2014. 2. Occupation-specific Absenteeism Costs Associated with Obesity and Morbid Obesity.National Center for Biotechnology Information. U.S. National Library of Medicine, Dec. 2007. <http://www.ncbi.nlm.nih.gov/pubmed/18231079 3. “Physical Disability and Obesity.” Wiley Online Library. Wiley Online Library, 28 June 2008. http://onlinelibrary.wiley.com/doi/10.1111/j.17534887.2005.tb00110.x/abstract 4. National Center for Biotechnology Information. U.S. National Library of Medicine, 18 Jan. 2008. http://www.ncbi.nlm.nih.gov/pubmed/17890102 5. Unhealthy U.S. Workers’ Absenteeism Costs Costs $153 Billion. Gallup, 27 Oct. 2011 http://www.gallup.com/poll/150026/unhealthy-workersabsenteeism-costs-153-billion.aspx 6. “Worker Productivity.” Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 23 Oct. 2013. http://www.cdc.gov/workplacehealthpromotion/businesscase/reasons/pro ductivity.html . Safety and Risk Management 1. Wearing, S.C., et al. . “Musculoskeletal Disorders Associated with Obesity: A Biomechanical Perspective.” Obesity Reviews. 17, July, 2006. (http://onlinelibrary.wiley.com/doi/10.1111/j.1467789X.2006.00251.x/abstract;jsessionid=09C828FC492E3012C3AD76153 FA1B46A.f01t02?deniedAccessCustomisedMessage=&userIsAuthenticat ed=fals) 2. Glennon, Kevin. . “Obesity’s Impact on Workers Compensation.” Risk Management. 1 November, 2014 3. Schulte, P.A., et al. “A Framework for the Concurrent Consideration of Occupational Hazards and Obesity.” Annals of Occupational Hygiene. 8 July, 2008. 4. Ostbye, Truls, et al. “Obesity and Workers’ Compensation”. Archives of Internal Medicine. 23 April, 2007 5. “From Research to Reality. Obesity in the Workplace. Weighing the Associated Risks”. Volume 16. Number 1. Liberty Mutual Research Institute for Safety. Summer 2013 6. Price, Misty, et al. “Weighing The Obesity Exposure”. November 1, 2013. http://www.riskandinsurance.com/weighing-the-obesity-exposure/
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