Better Health Through Screening Presenter Ashley Miller, MPH, CWC, - PowerPoint PPT Presentation

Better Health Through Screening

Presenter Ashley Miller, MPH, CWC, CHES Ashley Miller is a certified health and wellness coach and received a BS in Nutrition and an MPH from UNC – Greensboro. Ashley is a Certified Health Education Specialist (CHES) through the National Commission for Health Education Credentialing. Her nutrition and health promotion experience includes clinical, school, and workplace settings. She is currently a senior operations health coach at Workplace Options and a personal fitness instructor.

Learning Objectives • Discuss the value of health screenings • Identify the health screenings recommended for you • Understand what common health screening results mean • Locate resources to assist you in improving your health

What Is the Purpose?

Why Does My Employer Conduct Screenings? Health screenings and assessments • Benefit both the organization and the individual • Help employees understand their current health state and take control of their health • Demonstrate the employers’ care for their employees’ health, well-being, and improved morale

Poll What is the number 1 cause of death among adults? A. Cancer B. Heart disease C. Diabetes D. Accidents

Chronic Conditions Leading Causes of Deaths in 2014 • Heart disease: 614,348 • Cancer: 591,699 • Chronic lower respiratory diseases: 147,101 • Accidents (unintentional injuries): 136,053 • Stroke (cerebrovascular diseases): 133,103 • Alzheimer's disease: 93,541 • Diabetes: 76,488 • Influenza and pneumonia: 55,227 • Nephritis, nephrotic syndrome, and nephrosis: 48,146 • Intentional self-harm (suicide): 42,773

What to Expect at Your Screening • A nurse or phlebotomist will always conduct intravenous blood draws • Screening results and identifiable health data are protected by HIPAA

How to Prepare • Fast – Fasting is recommended 9 to 12 hours ahead of time • Bring your health insurance card – Often vaccinations like the flu shot are provided at a work screening event and will be covered as a preventive measure • Consider additional screens – Utilize resources to help you prepare for your screening day or appointment with your doctor

Common Health Screenings Blood pressure and pulse rate analysis A lipoprotein profile (total cholesterol, HDL, LDL, triglycerides) Blood glucose levels (fasting blood sugar) Waist circumference Height, weight, and body mass index (BMI) tests Vision screening Lung function tests*

Recommended Screenings • Please refer to the “Screening Tests for Women” and “Screening Tests for Men” handouts for a list of recommended screenings based on gender and age. • These handouts are provided by the U.S. Department of Health and Human Services, Office on Women’s Health.

Understanding the Numbers • Blood pressure • Cholesterol • Fasting blood sugar 31 96 • Waist circumference 27.0 145 125/84 • BMI

Poll Select all of the following that are considered high blood pressure readings. A. 119/75 B. 126/85 C. 135/89 D. 140/95 E. 150/98

Blood Pressure Blood pressure should be less than 120/80 mm Hg

What Do Your Cholesterol Numbers Mean? • Total cholesterol • LDL (bad) cholesterol – the main source of cholesterol buildup and blockage in the arteries • HDL (good) cholesterol – helps keep cholesterol from building up in the arteries • Triglycerides – another form of fat in your blood Speak with your doctor about what your cholesterol numbers mean for you and your risk level .

Fasting Blood Sugar • A test that can determine your risk of diabetes by measuring blood sugar levels • Goal values: – Less than 100 mg/dL = Normal – Between 110 and 125 mg/dL = Impaired fasting glucose (prediabetes) – Greater than 126 mg/dL on two or more samples = Diabetes

Waist Circumference • Measurement taken to assess where someone is currently carrying his or her weight • Individuals who carry his or her weight in the waist region are at a higher risk of developing heart disease and type 2 diabetes. Gender Health Can Be at Risk if Your Waist Size Is Men Over 94 cm (about 37 inches) Women Over 80 cm (about 31.5 inches)

How to Check Your Waist Circumference www.webmd.com/diet/waist-measurement

Body Mass Index (BMI) • Used only as a screening tool • Used by both men and women • Things to consider – Women tend to have more body fat than men – Older people have more body fat than younger adults – Athletes have less body fat than do non-athletes (CDC, 2015)

BMI Calculator BMI Calculator www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm BMI Weight Status Below 18.5 Underweight 18.5-24.9 Normal or Healthy Weight 25.0-29.9 Overweight 30.0 and Above Obese

Benefits to Knowing Your Numbers • Early detection is vital in preventing, diagnosing, and treating cancers or serious disease. • Regular screenings and testing can help to save your life. • Depending on your insurance, you can see a primary care doctor months after your screening to follow up with your numbers. • Getting your numbers back can assist you in taking control of your health!

Learn to Take Control • Nutrition • Physical activity • Stress • Weight • Sleep • Medication

Resources • “The 39 Best Health and Fitness Apps of 2016” greatist.com/fitness/best-health-fitness-apps • Contact your EAP or Work-Life Program for Assistance

Thank You Questions?

Works Cited American Heart Association. (2016). What do my cholesterol levels mean ? Retrieved September 7, 2016, from http://www.heart.org/idc/groups/heart- public/@wcm/@hcm/documents/downloadable/ucm_300301.pdf Centers for Disease Control and Prevention. (Updated 2015, May 15). Body mass index (BMI) . Retrieved September 7, 2016, from https://www.cdc.gov/healthyweight/assessing/bmi Centers for Disease Control and Prevention. (Updated 2016, February 23). Chronic disease overview . Retrieved September 7, 2016, from http://www.cdc.gov/chronicdisease/overview Centers for Disease Control and Prevention, National Center for Health Statistics. (2015). Health, United States, 2015: With special feature on racial and ethnic health disparities (DHHS Publication No. 2016-1232). Retrieved September 13, 2016, from http://www.cdc.gov/nchs/data/hus/hus15.pdf Healthwise Staff. (Updated 2014, March 12). Waist measurement . Retrieved September 7, 2016, from www.webmd.com/diet/waist-measurement Mayo Clinic Staff. (2016, January 7). A1C test . Retrieved September 7, 2016, from http://www.mayoclinic.org/tests-procedures/a1c-test/details/results/rsc-20167939

Works Cited Mayo Clinic Staff. (2016, August 23). Boiling down the dietary guidelines . Retrieved September 7, 2016, from http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/dietary- guidelines/art-20045584?pg=1 National Institute of Diabetes and Digestive and Kidney Diseases. (2014, April). Preventing diabetes problems . Retrieved September 7, 2016, from https://www.niddk.nih.gov/health- information/diabetes/preventing-diabetes-problems National Institute of Diabetes and Digestive and Kidney Diseases. (2014, September). The A1C test and diabetes . Retrieved September 7, 2016, from https://www.niddk.nih.gov/health- information/diabetes/diagnosis-diabetes-prediabetes/a1c-test Office of Disease Prevention and Health Promotion. (Updated 2016, September 7). Physical activity guidelines for Americans at-a-glance: A fact sheet for professionals . Retrieved September 7, 2016, from https://health.gov/paguidelines/factsheetprof.aspx Office on Women’s Health. (Updated 2011, July 8). Screening tests for men . Retrieved September 7, 2016, from http://www.womenshealth.gov/publications/our-publications/screening-tests-for-men.pdf Office of Women’s Health. (Updated 2013, June 25). Screening tests for women . Retrieved September 7, 2016, from http://womenshealth.gov/publications/our-publications/screening-tests-for- women.pdf