Director, Employee Health & Productivity. Coordinator, Employee Health & Productivity

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1 Director, Employee Health & Productivity Coordinator, Employee Health & Productivity

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9 ChartE: Female HDL Cholesterol Risk Levels Optimal Borderline High Risk 80% 60% 40% 20% 0% LDL Cholesterol Table 6: \ChartF: Risk Level Range Number Percent Optimal (129 or less) % Borderline ( ) % 4 2.4% Very High Risk (190 or greater) 1 0.7% % LDL Cholesterol Risk Levels Optimal Borderline High Risk Very High Risk 100% 90% 80% r, 70% 60% 50% 40% 30% 20% 10% 0% [9]

10 Triglycerides Table 7: Risk Level Range Number Percent Optimal (149 or less) % Borderline ( ) % % Very High Risk (500 or greater) 0.6% % ChartG: Triglycerides Risk Levels Optimal Borderline High Risk Very High Risk 80% 70% 60% 50% 40% 30% 20% 10% 0% I', [1 OJ

11 Glucose Fasting blood glucose level indicates how efficiently the body uses energy. High levels of glucose in the blood indicate that the pancreas in not producing enough insulin, or that cells in the body are not responding well to insulin. This condition is called diabetes. According to the American Diabetes Association, a normal fasting blood sugar is < 1 OOmg/dl. Pre-diabetes is defined as a fasting blood sugar between mg/di and diabetes is > 125 mg/di. 4 Elevated fasting blood sugar levels should always be repeated prior to making a diagnosis of diabetes. In 2012, 29.1 million Americans, or 9.3% of the population, had diabetes. Of the 29.1 million, 8.1 million were undiagnosed (27.8%). 5 The following table and chart provides data on fasting, non-diabetic blood glucose results from your biometric screening: Table 8: Risk Level Range Number Percent Normal (99 or less) % Pre-Diabetes ( ) 8 4.8% 1 0.6% Poorly Controlled Diabetes (212 or more) 0 0.0% % ChartH: Glucose Risk Levels 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Normal Pre-Diabetes Diabetes Poorly Controlled Diabetes [11]

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13 Body Mass Index Two methods commonly used to estimate whether one is a healthy weight or not are body mass index (BMI) and waist circumference. Body Mass Index (BMI) is a number calculated from a person's weight and height. BMI is a fairly reliable indicator of body fatness for most people. According to the CDC, calculating BMI is one of the best methods for population assessment of overweight and obesity. Because calculation requires only height and weight, it is inexpensive and easy to use for clinicians and for the general public. The use of BMI allows people to compare their own weight status to that of the general population. 10 Health professionals often use BMI and waist circumference together to assess overweight and obesity and to assess risk of cardiovascular disease and diabetes. The standard weight status categories associated with BMI ranges for adults are shown in the following table: The following tables and graphs provide information on BMI from your biometric screening : Table 10: Chart}: 80% 60% 40% 20% Body Mass Index Levels Underweight Normal Overweight Obese Number Percent 3 1.5% % % % % 0% [13]

14 Waist Circumference Measuring waist circumference helps screen for possible health risks that come with overweight and obesity. If most of your fat is around your waist rather than at your hips, you're at a higher risk for heart disease and type 2 diabetes. This risk goes up with a waist size that is greater than 35 inches for women and 40 inches for men. Health professionals often use BMI and waist circumference together to assess overweight and obesity and to assess risk of cardiovascular disease and diabetes. The following tables and graphs provide information on waist circumference from your biometric screening : Table 11: ChartK: Number Percent % % % Male Waist Circumference Levels 80% 60% 40% 20% 0% Lower Risk Increased Risk Table 12: ChartL: Number Percent % % % 80% Female Waist Circumference Levels Lower Risk Increased Risk 60% 40% 20% 0% [14]

15 About the lgnitehealth Quotient The lgnitehealth Quotient (IHQ) is a proprietary algorithm created by lgnitehealth to quantify and communicate the health risk of individuals who undergo biometric screening. The IHQ assigns numerical weights to an individual's lipid (cholesterol) profile, blood sugar or hemoglobin A 1 c, blood pressure, and body mass index (BMI); and expresses these weights as a percentage score from The individual point assignments are based on national best practice clinical guidelines for diabetes, obesity, hypertension, and hyperlipidemia. The IHQ allows for a valid risk score to be calculated for individuals regardless of their fasting status. The IHQ was tested against a database containing the results of over 9000 biometric screens and is reviewed and updated on an annual basis. The following highlights the IHQ's approach to assigning points for the four areas of key biometric risk: Biometric Result Level of Risk IHQ Points Assigned Biometric Level IHQ Points Result of Risk Assigned Normal Lipid Profile Normal Blood (Total Chol, HDL, and Lowest High Sugar or HbA 1 c LDL) Lowest High Borderline High Lipid Profile Moderate Medium Pre-Diabetes Moderate Medium High Lipid Profile High Low Diabetes High Low Poorly Very High Lipid Profile Highest None Controlled Highest None Diabetes Biometric Result Desirable BMI and Overweight Level of Risk IHQ Points Assigned High Obesity Moderate Medium Morbid Obesity High Low Extreme Morbid Obesity Highest None Biometric Level IHQ Points Result of Risk Assigned Low- Moderate Normal Blood Pressure Pre- Hypertension Stage 1 Hypertension Stage 2 Hypertension Lowest Moderate High Highest High Medium Low None Low Risk Medium Risk lgnitehea/th Quotient [15]

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17 Biometric Screening Summary This biometric screening report summarizes area of potential health concern. While this is not a complete analysis of participants' health status, it can help to focus wellness program activities. This aggregate report illustrate the overall test results of all of your employees who participated in the biometric health screening. The report shows critical health risks facing your employees: Total Cholesterol: 31.7% measured as borderline or high risk (:2::200 mg/dl) HDL: 24.4% of women measured as borderline or high risk (<60 mg/di) LDL: 17.1 % measured as borderline or high risk(> 130 mg/di) Triglycerides : 23.7% measured as borderline or high risk(> 150 mg/di) Fasting Blood Glucose: 5.4% measured as pre-diabetes or diabetes level ((100+ mg/di) Blood Pressure: 57.2% measured in pre-hypertensive or hypertensive range Waist Circumference : 66.8% measured as "at-risk" (> 35 inches for women and 40 inches for men) Body Mass Index: 24.0% measured in an obese category (:2::30) [17]

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19 Recommendations With over 57% of your screened population indicating blood pressure measurements in the prehypertensive or hypertensive range, consider providing employees with an onsite blood pressure station at your larger locations. Having this tool in place would allow individuals to actively monitor their blood pressure. Continue to further your culture of health by refining onsite policies and environmental supports regarding tobacco use, nutrition, and physical activity. Considering completing the CDC Worksite Health Scorecard with the assistance of Relph's Health & Productivity department for a full, detailed recommendation report. Use the PHM Report Portfolio to steer the direction of the Wellness Committee's iniativies in areas of highest risk. Focus on promotions surrounding the lifestyle risk factors that impact the medical risk factors can lead to improved biometric results year-on-year. Promote the new and improved Mayo Clinic Healthy Living Online at to support your wellness initiatives. This highly interactive and customized website allows individuals to be in control of their health with great features, such as recipe collection, exercise and nutrition tracker, medical content information, and much more! [19]

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