Harri Lindholm, MD Finnish Institute of Occupational Health Physical inactivity as a risk factor – good practices of the prevention in occupational health Harri Lindholm, MD Finnish Institute of Occupational Health

Background National program for the promotion of the physical activity and prevention of the physical inactivity,Ministry of Social Affairs and Health, Ministry of Education Action plans for different sectors of the society: workplaces One product a guidebook : Good practices in the promotion of the physical activity in Occupational Health,Finnish Institute of Occupational Health (working life and OH) and UKK-Institute (health promotion, physical activity) Team: Lindholm H, Lusa S, Saarinen K (FIOH), Fogelholm M, Moilanen J, Paronen O (UKK), Miilunpalo S (Rehabilitation Centre Kiipula) Consultations of the professionals, organisations and institutes Aims: to collect evidence based data concerning physical activity and health, collection of the experiences from succesful campaigns and projects, mapping the good practices developed by the professionals in their daily work Presentation heading / Työterveyslaitos / MM / 26.12.2018

Ilmarinen, Tuominen et al 2006 House of work ability: Different dimensions in the Finnish work force between the ages of 30-64 years Ilmarinen, Tuominen et al 2006 Work ability Physical demands Mental strain Organisatio nal support Joy from work Motivation to work Skills Education Symptoms Functional capacities Work Values Knowledge Health and functioning Family Income Social network Activity outside home 12 % 14 % 33 % 13 % 39 % Presentation heading / Työterveyslaitos / MM / 26.12.2018

Functional capacities 1 Functional reserves Work demands 10 Age Presentation heading / Työterveyslaitos / MM / 26.12.2018

Health habits 8 % knows and does 35 % knows and tries 55 % knows, but does not care 5 % needs for medical support Presentation heading / Työterveyslaitos / MM / 26.12.2018

The implementation of the guidelines in the normal process of the OH The promotion of the physical activity – Finnish guidelines for the occupational health (OH) services The implementation of the guidelines in the normal process of the OH The continuing process Work-oriented tailored planning The aging workforce (diseases, decrease in the functional capacities) Early recognition of the problems The co-operation between the professionals (OH, general health care, experts in the physical training and rehabilitation) Evidence based facts, experiences from the real life Presentation heading / Työterveyslaitos / MM / 26.12.2018

The co-operation between the professionals (OH, general health care, experts in the physical training and rehabilitation) The implementation of the guidelines in the normal process of the OH Presentation heading / Työterveyslaitos / MM / 26.12.2018

Nutrition, sleep and rest, tobacco, social activities,drugs Organisation Employers, work safety Promotion of the wellbeing in work: Leadership, job security and income, work demands and job control, working time, skills, organisational justice and injustice Occupational health Health promotion: Nutrition, sleep and rest, tobacco, social activities,drugs and alcohol Services for exercise, physical activities Physical activity daily activities exercise Individuals managers employees Presentation heading / Työterveyslaitos / MM / 26.12.2018

Part of the annual action plan of OH in the different workplaces The risk assesment performed by OH at the workplaces:work demands, aging workforce, special job related risks Health examinations performed by OH: prevention and early recognition of the health promotion, primary prevention (cardiovascular diseases, metabolic disorders, musculoskeletal diseases and disorders, stress management and sleeping problems) Visits in OH due to diseases, symptoms, injuries: physical exercise as a part of the good treatment and rehabilitation, secondary and tertiary prevention Part of the annual action plan of OH in the different workplaces Networks of professionals Presentation heading / Työterveyslaitos / MM / 26.12.2018

Early recognition of the problems The aging workforce (diseases, decrease in the functional capacities) Presentation heading / Työterveyslaitos / MM / 26.12.2018

Functional capacity Functional reserves Work demands Presentation heading / Työterveyslaitos / MM / 26.12.2018

Need for recovery Heavy work Moderate work Light work Age, years Resources for the good health habits Presentation heading / Työterveyslaitos / MM / 26.12.2018

Evidence based facts, experiences from the real life Work-oriented tailored planning Presentation heading / Työterveyslaitos / MM / 26.12.2018

Facts 40- 50 % of the population in the working age do not have enough physical activities to maintain their health The low physical activity causes 2-3 extra days of absenteism (sick leaves) annually The low physical fitness is a strong risk factor for early retirements in both sexes Normal physical fitness is enough Exercise is a part of good treatment in all important diseases Presentation heading / Työterveyslaitos / MM / 26.12.2018

Increased (%) of duty off days due to sick leave     Pelletier 2004 Guideline: Multidimensional measures in workplace health promotion.   Presentation heading / Työterveyslaitos / MM / 26.12.2018

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The continuing process Work-oriented tailored planning Presentation heading / Työterveyslaitos / MM / 26.12.2018

Individual data only in OH units peak level 50 % level Whole company Group of one team Individual data only in OH units Guideline : Practical reports, detection of the indiduals with increased health risk or the risk of work related overstrain Presentation heading / Työterveyslaitos / MM / 26.12.2018

Type of activity/exercise Work Special feature Target Type of activity/exercise Informationi-ntensive work, traffic, services Time pressure Irregular working times Computer use Sleep rhythm disorders Balancing the autonomic nervous system Relaxation Muscular tensions Muscular strength of back and trunk ”Interval” training (ball games, circuit training, aerobic), aerobic training (swimming, cycling, walking, nordic walking, skiing, jogging), stretching at home at workplaces Shift work Disturances in sleep and diurnal rhythm Cardiovascular health, metabolic balance, quality of sleep Aerobic training, dynamic muscular training Heat and warm firefighters (protective clothing) moisty indoor(kitchen, cleaners) summer (buildings, roads) Heat load Water deficit Improvement of the cardiac otuput Prevention of the overweight Aerobic training (swimming, cycling, etc).   Presentation heading / Työterveyslaitos / MM / 26.12.2018

A day’s stress and recovery: STRESS REPORT for the client 1. Personal data and source signal (pulse) 2. Identification of situations of stress and sources of recovery 5. Time proportionate to an 8 hour working day 3. Amount of stress reactions and recovery 6. Balance of stress and recovery 4. Analysis of highest stress reaction Presentation heading / Työterveyslaitos / MM / 26.12.2018

Physical activity: Never too late to start, always too early to stop Challenges Changes in attitudes Practical reports Simple, tailored instructions Recognition the cultural and individual differences Tools for follow up Same language among the different professionals Implementation the present evidence based data in everyday processes in OH Physical activity: Never too late to start, always too early to stop Presentation heading / Työterveyslaitos / MM / 26.12.2018