1. 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

2. 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 /

3. Ilmarinen, Tuominen et al 2006
House of work ability:
Different dimensions in the Finnish work force between the ages of 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 /

4. Functional capacities1
Functional reserves
Work demands 10
Age
Presentation heading / Työterveyslaitos / MM /

5. 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 /

6. 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 /

7. 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 /

8. 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 /

9. 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 /

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

11. Functional capacity Functional reserves Work demands
Presentation heading / Työterveyslaitos / MM /

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

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

14. Facts
% 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 /

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

16. Presentation heading / Työterveyslaitos / MM /

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

18. 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 /

19. 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 /

20. 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 /

21. 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 /