Implementing Healthy Eating Programs in the Workplace
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What a person eats, how active they are, genetics and the environment in which they live, work and play all have a role in determining whether or not a person is at a healthy body weight. With adults spending a large amount of time at work and consuming at least one meal a day in addition to one or two snacks, workplaces are an ideal venue to promote healthy food choices. These slides are from an October 13, 2010 webinar held during Canada's Healthy Workplace Month. Heather Harvey of the Ontario Public Health Association discusses healthy eating in the workplace and how to successfully implement healthy eating programs. She draws on experiences learned through the Eat Smart!® Workplace Program, a healthy eating award program for Ontario workplaces. Even if your workplace is outside of Ontario, you will find value in the lessons learned and strategies discussed for starting and maintaining interest in your own healthy eating program. To view the free recorded webinar, please visit: http://www.ccohs.ca/products/webinars/healthy_eating/
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Implementing Healthy Eating Programs in the Workplace
- 1. Implementing Healthy Eating Programs in the Workplace October 13, 2010 Heather Harvey MHSc, RD Program Coordinator Nutrition Resource Centre, OPHA CCOHS – October 13, 2010
- 2. Outline 1. Current nutrition issues and their affect on workplaces 2. Business case supporting health promotion and healthy eating in the workplace 3. Best practices for promoting healthy eating in the workplace 4. Case Study: Eat Smart!® Workplace Program 5. Making it happen at your workplace 6. Resources CCOHS – October 13, 2010
- 3. • Think about your day so far. How many eating decisions have you made? CCOHS – October 13, 2010
- 4. • We make approximately 227 food related decisions per day1 – What we eat, how much, when, where, with who • Our decisions are impacted by: – Knowledge – Personal situation – Social environment – Physical environment – How food is presented Wansink B. (2007) Environment and Behaviour. CCOHS – October 13, 2010
- 5. Food and Workplaces • If people spend 8 hours a day at work or 50% of their waking hours… – 113 food decisions are made at work – One meal – Two snacks • Employees can have access to many eating opportunities at work: – Cafeteria, café, vending machines – Treats in the lunch room – Food at meetings or events CCOHS – October 13, 2010
- 6. Chronic Disease Obesity • 55% females and 79% of males, 40-59 y/o are either overweight or obese1 Heart Disease • 30% of all deaths in Canada are due to heart disease2 High Cholesterol • 10 million Canadian adults have high cholesterol2 Hypertension • 18% of 40-59 y/o and 53% of 60-79 y/o have high blood pressure3 Diabetes • 3 million Canadians have Diabetes4 • 90% are Type 24 1 Health Reports. Fitness of Canadian Adults (2010) 2 Heart and Stroke Foundation 3 Health Reports. Blood Pressure in Canadian Adults (2010) 4 Canadian Diabetes Association CCOHS – October 13, 2010
- 7. Cost of Chronic Diseases • Costs to the Canadian economy: – Overweight/Obesity 4.3 billion in 2000/20011 – Heart Disease 2.2 billion annually2 – Diabetes by 2020, 6.9 billion a year3 • Cost of employee absenteeism 8.6 billion annually (2001)4 1 Katzmarzyk et al. (2004) Canadian Journal of Applied Physiology 2 Heart and Stroke Foundation 3 Canadian Diabetes Association 4Canadian Council on Integrated Healthcare- A Discussion Paper on Workplace Health (2002) CCOHS – October 13, 2010
- 8. The Business Case CCOHS – October 13, 2010
- 9. Return on Investment • Comprehensive Workplace Health Promotion – 3 review studies: • $3.14 per $1 invested1 • $4.30 per $1 invested2 • $2.05-$4.64 per $1 invested3 • Obesity Prevention Programs – Not much literature – Review of three studies – $1.44 - $4.16 per pound body weight lost4 1 Goetzel RZ (1999) AWHP’s Worksite Health 2 Aldana SG (2001) American Journal of Health Promotion 3 Chapman LS (2004) The Art of Health Promotion Newsletter 4 Anderson et al. (2009) American Journal of Preventive Medicine CCOHS – October 13, 2010
- 10. Best Practices • What is Healthy Eating? CCOHS – October 13, 2010
- 11. Canada’s Food Guide Emphasis on: – Vegetables and fruit – Whole grains – Lean meats – Low fat milk products – Healthy fats – Moderate portion sizes CCOHS – October 13, 2010
- 12. Vegetables and Fruit • Adults should be consuming 7-10 servings • One serving is ½ cup, one medium sized fruit/vegetable or 1 cup leafy greens • Emphasis on dark green and orange, limiting juice and no added fat, sugar or salt • 65% of Canadians consume less than 5 servings of vegetables and fruit a day Quadir T (2010) Canadian Journal of Dietetic Practice and Research CCOHS – October 13, 2010
- 13. 7-10 servings Breakfast Lunch – 3 svg 1 svg Snack Dinner 1 svg 2 svg CCOHS – October 13, 2010
- 14. Grain Products • Adults should be consuming 6-8 servings • One serving is ½ cup cooked rice, pasta, grain, 1 slice bread, ½ bagel • Emphasis on whole grains and grains low in fat, sugar and salt • Canadians are consuming much less fibre than is recommended CCOHS – October 13, 2010
- 15. Milk and Alternatives • Adults should be consuming 2-3 servings • One serving is 1 cup milk, ¾ cup yogurt, 50 g cheese • Emphasis on lower fat milk and milk alternatives • Canadians consume on average 81 L of milk a year1 1Canadian Dairy Information Centre CCOHS – October 13, 2010
- 16. Meat and Alternatives • Adults should be consuming 2-3 servings • One serving is 75 g or ½ cup cooked meat, ¾ cup legumes, 2 eggs • Emphasis on meat alternatives, fish and lean meats prepared with little or no added salt and fat • Canadians generally consume too much processed meat and not enough fish CCOHS – October 13, 2010
- 17. Canadian Dietary Trends1 • 78% of Canadian adults had sodium intakes in excess of the upper limit • 18% of sodium consumed each day is from meals eaten at food service establishments • 5 in 10 women and 7 in 10 men have energy intakes that exceed their energy needs • 25% of men and 23% of women over 19 y/o, have fat intakes above the recommended level 1 CCHS data (2004) CCOHS – October 13, 2010
- 18. Approaches to Healthy Eating in the Workplace • Socio-ecological Model CCOHS – October 13, 2010
- 19. CCOHS – October 13, 2010
- 20. Approaches to Healthy Eating in the Workplace • Comprehensive Workplace Health – Awareness raising/education – Skill building – Supportive Environment – Policy Development • Goes beyond looking at just the individual – Changes to organizational culture and social norms • Long-term commitment CCOHS – October 13, 2010
- 21. Healthy Eating at Work – What Works… • Not much data in this area • Evaluation of programs is moderate at best • Most studies focus on education and behavioural strategies, not the environment • Comprehensive approach generally yields better results • Informational and educational approaches alone were less effective • Many programs are multifaceted and hard to determine which components yield the best results * Taken from: Ni Mhurchu C (2010) BMC Public Health Anderson LM et al. (2009) American Journal of Preventive Medicine CCOHS – October 13, 2010
- 22. Supportive Environment – Food Choices • Changing foods offered in cafeteria, cafés, vending can be effective in improving employee eating habits • Keys: – Involve employees in determining food choices • Polls • Taste tests – Promote and label healthier options – More healthy options offered = employees will choose them more often CCOHS – October 13, 2010
- 23. Supportive Environment - Pricing • Vending study1 – Reductions of 10%, 25% and 50% on low-fat snacks – Increased purchases by 9%, 39% and 93% • Cafeteria study2 – Increased cost of regular soft drinks by 35% – Purchases decreased by 26% and 36% when accompanied by educational campaign 1 French SA (2001) American Journal of Public Health 2 Block JP (2010) American Journal of Public Health CCOHS – October 13, 2010
- 24. Supportive Environment- Placement • Few studies have looked at placement of healthier items specifically • Marketing principals are “make the item you want to sell the easiest one to access” – Eye level – Not behind signage – On the door of a cooler/fridge WIN CCOHS – October 13, 2010
- 25. Point of Purchase Programs • A few studies have focused exclusively on POP programs – Most show small effects on purchases of healthier foods • POP work well with other supportive environment initiatives • Focus on convenience, taste/sensory, energizing nature of healthier options • Keep messages short and simple CCOHS – October 13, 2010
- 26. Supportive Environment – More Ideas • Serving healthier options at meetings and company sponsored events • Limiting or removing treats from common areas – Ask people to keep these in their office – Encourage people to bring in healthier or fewer treats • Find other ways to raise funds other than food • Include access to registered dietitians as part of your health benefits CCOHS – October 13, 2010
- 27. Eat Smart!® Workplace Program • Eat Smart!® is an Award of Excellence program that recognizes and promotes Ontario food premises that meet standards of excellence in – nutrition – food safety – smoke-free environment • Goals – Reduce the incidence of chronic diseases and food-borne illness in Ontario CCOHS – October 13, 2010
- 28. Eat Smart!® Workplace Program • Background – In Ontario since 2001 – Coordinated by the Nutrition Resource Centre – Implemented by individual health units to help meet the Ontario Public Health Standards – Program Partners: – Supported by the Ministry of Health Promotion and Sport – Approximately 150 workplaces participate in 17 different health units across Ontario CCOHS – October 13, 2010
- 29. Eat Smart!® Workplace Program • In order to achieve Eat Smart!® status, workplaces must meet consistent standards in • Nutrition • Food Safety • Smoke Free Environment • You can view the standards online at www.EatSmartOntario.ca CCOHS – October 13, 2010
- 30. Door Decal found on the door to an workplace with an Award of Excellence Award of Excellence found within the workplace CCOHS – October 13, 2010
- 31. Eat Smart!® Workplace Program • Creates supportive environments by increasing access to healthier foods in cafeterias – Café and vending component being pilot tested • Raises awareness and educates employees through posters, table tents and POP messaging – Individual health units often do further CCOHS – October 13, 2010
- 32. CCOHS – October 13, 2010
- 33. Eat Smart!® Workplace Program • In the process of pilot-testing additional standards to strengthen the program – Action Committee involving employees, food service, public health, management – Standards for the pricing, placement and promotion of healthier options in cafeterias and vending CCOHS – October 13, 2010
- 34. What We’ve Learned… 1. It’s not easy to change people’s food choices 2. Programs that are comprehensive and ongoing yield better results 3. Involvement from employees is crucial 4. Management support is critical 5. Making healthy eating part of the company culture (i.e. status quo) is helpful CCOHS – October 13, 2010
- 35. How to Move Forward 1. Pull together key players, put forward business case and get by-in 2. Assessment 3. Form committee 4. Make a plan 5. Consult with experts, review literature, hire consultants 6. Put plan into action 7. Evaluate your efforts 8. Along the way – INVOLVE EMPLOYEES CCOHS – October 13, 2010
- 36. Maintaining Interest • Focus on what employees are interested in • Solicit employee feedback frequently – Polls – Taste tests – Focus Groups • Ongoing, multifaceted initiatives • Change the organizational culture CCOHS – October 13, 2010
- 37. Healthy Eating Resources • Canada’s Food Guide www.healthcanada.gc.ca/foodguide • EatRight Ontario www.eatrightontario.ca • HealthLink BC Dietitians http://www.healthlinkbc.ca/dietitian/ • Dietitians of Canada www.dietitians.ca • Eat Well and Be Active Toolkit (Health Canada) www.health.gc.ca/eatwell-beactive • Local Public Health Unit CCOHS – October 13, 2010
- 38. Contact Information • Eat Smart!® Program www.eatsmartontario.ca • Heather Harvey, MHSc RD Program Coordinator Nutrition Resource Centre 416-367-3313 x227 hharvey@opha.on.ca CCOHS – October 13, 2010
- 39. Questions? CCOHS – October 13, 2010