This presentation describes our project at the nutricia site in Utrecht. We help employees to get an insight in their health and promote healthy living.

2. Olympos+!
Physiotherapy Human Movement Scientists Sport Physicians
Endless sport opportunities
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3. A Healthy Company
‘diversity is a wealth
and change a constant opportunity’
Resilience
Innovation
Flexibility
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(Danone.com)

4. Content
• Investing in functioning employees?
• The balance between mental and physical
load and capacity
(and our little buckets)
• Planning
• Expected benefits
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5. Work capacity
• How well is an employee able to perform his
job, mentally and physically?
• Not in focus
• Neglected in economic evaluations
(Brouwer, 1999)
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6. Lifestyle factors
• BRAVO-Factors
– Bewegen (Physical activity)
– Roken (Smoking)
– Alcohol
– Voeding (Diet)
– Ontspanning (Recreation/Leisure time)
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7. Physical (In)Activity
• Inactivity * Major costs Health Care
* Major economic damage
(absence and disablement)
• Activity * Improves workcapacity and
deminishes absence
* 10% increase NNGB = 131 mln
reduction Health Care Costs
* Relationship Obesity and Loss
workcapacity and absence at work
(Proper, 2002)
(TNO, 2010)
(Kemper, 1999)
(Alavinia, 2009; Neovius, 2009; Robroek, 2001; Van
Duivenbode, 2009) 7

8. Example: Psychological Stress
• 10% of Dutch Working population
is dealing with Burnout-type
complaints
• 1 in 3 long term absent employees
is dealing with psychological
problems like Burnout
• Average absence = 189 days!
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(Meijer, Smit, Schoemaker & Cuijpers, 2006)
(2ZW Informatiecentrum, 2005)

9. Matter of responsibilities?
• Employees are responsible
• Employer can facilitate
(Stichting Arbeid, 2008)
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10. How to pave the road?
(Bouchard & Shepard, 1994)
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11. Health Management
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12. Companies Buckets
5%
Overflowing
bucket
30%
Risk on
overflowing
bucket
65%
Balanced
(triastotaal.nl)
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13. Planning
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Prior to test day 1
• Online questionnaires - concerning mental, physical,
health and work related factors
• Blood samples @ site
Test day @ Olympos
• Physiotherapeutic screening (20 min)
• Biometric data and cardio vascular profile (20 min)
• Objective stress measurement & strength test (20 min)
• Health assessment by physician (20 min)
Separate day
• Determination of exercise capacity

14. How - Stage 1
• Online questionnaires, collection of biometric data,
physiotherapeutic screening
With riskfactors:
Personal test on exercise
capacity
Without riskfactors:
Group test on exercise
capacity
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15. • Personal goal setting
and advise on how to achieve goals:
Set BRAVO goals
Set BRAVO goals and visit physiotherapist, sport physician
and psychologist
Set BRAVO goals to improve health, visit physiotherapist,
sport physician and psychologist. Combined effort with
company physician
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How - Stage 2

16. 3 month intervention period
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Sport activities,
conveniently during or
directly after work
Visit to Physiotherapist,
Exercise physiologist,
Sport Physician, Mental
Coaching and green
activities
Personal coaching
Visit to
Physiotherapist,
Exercise physiologist,
Sport Physician,
Mental Coaching.
Costs may be covered by Health Insurance
How - Stage 3 (Employee’s
responsibility)

17. Optional:
• Personal training schedule
• Nutricia Sportactivities at Olympos
(Team building day/afternoon/evening, Nutricia
Volleybalteam, running group)
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18. • Post - test and new goal setting
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How - Stage 4

19. • Man 45yrs, non smoker, social drinker
• BMI 25, fat 25% (norm 20%)
• XRC-capacity: normal
• QQ-index: 70%
• HRV: 80%
• Bloodpressure: 140 – 90
• Fysioscreening: high tension in neck and shoulder
muscles
• Mostly sitting
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Example Case – T0

20. • BRAVO-Factors
– Get insight in P(in)A per day, Activity
monitor
– Talk with Olympos about fun sport
activities @Olympos, Health@work
initiative Nutricia or Physical activity
own health club
– Join awareness sessions Nutricia
• Possibility to contact Company Doctor
(directly), or contact Liesbeth Filippini
(strictly confidential) registered A&O
psychologist; more info www.Psynip.nl
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Example Case – Advise

21. • Man 45yrs, non smoker, social drinker
• BMI 25, fat 23% (norm 20%)
• XRC-capacity: normal
• QQ-index: 85%
• HRV: 90%
• Bloodpressure: 140 – 90
• Fysioscreening: tension in neck and shoulder muscles
decreased
• Sitting time decreased
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Example Case – T1

22. Cycle of improvement
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Testing
Goal Setting
Personal
Advise
Intervention
Period
T0
Pre test
3months
Intervention
period
T1
Post test

23. Meso Planning
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• Last week of June: Gathering data from
interested employees
• Sampling blood and questionnaires (max 1 week
prior to test)
• September 8th and 15th physical tests (part 1)
• 3rd week of September physical test (part 2)
• 4th week of September individual Olympos talk

24. Questions
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Literature reference list available upon request

25. Measurement tools
• QQ-index (quantity and quality of work)
(Koopman 2004, Meerding 2005, alavinia 2009)
• IPAQ (short version)
(Poppel, 2004)
• RAND-36
(van der Zee, 1993)
• AHA (cardio vascular risk analysis)
(America Heart Association)
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