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Helping employers to reduce preventable disease post pandemic

by Dr Sandeep Singh Sadhra 13 Aug 2021
by Dr Sandeep Singh Sadhra 13 Aug 2021 Shutterstock
Shutterstock

Poor lifestyle choices made during the past 18 months of restrictions mean employers now need to take action to reduce the risk of workers developing preventable diseases, such as diabetes and heart disease, argues Dr Sandeep Singh Sadhra.

Many people used the novelty of working from home during the first lockdown last year to spend more time outdoors and focus on their mental and physical health. However, by the time of the last autumn’s lockdown and then the long lockdown of this year, it was clear Covid-19 restrictions were having a particularly negative impact on the health of the nation, at least for many. Gym closures and a hold on organised sport meant one in three people became less active and gained weight.

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At the same time, increased snacking and alcohol consumption contributed to an average weight gain of 10lbs (4.5kg) per person. This increased the risk of employees developing non-communicable diseases (NCDs), such as diabetes, cancer, strokes and coronary heart disease.

Pressure on frontline services from Covid-19 was also meaning people were less likely to see their GP and get referred for checks. As a result, a quarter of diabetes cases were missed last year.

Take stock on preventable disease

Unlike an obvious physical health problem like an injury, NCDs may have subtle or even no symptoms in their early stages, with blood testing often required to detect any signs of abnormality. The only way to detect diabetes and high cholesterol, for example, is to take a blood sample such as a simple finger-prick blood test.

Although GPs offer blood tests, most people will not ask for them until they become noticeably sick. In the past, this prompted many employers to offer free health assessments as part of their employee wellbeing packages or wellbeing days. However, with many people still working from home, most employers haven’t taken stock of the health of their workforce in over a year.

Instead of allowing things to slide any further, postal blood-testing services and guided self-assessments are fast becoming a cost-effective way for employers to identify how many of their employees have already developed, or are at risk of developing an NCD.

Act on risk factors

Identifying the number of your workers who are vulnerable to an NCD helps to inform your wellbeing plans and risk factors are also crucial for motivating employees to take preventative action.

Generic information on the health benefits of eating healthily or not smoking are all well and good, however they are nowhere near as powerful as being sat down and told: “According to your blood test results, past medical history and family history, there is a significant risk you’ll have a heart attack in the next 10 years.”

So, as well as telling people what their health risks are, they should be given the opportunity to contemplate what this means for them personally as well as being provided with support to make positive those changes.

Provide education

When it comes to helping people make positive lifestyle changes, it is important not to make any assumptions about how much they know about what they can do to boost their health. Most people are worryingly confused about how they can reduce specific health risks.

When it comes to helping people make positive lifestyle changes, it is important not to make any assumptions about how much they know about what they can do to boost their health. Most people are worryingly confused about how they can reduce specific health risks.”

For example, what constitutes a healthy diet is very different for heart disease than it is for diabetes. Heart disease is about reducing saturated and trans-fats, while diabetes is about reducing carbohydrate intake and high-sugar content foods or drinks.

Also, if someone has problems with their heart, they may not be able to immediately start following the current recommended guidance on how many minutes of moderate to strenuous exercise we should be performing per week. They would likely require a more graded introduction to physical activity, to avoid perilously overstraining themselves.

All of which means people must be guided towards the support and information tailored specifically for themselves. Online courses, expert webinars and wellbeing apps provide plenty of opportunity for people to access expert insights on getting their health back on track.

Create a culture of health

The next most important thing employers can do is to ensure people have time to look after themselves. People are highly motivated by short-term goals, meaning they are often prepared to strive to work late to get that extra task done today, in an effort to reduce tomorrow’s workload.

Not only will this potentially fail to lighten tomorrow’s workload, as this may just create space for new tasks to be allocated or accomplished, but if this is continuously repeated, this is likely to reduce the amount of time allocated in evenings or lunch hour to exercise or prepare healthy food on a regular basis. Which will inevitably result in an adverse effect on their health.

This is not just bad for individuals, it is also bad for business. After all, a major study found that as well as experiencing less absence, healthy workplaces also save an average of 11.5 days of unproductive time per person a year.

So encourage employees to set long-term wellbeing goals and factor time for wellbeing into their daily lives, in the same way they diarise meetings. For example, provided they don’t need to work core hours, encourage them to flex their day to fit in that yoga class or an invigorating walk before work.


References
“Impact of Covid weighs heavy on Brits”, Well Pharmacy, April 2021, https://blog.well.co.uk/impact-of-covid-weighs-heavy-on-brits/

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Carr Matthew J et al (2021). “Impact of COVID-19 on diagnoses, monitoring and mortality in people with type 2 diabetes in the UK”. Lancet Diabetes Endocrinol. 2021 Jul;9(7):413-415, https://www.thelancet.com/journals/landia/article/PIIS2213-8587(21)00116-9/fulltext

“Why your people want to get healthy but can’t”, Mercer, April 2019, https://www.uk.mercer.com/our-thinking/health/behaviour-change.html

Dr Sandeep Singh Sadhra

Dr Sandeep Singh Sadhra is a practising GP and medical director for ToHealth, part of the PAM Group

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