Supporting Health and Wellness Professionals!
Welcome to our 2010 Spring Newsletter. In this issue we explore and identify research that gives us guidance as we create wellness programs. We are also very excited to announce - Exciting - positive changes within our organization!

acsm approved_provider logo final_2* We are very excited to announce that The American College of Sports Medicine's (ACSM) Professional Education Committee has granted Real Balance Global Wellness Services, LLC Approved Provider status. The American College of Sports Medicine is the largest sports medicine and exercise science organization in the world, with more than 20,000 International, National and Regional members. Since 1975, ACSM has certified more than 45,000 health and fitness professionals in 44 different countries. Exercise Physiologists and Health and Fitness Professionals completing our educational programs are now eligible for Continueing educaton credit through ASCM.

ciis_07_rgb_2-75in * Dr. Michael Arloski has been named an adjunct faculty with California Institute of Integral Studies -Integrative Health Studies Program in San Francisco!

We are honored and excited!!

edingtonHealth & Wellness Coaching As Essential

by Dr. Michael Arloski

“Individuals do best if they understand that health is vitality and energy, not just the absence of disease, and that they are their own self-leaders in charge of improving or maintaining their own health status and influencing the health status of their families.” Dee Edington – Zero Trends: Health as a Serious Economic Strategy.

Wellness and health coaches are increasingly being seen as a key component of company wellness programs. The trend toward individualization of welln ess has been building over the last ten to fifteen years and is stronger than ever. The paradigm shift towards a coach-centric programming approach continues to grow. Now, in a landmark book, (Zero Trends: Health as a Serious Economic Strategy, 2010) Dee Edington, wellness pioneer researcher and director of the University of Michigan Health Research Center, lays out for us the evidence-based best way to allocate a company’s wellness resources and indentifies wellness and health coaching as one of three essential components.

Health & Wellness Coaching As Essential

Iimages-15n the health promotion field, the room goes silent and everyone is all-ears when Dee Edington speaks. If Edington is not the “Father” of the HRA (Health Risk Appraisal), his work over the last thirty years has certainly told us more about these instruments and how to milk every last bit of value out of them than anyone else.

“The health risk appraisal (HRA) system is core technology to integrate health into the culture of a company.” (Edington, 2010) He sees these systems requiring three essential components: 1) the HRA questionnaire and profile itself, 2) biometric screening and 3) health coaching. He sees coaches being of value whether the client is identified as low or high risk, or dealing with a chronic illness. The real value of an HRA is only realized when there is a good method of helping the person understand it’s meaning and implications for their health. This is where an individual coaching session, or better yet, series of sessions excels.

Keeping Healthy People Healthy

Health and wellness coaching is often provided to employees as a benefit and is images-18delivered by one of a number of different providers. The coaching my be a service of: a disease management and/or wellness coaching company that is a part of the employee’s health insurance; a contracted wellness coaching company; a contracted independent wellness coach; or employees of the company’s wellness program that have been specifically trained as wellness coaches. Whenever benefits are provided the immediate concern is cost. How much wellness coaching, and who gets to see the wellness coach?

It is tempting to look at the 20% of the employee population who are at high risk and consume 80% of the healthcare costs and target them for our wellness coaching efforts exclusively. These “high risk” individuals appear very visible to the wellness programmer’s eye. Many of the high risk group often already have some sort of “lifestyle disease” (as the World Health Organization calls them) or chronic illness, and they often use more sick days, and drive up the cost of healthcare, especially for a self-insured company. However, this is exactly the time to look at Edington’s evidence.

images-20The problem, Edington says, is migration. Our three neat categories of low, medium and high-risk individuals are not static. People “migrate” from one category to another and they tend to migrate in mostly one direction, from low to higher, and healthcare costs migrate right with them. “Therefore, when a program focuses solely on high-risk individuals—and we certainly need to pay attention to those folks—it can only be successful to a certain extent. While a practitioner is focusing solely on his or her high-risk population, they’re missing all of the individuals who move from low or medium-risk to high-risk. In the end, they have more people who became high-risk than people who reduced their risk.” (Edington 2004). So we end up with more high-risk people despite our attention to those in the high risk group to start with. Sounds a lot like the Parable of the Waterfall (Why don’t we go upstream and see why these folks are falling in?”) doesn’t it? Edington likes to say that while the 20/80 “rule” is true enough, it is extremely flawed as a health management strategy. Bottom line: make coaching available to all. Keep the healthy people healthy.

“Everyone can use a coach!”

Dee Edington – Zero Trends: Health as a Serious Economic Strategy. P. 132.

Free webinar - Wednesday, April 28th (12:00-12:30 pm Eastern Time)

The Active Wellness Model: Making Movement The Center Of Sustainable Andy_XCSki1Change

In this webinar we will explore a new model for wellness based on coaching fo r movement. The five-dimensional Real Balance Active Wellness Model will show how wellness programming, wellness coaching, corporate and community design can support greater activity in everyday life leading to greater health. Dr. Arloski’s guest will be Andrew Wood, former Manager of Ergonomics and Health Promotion at General Mills, Inc., and currently Director of Ergonomics and Corporate Solutions with Muve Inc. and CEO of Ergonomics and Wellness Consultants. Inc.

Certification Training Schedule

$200 incentive for enrolling in both Wellness Coach & Health Coach Certification trainings at the same time! Nurse CNE’s - CHES - ACSM Continueing Education Credit Provided!

Wellness Mapping 360© “Wellness Coach” Certificate Training (20 hrs)

  • April 27/10 – 5/27/10 – 12- 2pm est (T/TH)
  • wellness-mapping-360April 27/10 – 5/27/10 – 7pm – 9pm est (T/TH)
  • June 2nd - June 30th - 12pm - 2pm est (M/W)

Wellness Mapping 360© II- “Health Coach” Certification (Wellness Coach Certificate is a pre-requisite) (12 hrs)

  • June 1/10 – 6/17/10 – 12 – 2pm est (T/TH)
  • June 1/10 – 6/17/10 – 7 – 9pm est (T/TH)
  • August 2nd - August 18th - 12pm - 2pm est (M/W)

estes1"Wellness / Health Coach" Certification Training Intensive - Live in Colorado

Enjoy Colorado and become a wellness coach!

June 24th - 27th (Th/FriSat/Sun) Join Dr. Arloski author of Wellness Coaching for Lasting Lifestyle Change for this 32 hours of onsite Wellness & Health Coach Certification Training. Gain professional Continuing Education Credit and enjoy the Rocky Mountains! $1,295.00 when you register prior to May 1st. Register here

For more information or to register - 866-568-4702

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Workplace Turmoil, Stress And Obesity Linked by Rochester Study

A new study that provides a snapshot of a typical American workplace observed that chronic job stress and lack of physical activity are strongly associated with being phonecoachoverweight or obese. Unexpectedly, researchers also found that a diet rich in fruits and vegetables did little to offset the effect of chronic job stress on weight gain among the employees, who were mostly sedentary. Instead, exercise seemed to be the key to managing stress and keeping a healthy weight. University of Rochester Medical Center researchers conducted the study of 2,782 employees at a large manufacturing facility in upstate New York, but the results could be applicable to almost any job situation in which layoffs, or lack of control at work, is a major concern.

images-6The Journal of Occupational and Environmental Medicine published the research in January 2010. Lead author Diana Fernandez, M.D., M.P.H., Ph.D., an epidemiologist at the URMC Department of Community and Preventive Medicine, said her study is among many that associate high job pressure with cardiovascular disease, metabolic syndrome, depression, exhaustion, anxiety and weight gain. It's time to improve corporate policies that better protect the health of workers, she said. "In a poor economy, companies should take care of the people who survive layoffs and end up staying in stressful jobs," Fernandez said. "It is important to focus on strengthening wellness programs to provide good nutrition, ways to deal with job demands, and more opportunities for physical activity that are built into the regular workday without penalty."

Over and over, Fernandez's team heard the same story from the upstate workers: images-22After spending the day sitting in stressful meetings or at their computers, they looked forward to going home and "vegging out" in front of the TV. Anecdotally, researchers also discovered that when pink slips were circulating, the snacks highest in fats and calories would disappear quickest from the vending machines. Some workers said they did not take the time to eat well or exercise at lunch because they were fearful of repercussions from leavi
ng their desks for too long. Approximately 32 percent of adult men and 35 percent of adult women are obese in this country. When the prevalence of overweight and obesity are combined, 68 percent of adults fit the category (72 percent prevalence among men; 64 percent among women), according to a recent report in the Journal of the American Medical Association.
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