Central West Health & Rehabilitation
P: (08)9965 0697 F: (08)9964 7528

News


Raise the conversation on rising weight Feb 25th, 2014
medical observer logo

SINCE the mid-1980s the weight status of Australian children has changed significantly, with the prevalence of overweight doubling and obesity trebling at the start of the 21st century. The latest data estimate that approximately one in four Australian children is currently overweight or obese. Translating the current prevalence into real numbers, there are approximately 736,000 Australian children aged 5—18 years who are classified as overweight/obese (of which 222,000 are obese).  Tertiary paediatric obesity services in Australia are inadequate to meet treatment requirements of these children.

graphic

The foremost question is whether society would accept a prevalence rate of 25% in other preventable paediatric disorders (e.g. pertussis, poliomyelitis, diphtheria)? Given the clear evidence that obesity during childhood increases obesity risk across the life course and lays down the foundations for developing myriad metabolic chronic diseases, it is difficult to understand criticism of proponents calling for better child obesity prevention investments. The prevalence of overweight/obesity is approximately 6% points higher among children from lower compared with higher socioeconomic backgrounds (~26% vs 20%). Similarly the prevalence is higher among primary school aged children from Middle-Eastern (~36%) and Asian (~28%) backgrounds compared with English-speaking counterparts (~22%), and among Indigenous children (~28%). There is a double burden for children from non-English speaking backgrounds living in areas of social disadvantage.

 


Reference:


http://www.medicalobserver.com.au/news/raise-the-conversation-on-rising-weight



Where does exercise time come from? Feb 22nd, 2014
JournalGraphic

When people undertake a new exercise program, the time spent in other domains, such as sleep or screen time, must be reduced to accommodate the new activity. If someone starts jogging at lunchtime, for example, they will need to find time not only for the jogging, but also for changing into exercise clothes, showering and changing back into work clothes after the run. Where does this time come from? Which “time reservoirs” are drawn upon? This study aimed to investigate how previously inactive adults modify their time budgets when they undertake a new physical activity program.

Participants who did significantly increase their Physical Activity levels appeared to increase Active Transport and spend less time watching television/videogames by the end of the intervention period. 


Next - Time out for exercise


 



Preventing work disability due to work injuries Feb 22nd, 2014
ArticleGraphic

The process of returning disabled workers to work presents numerous challenges. In spite of the growing evidence regarding work disability prevention, little uptake of this evidence has been observed. This literature review and collection of experts’ opinion presents the evidence for work disability prevention, and barriers to evidence implementation. Some clinical interventions (advice to return to modified work and graded activity programs) and some non-clinical interventions (at a service and policy/community level but not at a practice level) are effective in reducing work absenteeism. Implementation of evidence in work disability is a major challenge because intervention recommendations are often imprecise and not yet practical for immediate use, many barriers exist, and many stakeholders are involved. 

Image


Suitable Duties - Some Care needed Feb 21st, 2014

Logo Graphic


In the section on Modified Duties, or suitable duties, as they are called in the workers’ compensation arena the point is made that employers need to ensure the documents and other discussions surrounding the initial and ongoing offer of modified duties should reflect they are temporary and time-limited pending a return to the agreed position ie in most cases the pre-injury role.  The authors also note the length of time the modified duties are offered needs to be carefully considered and regularly reviewed to avoid suggestions that since the worker has been doing them for so long, it is not a burden for the employer to continue offering the modified duties and it is unfair to withdraw them. Keeping the following 5 steps in mind should assist in controlling the above risk:



  1. Assessing The Suitable Duties

  2. Establishing The Prognosis

  3. Documenting The Path

  4. Monitoring The Plan

  5. Reviewing The Plan


Central West Health and Rehabilitation's Employer Services division offers an Injury Managements System online assessment to help you check you are meeting your obligations. Contact us to know more.



400 annual diabetes diagnoses in young Australians Feb 19th, 2014
 

Medical Observer Logo

AROUND 400 new cases of type 2 diabetes are diagnosed each year in Australian children and young people. And although the rates of new cases have largely remained stable over the last decade (2002–03 to 2011–12), the emerging burden of type 2 diabetes is a cause for concern, according to a new report by the Australian Institute of Health and Welfare (AIHW). The report is the first to document incidence and prevalence estimates for type 2 diabetes in children and young people.

The increase in type 2 diabetes in children and young people was attributed in part to high rates of overweight and obesity in these age groups. The incidence was found to increase with age – from three new cases per 100,000 population in 10–14 year-olds to eight per 100,000 in 15–19-year-olds and 16 per 100,000 for those aged 20–24 years.

Between 2006–11, the age-specific rate of type 2 diabetes for Indigenous Australians was eight times higher than non-Indigenous among 10–14-year-olds. As of June 2012 there were around 2200 children and young people aged 10–24 years diagnosed with type 2 diabetes. But the AIHW believes these figures to be an under-estimate, due to limitations of data collection such as undiagnosed diabetes, misdiagnosis between type 1, type 2 and monogenic diabetes in this age group, and misreporting. However, the study found no evidence of a rise in the rate of new cases of type 2 diabetes in young people over 2002–03 to 2011–12 and rates fell in the 20–29 year group.

“Given that type 2 diabetes is largely preventable, there is considerable potential for health, social and economic gains through effective actions based on the best available evidence,” the report stated.

 

Reference:

http://www.medicalobserver.com.au/news/400-annual-diabetes-diagnoses-in-young-australians


Promoting Exercise in the Workplace Feb 18th, 2014
The "EIM Physical Activity in the Workplace: A Guide" supports organisations in the promotion of physical activity in the workplace and to reduce sedentary behaviour. It is a collation of current evidence and best practice, including a toolkit of resources and audit tools.

Topics covered include:

Recommended levels of physical activitySedentary behaviourBarriers to increasing physical activityPromoting active transportEmpowering employees, andMaking physical activity a cultural fit.

The target audience includes senior management, human resource units, health promotion units and workplace health committees. It’s content and recommendations are applicable to small, medium and large organisations.

Document Image



The Process of Change Feb 16th, 2014
When it comes to health recommendations, we mostly know the drill:

TTM ModelExercise most days of the week;

eat a varied and nutritious diet;

keep your body mass index less than 25;

get enough sleep;

keep up with medical screenings for blood pressure, cholesterol, and blood sugar;

don’t smoke;

and limit alcohol to seven drinks a week.

Reducing stress;

improving relationships;

Developing new interests or hobbies.

When trying to change non-constructive behaviour it is important to remember that behaviour change is rarely a discrete, single event. During the past decade, behaviour change has come to be understood as a process of identifiable stages through which people pass.

People who are trying to change an unwanted habit or behaviour are more successful if they approach this process in an appropriate way depending on which of the five stages of the stage of change model their actions most closely resemble.



What is an Employee Assistance Program? Feb 16th, 2014
An Employee Assistance Program (EAP) is a work-based intervention program designed to enhance the emotional, mental and general psychological wellbeing of all employees and includes services for immediate family members. The aim is to provide preventive and proactive interventions for the early detection, identification and/or resolution of both work and personal problems that may adversely affect performance and wellbeing. These problems and issues may include, but are not limited to, relationships, health, trauma, substance abuse, gambling and other addictions, financial problems, depression, anxiety disorders, psychiatric disorders, communication problems, legal and coping with change.

The Employee Assistance Professional Association of Australasia (Inc)


Is the Peak Australasian Body representing provider and user members that supply Employee Assistant Programs in the workplace. In co-operation with employees and management, EAPAA members' primary objective is to provide the most effective employee assistance services to individuals and their families suffering from personal or work related problems, which negatively affect their work and wellbeing.



Are you considering Ergonomics in your Workplace Feb 16th, 2014
Article Graphic

All this talk of sedentary workers and reducing the risks posed to them has reminded me of the other risks for workers who may sit in the same position for most of their working day: poor posture and repetitive movements. Work duties that involve poor posture and repetitive movements, such as typing, can cause muscle fatigue and injuries to other soft tissue. For example, people working at desks for extended periods often adopt postures that lead to discomfort and injury over time, such as carpal tunnel syndrome.

Ergonomic design in your workplaceStretches

Ergonomics is the process of designing workplaces, equipment and systems so that they are suited to the user. This approach can be applied to numerous aspects of a workplace such as chairs, tables, keyboards, computer screens and telephones.Incorporate the principles of ergonomic design into your workplace. This may include, for example, purchasing office chairs that provide a headrest, adjustable height and adequate lumbar support.It is really important to take a 'proactive' rather than a 'reactive' approach to these types of hazards. This means that rather than responding to an incident when it occurs, you should look for and address areas in your workplace that are in need of improvement.You can also do small things in the workplace to reduce poor ergonomics such as:

Position desks and chairs so that the elbow is level with or slightly higher than the keyboard.

Place computer screens at an appropriate distance from the worker (between 350mm to 750mm) and at an appropriate height (the top of the screen should be just below eye level).

Remember, there are also lots of exercises your workers can do at their workstations to help reduce posture and movement hazards. Train your workers in methods like this and don't forget to train workers who work from home in these practices as well. Consult them about their needs, and ensure that any equipment you provide is appropriate and they are aware of potential hazards related to sedentary work, poor posture and repetitive movements, how to identify the hazards, and how to avoid them. 


Select your Injury Management Coordinator Feb 15th, 2014

Injury Management GuideAll employers must nominate an employee to have day-to-day responsibility for the Injury Management System – usually referred to as the Injury Management Coordinator.

In small business the owner often fills this role. A medium-sized business may designate the role on a part or full-time basis. Large businesses may need to appoint a number of Injury Management Coordinators across many sites.

Choose an Injury Management Coordinator carefully. An ability to communicate and develop rapport with a range of different people are important skills to consider when selecting the person for this role.

The Injury Management Coordinator will need your support to perform their role effectively. You should ensure they have access to relevant training, resouces and any other assistance required to carry out their roles.


Contribution of Age and Workplace to Exercise and BMI Feb 15th, 2014
Article Image

The workplace is an important domain for adults, and many effective interventions targeting physical activity and weight reduction have been implemented in the workplace. This paper reports on the distribution of physical activity and BMI by age in a population of hospital-based healthcare workers and investigates the relationships among workplace characteristics, physical activity, and BMI. Workers reporting greater decision latitude and job flexibility reported greater physical activity. Overweight and obesity increased with age, even after adjusting for workplace  characteristics. Sleep deficiency and workplace harassment were also associated with obesity. These findings underscore the persistent impact of the work environment for workers of all ages. Based on these results, programs or policies aimed at improving the work environment, especially decision latitude, job flexibility, and workplace harassment should be included in the design of worksite-based health promotion interventions targeting physical activity or obesity.

 



Love boosts health Feb 14th, 2014

Medical Observer


AUSTRALIANS shot by Cupid's arrow are the happiest and healthiest in the land — until they get engaged. After that things tend to get a bit stressful, particularly for the bride-to-be. But the honeymoon glow lasts longer than most people think.

Couples with up to two children and people in same-sex relationships are among the happiest and healthiest, according to the Alere Wellness Index made up of scores for exercise, psychological wellbeing, nutritional health, alcohol, smoking, medical conditions and body mass.Couples with three or more children aged under 16 have increased stress, according to the index, which is based on 50,000 surveys a year conducted by Roy Morgan Research.Men in a same-sex relationship are prone to drinking too much and putting on weight.Separated and divorced people are the least healthy, with poor psychological scores and high rates of smoking.

Single people, particularly women aged 35 –49, do worst on a psychological level, according to the index. But things improve for single people aged 65 and older.In general, people who describe themselves as planning to get married do more exercise than others and are less likely to smoke or drink to excess. 

The people in the best psychological shape are those aged older than 65 who are planning to marry. Younger engaged men and women are slimmer than other groups, but husbands-to-be perform less exercise and have a less healthy diet than average. Younger women also have better than average overall health but score badly on psychological wellbeing, with more than four in 10 engaged women saying they feel stressed.

Young Couple


List of Approved Workers Compensation Insurers Feb 13th, 2014

Work Cover Image


Insurers are integral to the workers’ compensation system in Western Australia. They have a role in assessing claims made by workers, and indemnifying employers of compensation for accepted claims.

Approved Insurers


Effective Injury Management System Feb 13th, 2014
Injury Management Guide

All employers must have an Injury Management System. An Injury Management System is a written description of the steps you will take when there is an injury in your workplace. An employer is also required to develop a formal (written) return to work program for a worker when the medical practitioner:

advises the employer in writing that a return to work program should be established for the worker

signs a medical certificate indicating that the worker has partial capacity to return to work

signs a medical certificate indicating that the worker has total capacity to return to work, but for some reason is not able to return to the position held immediately prior to injury.

Employers are encouraged to read WorkCover WA’s Injury Management: A Guide for Employers publication which provides information to assist employers to understand their legal obligations and contains a three step approach to effective injury management.



Five men’s issues to watch - Medical Observer Feb 12th, 2014


WHAT'S ahead for men’s health? Here are five issues to watch as the year unfolds.

A focus on men’s health in Australia has been reinvigorated in recent years with the launch of the 2010 National Men’s Health Policy. But new issues continue to emerge, so it is important to remain vigilant in addressing areas of need. In particular, health issues facing younger males — including drugs in sport and pressures around body image — have gained growing media attention.


Sport

Until recently most us of may have thought the major male health issue around sport was participation levels. But 2013 was the year that performance-enhancing drugs and ‘supplements’ came to the attention of the mainstream media.

The health consequences of drugs in sport can get lost within the media hoopla and the drama of high-profile sports people implicated in these activities, plus the associated legal and sporting regulatory issues. And let’s keep in mind that what takes place in the elite levels of sport often propagates throughout the amateur ranks as well. The use and abuse of ‘recreational’ drugs and alcohol also has a long but not particularly glorious history in Australian sport. It will be interesting to observe how the major sporting codes will approach the use of social and performance-enhancing drugs in 2014 and beyond.

Body image

Recent evidence suggests that body image concerns are more prevalent in boys than previously thought, and that boys may manifest these concerns in a different manner to girls.

The finding that boys tend to be concerned about muscularity (rather than concerns about thinness observed in females) has significant implications for diagnosis and treatment of eating disorders in men and boys.

Dads get the blues too

Becoming a parent for the first time marks a major life milestone, and is also a time of significant lifestyle upheaval. Health professionals are beginning to recognise that the mother and the father both share the emotional and psychological impacts of new parenthood. Postnatal depression in men is now on the health agenda with support services being developed, albeit in the early stages.

Prostate cancer

Several promising new approaches to the diagnosis of prostate cancer are under investigation. While the venerable PSA is not likely to fall into disuse any time soon, we can look forward to a future where more specific markers for prostate cancer may play a role in diagnosis and management.

In the meantime, the use of the PSA test will continue to be a contentious issue, as will recommended treatment and management practices. Careful analysis of quality evidence must remain the cornerstone of this debate.

Erectile dysfunction

Erectile dysfunction (ED) is more than just old blokes worrying about their sexual performance. Men who experience ED face a higher risk of developing cardiovascular disease compared to men who do not. The degree of risk for a cardiovascular event after developing ED is said to be similar to that of current smoking or a family history of ischaemic heart disease.

While specific treatments to promote erectile function, usually starting with options such as PDE5 inhibitors, are effective, management of any identified cardiovascular disease or risk factors should follow a diagnosis of ED. It is hoped that awareness of the role of a man’s penis as a barometer for his overall health will become more widespread in 2014.

 


Safety management for heavy vehicle transport Feb 12th, 2014
Mooren et al (2014)Safety management for heavy vehicle transport: A review of the literature. Safety Science 62: 79–89

Big TruckThis paper reviews the literature concerning safety management interventions, that have been effective in reducing injury outcomes in occupational health and safety (OHS) and road safety, and assesses their applicability to reducing crash and injury outcomes in heavy vehicle transport. The operational and management characteristics that were associated with reduced crash and injury risk included: safety training, management commitment, scheduling or journey planning, size of organisation or freight type, worker participation, incentives and safety or return to work policies. Other characteristics that might be associated with lower incident and injury rates were risk analysis/corrective actions, prior safety violations, crashes or incidents, vehicle conditions or physical work environment, vehicle technologies, recruitment and retention, pay and remuneration systems, communications/ support, safety or quality management accreditation, financial performance, and worker characteristics and attitudes. The review also highlighted gaps in the literature requiring further research.


Pilates training results in improved flexibility Feb 12th, 2014
Pilates ExercisesSegal et al (2004)The Effects of Pilates Training on Flexibility and Body Composition: An Observational Study. Archive of Physical Medicine and Rehabilitation 85:1977-1981

Pilates training may result in improved flexibility. However, its effects on body composition, health status, and posture are more limited and may be difficult to establish. Further study might involve larger sample sizes, comparison with an appropriate control group, and assessment of motor unit recruitment as well as strength of truncal stabilizers.

 

 


Workers Compensation Insurance Policies & Premiums Feb 12th, 2014
WC icon Click for More

Workers’ compensation insurance protects employers from financial costs when a worker sustains a work-related injury or disease. It also protects injured workers by providing weekly payments to cover loss of earning capacity, payment of reasonable medical and rehabilitation expenses, and other entitlements.

Take out insurance

You can obtain insurance cover from any of the insurers approved by the Minister to underwrite workers' compensation insurance. It is important to shop around to get the best policy for your business.

Standard workers' compensation policy

All insurers are required to issue workers' compensation policies in an approved form. WorkCover WA has issued a Standard Employer Indemnity Policy (PDF - 70kb) which is the basis of all workers' compensation policies.

How your insurance premium is calculated

WorkCover WA determines and applies recommended premium rates to each industry classification, and updates the rates annually. However, insurers can discount these rates or load (increase) them by up to 75%.

In determining the premium rate for your business, your insurer will:
Request a wages declaration as the recommended premium rate applies to the aggregate amount of wages, salaries or other remuneration paid to an employer's workers

Assign an industry classification to your business - all premiums for a particular industry are calculated on the same rate

Examine the risk factors (claims history, safety and injury management policies etc) associated with your business

Discount the recommended industry rate by any amount, or surcharge it by up to 75%, depending upon an employer's individual risk factor

Insurers may surcharge more than 75% with approval from WorkCover WA, dependent upon the claims experience and risk associated with the operation of an employer’s business

Apply your premium rate. Only one rate applies for each ‘establishment’ - defined as a unit covering all the operations of a company conducted at or from a single location. If an employer conducts more than one industry at the same single location, the classification of the employer's predominant industry (based on gross remuneration) applies.

Adjust your premium following the submission of your actual gross wages, depending on whether the actual wages were more or less than the estimate you first provided. If you wish to renew your policy with the same insurer, you need to submit (on the same declaration) an estimate of gross wages to be paid the following year.



Display and device size effects on the usability Feb 10th, 2014

Notebook setup


Lai and Wu (2014) Display and device size effects on the usability of mini-notebooks (netbooks)/ultraportables as small form-factor Mobile PCs. Applied Ergonomics. in press:1-10

A balance between portability and usability made the 10.100 diagonal screens popular in the Mobile PC market (e.g., 10.100 mini-notebooks/netbooks, convertible/hybrid ultraportables); yet no academic research rationalizes this phenomenon. This study investigated the size effects of display and input devices of 4 mini-notebooks (netbooks) ranged in size on their performances in 2 simple and 3 complex applied tasks. It seemed that the closer the display and/or input devices (touchpad/touchscreen/ keyboard) sizes to those sizes of a generic notebook, the shorter the operation times (there was no certain phenomenon for the error rates). With non- significant differences, the 10.100 and 8.900 mininotebooks (netbooks) were as fast as the 11.600 one in almost all the tasks, except for the 8.900 one in the typing tasks. The 11.600 mini-notebook (netbook) was most preferred; while the difference in the satisfactions was not significant between the 10.100 and 11.600 ones but between the 700 and 11.600 ones.


Sit less, move more: New physical activity guidelines Feb 10th, 2014

Click for More

Australians should aim for around 60 minutes of physical activity per day, double the previous recommendation, according the new national physical activity guidelines, published today.

And for the first time, the guidelines urge the 12 million Australians who are sedentary or have low levels of physical activity to limit the time they spend sitting.

The recommendations aim to prevent unhealthy weight gain and reduce the risk of some cancers. Physical inactivity is the second-greatest contributor to the nation’s cancer burden, behind smoking.

The guidelines emphasise that doing any physical activity is better than doing none, but ideally adults will get 150 minutes of moderate physical activity each week. This includes brisk walking, recreational swimming, dancing and household tasks such as raking leaves.

This could be swapped for 75 minutes of high-intensity exercise that makes you “huff and puff”, such as jogging, aerobics, fast cycling and many organised sports. Ten minutes of vigorous exercise equals moderate-intensity activity.

 

 

 


Health cost of spoonfuls of sugar Feb 10th, 2014

 


MJAinsight Logo

Click for full story

RESEARCH showing high consumption of added sugar more than doubles the risk of cardiovascular mortality has prompted Australian experts to renew calls for labelling reform to help curb sugar consumption.

Leading nutritionist Dr Rosemary Stanton said labelling reform was needed to compel food manufacturers to disclose the percentage of added-sugar in their products, rather than just list total sugars.

“The body of research basically shows that it’s only added sugar that’s the problem ... but the food industry has resisted putting added sugar on the label”, Dr Stanton said. “We need something to alert people to how much they are actually consuming, because I don’t think they really know.”


Sit to stand office workstations Feb 9th, 2014
Karakolis and Callaghan (2014) The impact of sit-stand office workstations on worker discomfort and productivity: A review. Applied Ergonomics 45: 799-806

This review examines the effectiveness of sitestand workstations at reducing worker discomfort without causing a decrease in productivity. Four databases were searched for studies on sit-stand workstations, and five selection criteria were used to identify appropriate articles. This review concluded that sit-stand workstations are likely effective in reducing perceived discomfort. Eight of the identified studies reported a productivity outcome. Three of these studies reported an increase in productivity during sit-stand work, four reported no affect on productivity, and one reported mixed productivity results. Therefore, this review concluded that sit-stand workstations do not cause a decrease in productivity.



No equipment needed home exercise programs Feb 9th, 2014

WebsiteGraphic


 



How do leaders motivate safety? Feb 8th, 2014
Griffin and Hu (2013) How leaders differentially motivate safety compliance and safety participation: The role of monitoring, inspiring, and learning. Safety Science 60: 196–202

This study examined the impact of specific leader behaviours on employee’s safety performance. Based on self-regulation framework, we examined three safety-specific leader behaviours: safety inspiring, safety monitoring, and safety learning on two distinct employee safety behaviours: safety participation and safety compliance. While safety inspiring is positively and specifically related to safety participation, safety monitoring is positively and specifically related to safety compliance. Further, we also showed that the relationship between safety monitoring and safety participation can be moderated by the degree to which leaders encourage safety related learning. Implications for theory and practice are discussed.


 



The Psychology of Hunger Feb 8th, 2014
Physiological Hunger is a feeling of discomfort or weakness caused by lack of food. However hunger also refers to the desire to eat.

A DESIRE TO EAT IS NOT ALWAYS BECAUSE OUR TUMMY IS EMPTY!

Of course the stomach does participate in the regulation of hunger. The stomach empties at a relatively constant rate in all mammals. As the stomach contracts, we feel more and more hungry. Usually, we start feeling hungry when the stomach is approximately 60% empty and we feel very hungry when the stomach is 90% empty.

However very early studies in rats and humans from the 1940's showed that even when the nerves connecting the stomach to the brain are cut or severed, we still feel hunger. Even more persuasive was the finding that when people's stomachs are surgically removed for medical reasons, these individuals continue to experience hunger. Clearly there is more to hunger than just the empty feeling in the stomach!

The following handout gives a number of strategies that many people hve found helpful to promote negative energy balance and weightloss.

Handout Image

Click to open