Op-Ed |New study reveals obesity ages individuals by 27 years

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Findings highlight wide-ranging health impacts and alarming cost implications

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by Patty Starr
President and CEO, Health Action Council

Newly released claims data from more than 220,000 people reveal the latest evidence on the role obesity plays in health and health care costs, underpinning the need for supportive measures and interventions.

The new study, which analyzed Health Action Council (HAC) members with health plans administered by UnitedHealthcare, found that people with obesity cost their employers 2.3 times more than those without the condition and paid 66% more out-of-pocket ($662) per year than their peers without obesity. Notably, Millennials with obesity incurred over 8% higher per member per month (PMPM) costs than Baby Boomers without obesity who were 27 years older, due to the increased likelihood of chronic condition diagnoses.

Multifaceted health consequences

Comorbidities such as diabetes, hypertension, high cholesterol, and musculoskeletal issues were major cost drivers. The more comorbidities a person with obesity experienced, the higher their costs became. Obesity significantly increased the risk of various cancers, including breast, colon, rectum, and upper stomach cancers, and increased the risks for anxiety, substance use disorders, and depression.

Obesity among women of childbearing age

The report highlighted a 19-percentage-point rise in obesity rates between Gen Z women (9%) and Millennial women (28%), the largest generation in today’s workforce. This was particularly concerning due to the heightened maternal mortality risks and mental health issues associated with obesity.

The ripple effect on children

Children of parents with obesity are generally twice as likely to develop the condition themselves, but this risk tripled for children of HAC members if at least one parent had obesity. These children were also 44% more likely to experience depression, 39% more likely to have ADHD, and had higher rates of developmental disorders, asthma and diabetes.

Whole person weight management solutions

Effective strategies will require more than GLP-1s, which are unlikely to meaningfully impact obesity rates due to their high costs and low compliance rates. Consistent with the Food and Drug Administration’s label, these medications should be used in tandem with a life-style modification program for the treatment of obesity.

Strategies for employers

Following are a few steps employers can take to build a healthier workplace culture.

• Understand your population. Analyze claims to determine the percentage of your workforce and dependents impacted by obesity. Identify prevalence, most impacted groups, as well as other health risks and social drivers of health.
• Foster a healthy environment. Encourage a positive relationship with food, activity, and stress management by offering classes on exercise, nutrition, and mindfulness and providing non-processed foods at meetings, events, and in common areas. Encourage daily physical activity, less screen time, and quality sleep.
• Offer comprehensive health solutions. Implement wellness solutions that integrate whole-person health by providing access to virtual providers such as network dietitians, digital health tools like mental health apps, and wearable technologies such as continuous glucose monitors.

About the author ~

Patty Starr is President and CEO of Health Action Council and is responsible for driving the strategic direction of the organization--build stronger, healthier communities where business can thrive.

Leadership Summit aims to equip local business leaders with tools for success

ST. JOSEPH - Kevin Martlage, the president of Nextier Advisors, is set to host a one-day Leadership Summit in St. Joseph on Jan. 22. Designed for both seasoned and emerging leaders, the event promises a full day of professional development, networking, and strategic collaboration with peers from across the region.

The summit will run from 8:30 a.m. to 3:30 p.m., offering a streamlined schedule that balances intensive learning with respect for attendees’ work-life priorities.

“We designed the summit timeline so that it will allow leaders to attend while also being conscious of the all-important work-life balance,” Martlage said.

A veteran of corporate giants Xerox and FedEx, Martlage brings a wealth of experience in organizational leadership. During his tenure at both companies, he worked alongside top executives and received extensive training in management and leadership strategies. Yet, he acknowledges that his early career approach to leadership lacked alignment with his teams.

“Sure, I would attempt to utilize some of the concepts and theories, but I never seemed to be fully on the same page as those I was leading and those I reported to,” he said.

It was a shift to the nonprofit sector that transformed Martlage’s perspective. As director of certification at the International Society of Arboriculture, he discovered the critical importance of awareness, perception, and alignment in leadership. By tailoring his approach to the unique communication styles and decision-making processes of his team, Martlage fostered a culture of cohesion and high performance.

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Participants will explore strategies for building trust, managing conflict, and addressing disruptive workplace behaviors—critical skills for leaders striving to cultivate a productive and harmonious work environment.

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“I began to focus more on the reactions that I received and the business relationships instead of the output or the goals,” he explained. “I focused on understanding my team and how they liked to interact, receive information, make decisions, and work toward goals, which allowed me to adjust my approach to better support them in their career journey.”

The results, he said, were undeniable: a unified team that achieved milestones once thought out of reach.

Today, Martlage leads Nextier Advisors, a consultancy specializing in leadership development, executive coaching, and organizational strategy. Through his work, he has helped dozens of businesses and leaders achieve measurable success, and the upcoming Leadership Summit marks the launch of a new chapter in his mission to empower others.

The summit’s agenda is ambitious. Participants will explore strategies for building trust, managing conflict, and addressing disruptive workplace behaviors—critical skills for leaders striving to cultivate a productive and harmonious work environment.

“We are going to focus on a concept I call Mischief™, which is all about how to identify and address potentially disruptive behaviors in the workplace as you continue to build a cohesive and supportive work environment,” Martlage said.

Attendees will leave the summit armed with practical tools, including a personalized leadership development action plan and frameworks designed to enhance team dynamics.

“My hope with this summit is to provide impactful and affordable training right here in Central Illinois using the key leadership development concepts I provide to my clients across the country,” he said.

Martlage emphasized that the summit’s interactive format will set it apart. Participants can expect group exercises, dynamic discussions, and opportunities to connect with fellow leaders. Coffee and donuts, along with a catered lunch, will be provided, and an optional happy hour from 4 to 5:30 p.m. will offer additional networking opportunities.

The cost of registration is $249 per person, with details and online sign-up available at www.nextieradvisors.com.

For Martlage, the event is more than a workshop—it’s a chance to help leaders unlock their potential and redefine their impact.

“I use the analogy of flashlights and mirrors a lot,” he said. “As a leader and coach, it is my job to help shine the flashlight on areas of opportunity for someone to consider when it comes to the impact they wish to make, while also holding up the mirror so they can reflect on what they may need to adjust or be aware of to help lead their organization and team.”

With a career spanning both corporate and nonprofit sectors, Martlage has provided consulting services to organizations ranging from municipal leadership teams in southern Indiana to boards of directors and executive teams across North America. His guiding principle, he said, is simple: “Awareness grants you choice.”

Whether the summit becomes an annual fixture or inspires new initiatives, Martlage is confident that its impact will resonate long after Jan. 22.

“The success and impact this approach has had on my current and past clients is something that I feel is unique,” he said. “The key to the impact and success the training and information provide my clients is the power of awareness.”

For more information about the upcoming Nextier Advisors Leadership Summit contact Kevin Martlage at kmartlage1@gmail.com

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5 tips to simplify your workday this fall

Photo: Andreea Avramescu/Unsplash

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Family Features - Optimizing your workday through careful preparation and effective time management can create a more harmonious balance between your professional and personal life. Finding ways to simplify the day, both at home and on the job, can help you make the most of every minute, so you feel less rushed and better prepared to manage whatever the day throws your way. Make your workdays more manageable with these tips and find more time-saving ideas at BensOriginal.com.

Wake Up on Time

Starting the day with a bang, setting an alarm and sticking to it can be the secret ingredient to a super productive day. Hitting snooze not only makes you groggy, but it cuts into valuable time you need to start your morning routine. Plan to get up late enough to feel rested but early enough to accomplish important tasks, such as breakfast, which gives your body and mind the energy they need for a busy day. Consistent bed and wakeup times can improve the quality of your sleep, giving you the extra boost you need.

Grocery Shop at the Start of the Week

Use your weekends wisely with a smart strategy and foresight to plan ahead so you can save time when workdays get away from you. Planning and prepping meals and keeping your pantry stocked with easy-prep items ensures you’re fueling your body, keeping burnout at bay. For example, Ben’s Original Ready Rice products can be your go-to lifesavers as a delightful lunch that’s ready to serve in 90 seconds. Even when time’s ticking away, you can still enjoy a satisfying dish and keep your energy soaring high.

Keep Your Calendar Organized

Juggling deadlines, meetings and ongoing tasks can be an organizational hassle, but effectively mastering your calendar can make all the difference. Make it a habit to answer meeting requests and ensure they get logged into your calendar promptly. Then, like a pro, schedule other commitments around the meetings, blocking off time as necessary to ensure you leave adequate time at your desk to get your work done. Use your calendar’s labeling and organization tools to help keep you on track. For example, you might color code priority items differently than tasks or meetings that could be moved if necessary.

Photo: Markus Winkler/Unsplash

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Simplify Workday Lunches

Bringing your lunch to work can be an ultimate time-saving hack. Enjoying a tasty dish in the breakroom gives you a change of scenery and lets you reset your brain without losing travel time by heading to the nearest drive thru. An option like Ben’s Original Street Food delivers convenience and is a perfect solution for those days when you’re short on time but craving a tasty lunch. It delivers convenience wrapped in a flavor-packed dish, ready to tantalize your taste buds. Look for flavors like Jamaican Jerk-Style Red Beans and Rice with Chicken, Gumbo with Chicken and Andouille Sausage, Fried Rice with Vegetables or a Bean and Rice Burrito Bowl to transport your taste buds around the world, right from the comfort of your office.

Condense Meetings

Whether scheduled or impromptu, meetings can quickly feel like they’re consuming your entire day. If possible, set your calendar availability so you’re only able to take meetings in the late morning or early afternoon. This nifty trick ensures you have ample time to kickstart and wrap up your day with top-priority tasks. Host standing meetings so participants are focused on the topic at hand and less likely to engage in distracting chatter. Prepare agendas for meetings so you can stay on track and handle off-topic discussions outside of meeting times.

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On the job: Five awesome ways make your employees feel appreciated

Make a point to know about the underappreciated professionals in your life, so you can recognize events like birthdays, work anniversaries and other dates that hold special personal meaning.

Family Features - Unsung heroes make everyday living possible. They work behind the scenes and tackle some of the most demanding work imaginable, such as maintaining facilities and keeping them in tip-top condition.

You can show your appreciation for deserving workers such as your favorite school custodians or office maintenance staff members in numerous ways, including these suggestions from Rubbermaid Commercial Products, supporters of cleaning and maintenance professionals nationwide.

Write Thank You Notes
In today's digital world, handwritten notes are a novelty. The times may be changing, but the impression a thoughtful handwritten message leaves behind hasn't changed at all. Keep a supply of blank notecards so you can offer notes to those who make a difference in your life. The sentiments don't need to be long; a simple expression of gratitude is enough to brighten someone's day.

Photo provided

Participate in Appreciation Events
You might receive information from local schools or businesses about opportunities to support maintenance staff, such as hosting meals or helping with cleanup in classrooms or offices. Finding opportunities to support underappreciated custodial staff can allow community members to show thanks in meaningful ways.

For example, Rubbermaid Commercial Products is hosting a Behind the Scenes of Clean Campaign this fall to elevate, recognize and thank cleaning and facility maintenance professionals who are among the first to arrive for work each day. The campaign includes more than 40 events globally where community members can engage with and personally thank custodians who are making an everyday difference behind the scenes.

Recognize Milestones
Often, those in custodial roles blend into the fabric of everyday life. They're rarely the focal point of celebrations, but often make it possible for others to honor special occasions. Make a point to know about the underappreciated professionals in your life, so you can recognize events like birthdays, work anniversaries and other dates that hold special personal meaning.

Do Your Part
Think about what small steps you can take to make unsung heroes' jobs easier. That might mean picking up after yourself or cleaning up a mess in your workspace. It could involve wiping down your table after lunch. Little gestures can add up to a big difference.

Lead By Example
You don't need to wait for others to join you in recognizing workers whose impacts are made behind the scenes. Speaking up and taking action can serve as a positive example for those around you. You can even take the lead and organize an effort to recognize individuals who rarely receive thanks, such as the custodian at your office or the janitorial team at your favorite retailer.

Learn how to show your appreciation and get inspired by visiting the Rubbermaid Commercial Products website.

Health issues like depression, heart disease & anxiety are linked to toxic workplaces

by Paul Arco
OSF Healthcare

The five components of a healthy workplace include: protection from harm, connection and community, work-life harmony, mattering at work and opportunity for growth.

A new year brings about many possible changes – promises to eat better, exercise more, stop smoking, save money, and so on. Another priority for some is to improve their work situation.

If that’s you, there may be no better time than the present, especially after the U.S. Surgeon General Vivek Murthy released a report that links a toxic workplace culture to health issues such as heart disease, depression and anxiety.

"A toxic workplace is basically any work setting where you're dealing with any sort of psychological stress, where you're feeling nervous, you have some fear, anxiety, sadness, depression – things like that," says Victor Mendoza, a behavioral health provider with OSF HealthCare. "If you start noticing those things in your own workplace, that can be something we would call a toxic environment."

According to the U.S. Surgeon General, the five components of a healthy workplace include: protection from harm, connection and community, work-life harmony, mattering at work and opportunity for growth.

Mendoza says now is the time for organizations to assess their relationship with employees – to create a sense of connection among workers, show them they are important, and support their professional needs.

"First of all, if they haven't added these five components, they should probably try to because I think that's a good foundation to what a healthy work environment should be like," says Mendoza. "You want to have a workplace where you feel comfortable, you feel heard, you feel like there is upward mobility, and that that people care for you. That you're not just a number to them but that you actually are a human, and they understand and are willing to be empathic to your situation. And if there is a concern, they're open to listen to you."

There are many ways feeling stressed or miserable can manifest in an unhealthy work environment such as increasing the risk for cardiovascular disease, increasing the chance of high blood pressure, weakening immune systems, causing headaches and increasing anxiety and stress. Mendoza says physical symptoms can include stomach aches, nausea, vomiting, diarrhea and racing heartbeat.

The report comes during an uncertain time in workplace culture due to the COVID pandemic, when employees are seeking more flexible opportunities including working remotely or a hybrid schedule. Mendoza adds that the pandemic also affected our routines, and when routines are changed it can impact our mental health.

"It's been really tough for a lot of people," says Mendoza. "When all this started with the pandemic, a lot of people were having anxiety about what was going to happen. People feared losing their jobs, and a lot of people did lose their jobs, sadly, and that was very hard for them. They had to switch careers. A lot of them were lucky they were able to keep their jobs, but they had to work from home and that that created some stress as well even though we do have good technology."

There are things, however, you can do to cope with your workplace stress. Mendoza suggests keeping track of the stressors in your job, developing healthy responses such as exercise, getting enough sleep and learning how to relax and take time to recharge by unplugging from work, and making sure to use your vacation days.

Mendoza says it’s easy for some people to feel guilty about work-related issues. The most important take home message is to first take care of yourself, and not let a stressful environment affect your health. 

"Sometimes you can only do so much and you have to advocate for yourself, and you have be aware when this happens," he adds. "So set up good boundaries with your workplace, make sure that you're taking some time off work for self-care, whatever that looks like for you, and do something you enjoy. Make sure you do some basic things like exercise, you’re eating well and you're sleeping well. That's a really good foundation to deal with a toxic work environment."

Study finds firefighters’ risk of irregular heartbeat linked to the number of fires they fought

Photo: Matt C/Unsplash

American Heart Association

DALLAS —- Among firefighters, the risk of having an irregular heart rhythm, known as atrial fibrillation (AFib), increases with the number of fires they respond to, according to new research published today in the Journal of the American Heart Association, an open access, peer-reviewed journal of the American Heart Association.

Compared with people in other occupations, firefighters are known to have a disproportionately high risk of heart disease, and almost half of fatalities in on-duty firefighters result from sudden cardiac death – when the heart suddenly stops beating and pumping blood to vital organs. An increased risk of an irregular heart rhythm or arrhythmias from the ventricles, the bottom chambers of the heart, has been documented in firefighters, however, prior to this study, little was known about AFib, which is an arrhythmia involving the top chambers of the heart. According to the American Heart Association, AFib is the most common type of irregular heartbeat with at least 2.7 million people living with it in the United States. People with AFib have an increased risk of blood clots, heart failure, stroke and other heart complications.

"A few years ago, I treated a local firefighter for atrial fibrillation, and he felt dramatically better with the treatment, so he referred other firefighters to me for care, all with AFib. I decided to methodically examine AFib in the firefighter population, as it may shed light into the cause of atrial fibrillation in non-firefighters as well," said Paari Dominic, M.D., senior author of the study, the director of clinical cardiac electrophysiology and associate professor of medicine and molecular and cellular physiology at LSU Health Shreveport in Louisiana.

Participants were recruited through five professional firefighter organizations. The study was conducted from 2018-19 among active firefighters throughout the U.S. They completed a survey about their occupational exposure (number of fires fought per year) and about their history of heart disease. Of the 10,860 firefighters who completed the survey (93.5% male, and 95.5% were age 60 or younger), 2.9% of the men and 0.9% of the women reported a diagnosis of AFib.

"Among adults in the general population younger than age 60, there is a 0.1-1.0% prevalence of having AFib. However, among our study population, 2.5% of firefighters ages 60 or younger had AFib," Dominic said. "Of the few respondents who were 61 or older, 8.2% reported a diagnosis of AFib."

When occupational exposure was factored in, the researchers found a direct and significant relationship between the number of fires fought and the risk of developing AFib. The analysis found:

2% of those who fought 0-5 fires per year developed AFib;

2.3% of those who fought 6-10 fires per year developed AFib;

2.7% of those who fought 11-20 fires per year developed AFib;

3% of those who fought 21-30 fires per year developed AFib; and

4.5% of those who fought 31 or more fires per year developed AFib.

After adjusting for multiple risk factors for AFib, such as high blood pressure and smoking, researchers found a 14% increased risk of atrial fibrillation for every additional 5 fires fought annually.

"Clinicians who care for firefighters need to be aware of the increased cardiovascular risk, especially the increased risk of AFib, among this unique group of individuals. The conditions that elevate their risk further, such as high blood pressure, Type 2 diabetes, lung disease and sleep apnea, should be treated aggressively. In addition, any symptoms of AFib, such as palpitations, trouble breathing, dizziness and fatigue, should be investigated promptly," Dominic said.

According to the researchers, multiple mechanisms may be involved in the association between firefighting and AFib. "First, and foremost, are the inhalation and absorption through the skin of harmful compounds and substances produced by the combustion of materials during a fire, including particulate matter, polyaromatic hydrocarbons and benzene. Exposure to these substances, especially particulate matter in air pollution, even for a short time has been previously linked to an increased risk of AFib. In addition, firefighters are exposed to high physical and psychological stress together with long work hours, all of which can increase their adrenaline levels and cause an imbalance in the mechanisms that maintain heart rate. Finally, heat stress (exposure to high temperatures) can cause an increase in core body temperature and severe dehydration, both of which increase the demand for a higher heart rate, and may subsequently trigger AFib," Dominic said.

"Studying firefighters, who personally make sacrifices for the safety of us all, is essential to prevent disease and death in this population that makes a big impact on the well-being of our communities," Dominic said.

The study is limited by basing the presence of atrial fibrillation and all other medical conditions on the firefighters’ survey responses. However, the researchers were able to corroborate the self-reported responses by linking them to well-established associations between atrial fibrillation and the presence of risk factors such as high blood pressure and sleep apnea, suggesting that the self-reports were accurate.

The researchers are currently analyzing the survey data to investigate the association between the annual number of fires fought and the risk of atherosclerotic cardiovascular disease. Atherosclerosis is a buildup of fatty deposits in the arteries that can thicken blood vessel walls and reduce blood flow to the heart muscle, brain, kidneys or extremities.

Based on the results of this study, researchers suggest future studies systematically screen firefighters for AFib to detect asymptomatic or new cases to evaluate the relationship between fire exposure and stroke risk in firefighters with AFib to allow a better understanding about which of the components of occupational exposure to fires plays a key role in causing fibrillation. They should also examine the reluctance of firefighters with AFib to use blood thinners. Blood thinners are a standard treatment for AFib; however, the medication carries an added risk of bleeding and firefighters are concerned about their increased risk of bleeding injuries due to low-visibility firefighting situations.