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Tag: eating disorders

Posted on March 4, 2020June 29, 2023

Don’t encourage obsessive health behavior in your employees

stress, anxiety at work

There’s a difference between forming a healthy habit and developing an obsession. Sometimes I wonder if individuals or corporate wellness marketers realize this difference. 

Helping employees sleep better is a lifestyle change workplace wellness has taken on, but simply strapping on a sleep-tracker might not be your best bet to catch more ZZZs. In fact, for some people it may actually make their sleep worse. The New York Times looked into this phenomenon in July 2019 in the story “The Sad Truth About Sleep-Tracking Devices and Apps.” 

Personal tech columnist Brian X. Chen tracked his sleep using an Apple Watch and some software downloaded on his phone. He shared his own experience in this column and backed it up with research from Rush University Medical College and Northwestern University’s Feinberg School of Medicine.

“In their study, the researchers warned that sleep-tracking tech could provide inaccurate data and worsen insomnia by making people obsessed with achieving perfect slumber, a condition they called orthosomnia,” Chen wrote. Health apps don’t necessarily make people healthier, and this was just the latest research to show that. 

addressing behavioral health workplace
For some people, trying to “hack” their sleep, health or productivity can lead to stress or anxiety.

The story wasn’t completely negative and did also share some potential positives of certain sleep-trackers. While some users get in the habit of waking up in the middle of the night and obsessively checking their sleep patterns, others do say that using these apps genuinely helped them.

Still, this measured, balanced perspective was a valuable, realistic look at the potential behind this technology versus excessively optimistic marketing copy. The bottom line for users of sleep tech was this: “Sleep-tracking apps and devices can be useful for getting a broad look at your sleep, but people should resist drawing conclusions about their sleep health.” 

Just as there’s a name for people obsessed with getting perfect sleep, there’s also an eating disorder in which people are so obsessed with being healthy, that it makes them unhealthy. It’s called orthorexia, and it’s something we see in the wellness influencer community. What I wonder is if we also see it in the workplace wellness community. 

Also read: Eating disorders belong in your workplace behavioral health strategy

Psycom.net notes some of the problems it causes, including malnutrition, heart conditions and social isolation. “Orthorexia nervosa can easily go unnoticed because it does not seem unusual to be ‘obsessed’ with healthy eating during a time when researchers, health professionals, food marketers, and media seem to constantly change the definition of a healthy diet,” according to the site. 

I don’t believe this is out of the realm for employers because of how often organizations try to push wellness programs and the “culture of health” on employees, even the healthy ones who manage their health on their own terms. Not everyone needs to join a workplace program. It’s not necessary for people to do to be good at their job.

Also, for employers who have weight-loss programs at your company, it couldn’t hurt to ask yourself how employees are losing weight. Are they doing it in a healthy way or are they adopting an unhealthy string of diets? 

Finally, I’ll mention one more workplace obsession tangentially related to health: productivity. Think about the culture that exists in many organizations in which employees are always trying to do more in a better, faster way, looking for ways to “hack” their productivity and accomplish the most possible. Ultimately, they can’t hit this impossible goal, which can cause stress or anxiety. 

This is according to a thought-provoking LinkedIn post last month, and I completely agree. It referenced an article from “The Age” entitled “Why productivity hacks mostly don’t live up to their promise,” which dug into the “success industry” and how it ultimately can’t really make us feel successful. In the end, it makes us feel inadequate and distracted. 

The article quoted Vice Media’s Head of Innovation Mark Adams, who has a TED talk about the “cult” of extreme productivity. As you realize there are always more hacks and you can always do more, it creates a sense of chronic anxiety, he said. 

“It’s time to take a breath and accept that it is another trap,” he said. “This whole billion-dollar success industry … it doesn’t work.” 

I also enjoyed this quote from psychologist Marny Lishman: 

“The wellness industry has a lot to answer for – it’s pushing us to be busier, better and constantly dangling the pressure to reach our potential in front of us — when often the answer to wellness resides right inside of us in the enjoyment of the moment… A little chaos, a little adversity, mistakes and failures – all of these help guide us throughout life. We are missing out on these if we are life hacking everything.”

My message to employers based on all this is, rather than constantly trying to push your employees to be better, faster, stronger and healthier, think about the culture you’re creating. Do you have realistic expectations for how productive or health-conscious your employees should be? Or do you expect employees to be like machines that can be constantly upgraded with no impact on their well-being? 

Posted on February 7, 2019June 29, 2023

Eating Disorders Belong in Your Workplace Behavioral Health Strategy

Andie Burjek, Working Well blog

Working Well, Workforce blogger Andie BurjekA while back a source mentioned to me that many people have a limited view on mental illness. It’s depression; it’s anxiety; or maybe it’s PTSD. But there are many more mental illness conditions to address. Like eating disorders.

Eating disorders account for the highest mortality rates of all mental illnesses, with someone dying every 62 minutes as a direct result of an eating disorder. The National Alliance of Healthcare Purchaser Coalitions hosted a webinar a few weeks ago on the topic — perfect timing to educate employers for Eating Disorders Awareness Month in February.

The alliance referred to eating disorders as a “hidden health crisis” in email communications about the webinar and, I have to say, to me this sounds like an accurate way to describe it. I had no idea that they accounted for so many deaths! I also fell victim to the stereotype that the demographic most likely to develop an eating disorder are young, white, rich girls. Really, it cuts across gender, ethnicity and socioeconomics at pretty much the same rates.

Also, as someone whose been writing about benefits, wellness and health for 2 ½ years, this may have been the first time I’ve seen a pitch or an event about eating disorders. Panelist Craig Kramer, global mental health ambassador at Johnson & Johnson, cited some basic numbers on eating disorders:

  • 30 million Americans suffer from eating disorders, including anorexia, bulimia and binge eating disorder. There are other problems that are still in the process of being officially defined as a disorder. To be clear: An eating disorder is different from dieting or occasionally consuming too much. It’s a clinically diagnosed mental health disorder.
  • Eating disorders are “the only chronic condition of the young,” with half of sufferers experiencing them by age 14 and 75 percent by age 24. Most people don’t receive treatment, for reasons like stigma and lack of access, and the longer they wait to treat it, the worse it gets. Although people often develop this at a young age, it’s possible for people to still have an eating disorder into old age.
  • The eating disorder community is underfunded, raising about $10 million per year. Kramer pointed out that an organization dedicated to autism, Autism Speaks, raises $50 million a year.
eating disorders
The National Eating Disorders Association has a toolkit for employers, sharing some warning signs that someone may be suffering and explaining exactly how eating disorders impact the workplace.

There are several reasons why this applies to the employer population. One, this is a major mental health consideration, and many employers are saying they want to address mental health issues. Two, employers are developing an affinity for employee health and wellness programs. As they focus on areas like exercise, diet, weight loss, healthy eating initiatives and body mass index, they should also acknowledge that eating disorders are a big deal. Three, people have eating disorders in the workforce but have never received treatment for it.

One of the interesting ideas that came from this webinar was the causation of eating disorders. Alliance President and CEO Mike Thompson brought up an organization that deals with childhood obesity. Through this organization, Thompson learned how sensitive one must be when they talk about weight with children. It’s possible to push a child in the direction of developing an eating disorder if you don’t communicate with them the right way.

This reminded me a Corporate Wellness magazine article about the impact of wellness programs with people suffering from eating disorders. This messaging could be sensitive to other people, not just developing children.

The National Eating Disorders Association was one of the organizations that, three years ago, opposed the EEOC’s “voluntary wellness rules” that allowed for incentives up to 30 percent. According to the association:

“There’s an increasing trend of tying these [wellness] programs to health insurance benefits, with penalties that can mean that the employee ends up paying more money for their health insurance. Additionally, these programs aren’t necessarily just harmless ways to encourage people to be healthier, they could also include office-wide, Biggest Loser-style group weight loss programs that can be triggering for people who struggle with disordered eating.”

The bottom line for employers: Don’t underestimate the impact of an eating disorder, even in a workforce full of adults. Think about eating disorders when you’re crafting messages for weight-loss programs.

When you’re thinking of your population, ask yourself, “How easy it is for them to find an in-network specialist provider who has adequate training, specifically treating this [eating disorder]?” said panelist Jenna Tregarthen, founder and CEO of Recovery Record.

And, as panelist Kristina Saffran, co-founder and CEO of Project Heal, said: “People are not quite sure where [eating disorders] belong. Although there’s a medical and a behavioral component, it is a mental health condition when it comes down to it. So, it should be a part of your behavioral health strategy.”

Other wellness topics on my mind …

Money and motivation: There’s an idea floating around that more money doesn’t motivate people; rather, other rewards like trips or non-cash prizes do. Every time I read or hear that, I have one major reaction, even though I don’t doubt there’s some truth in this. It makes perfect sense in certain contexts. Still, I hope companies don’t use this as an excuse not to give employees standard-of-living raises or to raise minimum wage. Financial wellness is more than just giving employees access to financial advisers or tips on how to save money. It’s also acknowledging that as the cost of living rises, appropriate compensation will help them with basic financial needs.

Hate crimes: Ever since the alleged hate crime against “Empire” actor Jussie Smollett, I’ve been seeing a lot online about the broader topic. For example, the number of hate crimes in Washington, D.C., have nearly doubled since 2016, with crimes based on sexual orientation accounting for half the city’s total hate crimes in 2018, according to the Washington Post. This is a major public policy and public health issue, but the workplace should take notice, too. I plead with employers — no matter what religion or morality your organization associates with — to think seriously about how your employees’ behavior and workplace policies impact LGBTQ people, especially now. Are you taking incidences of harassment or discrimination against this community seriously?

As columnist and employment law blogger Jon Hyman has written in several posts in Workforce’s blog The Practical Employer, there is no good reason for employers to be anti-LGBTQ rights. Hyman wrote:

“When LGBTQ discrimination becomes universally illegal in the United States (and it will), and history looks back on this era during which this brand of discrimination was questionably legal, on what side of history do you want to be as an employer? The side that condoned (or, worse yet, participated in) this discrimination, or the side that took a stand against it?”

Good news from our columnist!: Jennifer Benz, the Benefits Beat columnist for Workforce magazine, had a major announcement recently. Benz Communications has joined forces with consulting firm The Segal Group. Benz is now the SVP communications leader at Segal Benz. Congratulations, Jennifer!


 

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