One of the nation's greatest public health policy successes of the past ten years may be the widespread implementation of corporate wellness policies.

In fact, a recent notice from the Federal government states, "The Departments believe that appropriately designed wellness programs have the potential to contribute importantly to promoting health and preventing disease." In this case, "the Departments" refer to the US Department of Health and Human Services, the US Department of Labor, and the US Department of the Treasury.

The same notice reports that "wellness programs have become common among employers in the United States...[and] overall, employers largely report that workplace wellness programs are delivering on their intended benefit of improving health and reducing costs."

So, how are corporate wellness programs promoting physical activity?

According to a recent survey by Kaiser/HRET, 30% of all firms surveyed offer gym memberships or provide an onsite fitness facility. This includes 64% of large employers.

The importance of promoting physical activity as a core component of a corporate wellness program was underscored recently by a study published in the November 2012 issue of Health Affairs, which found that employer health care costs are 15.3% higher for physically inactive employees than active employees.

But persuading employees to adopt healthier behaviors, such as regular physical activity, can be exceedinly challenging and simply offering gym memberships or building an onsite fitness center is not likely to convert many employees from inactive to active.

"The key to success," says Bryan O'Rourke, IHRSA member and CEO of Integerus, "is a combination of facility design, and more importantly, an organizational commitment to a comprehensive wellness program."

And that commitment, according to fitness industry experts, must significantly impact the corporate culture.

"The percentage of participation of the workforce that participates in a wellness program or company-built fitness facility is really dependent on the company culture," notes Vaughn Marxhausen, Area General Manager for Houstonian Lite. "This culture starts at the top and filters down. It is usually difficult to increase participation or grow a program, if the culture of wellness is not present." I highly recommend his "The 3 Ps of Participation" strategy.

In this excellent video, Christine Thalwitz, Director of Communications & Research at ACAC Fitness & Wellness Centers, discusses specific strategies for creating a culture of wellness. The video is a must-see for any fitness company interested in corporate wellness.

From a corporate policy perspective, the National Coalition for Promoting Physical Activity's CEO Pledge, which not only confirms a CEO's commitment to providing a supportive environment for employee physical activity, but also asserts the CEO's own intent to be physically active, may also be one of the most meaningful and effective strategies for creating a corporate culture of wellness.

"With most working adults spending roughly half their waking hours on the job on the days that they work, it is incumbent upon business and industry leaders to become part of the solution," says IHRSA President/CEO and CEO Pledge signer, Joe Moore. "By promoting physical activity and healthy lifestyles within the workplace, CEOs help their company's bottom line, but they also help society."

A thrilling new initiative of the National Indian Health Board (NIHB), "GO the EXTRA MILE with NIHB" greatly expands the reach of the National Physical Activity Plan (NPAP).

NIHB Executive Director, Stacey Bohlen, described GO the EXTRA MILE in a recent letter to tribal representatives.

"The GO the EXTRA MILE initiative is a result of the NIHB signing the CEO pledge, which is part of a national campaign to encourage Executive Directors to commit to supporting and fostering a physically-active workplace. NIHB's GO the EXTRA MILE initiative achieves these goals by creating a workplace that supports physical activity for every member of its staff. Through the GO the EXTRA MILE with NIHB initiative, we will provide 30 staff minutes during the workday to walk one mile each day for a year. We will aggregate these miles and 'virtually' walk to each of the 12 Indian Health Service Areas, either to an Area Indian Health Board or to a Tribal Partner in Areas that do not have a Board."

The letter also invites the tribal representatives to sign the CEO Pledge - originally developed for the NPAP and now championed by the National Coalition for Promoting Physical Activity (NCPPA) - and take advantage of the GO the Extra Mile website, which will include a toolkit, electronic mapping, and access to information from the Association of American Indian Physicians.

The need for the initiative is urgent. According to NIHB, the age-adjusted incidence of Type 2 diabetes is higher among Amercian Indians and Alaska Natives (AI/AN) than all other US racial and ethnic groups. Furthermore, the adult obesity rate among the AI/AN population is 39%, while the inactivity rate is over 50%.

IHRSA applauds NIHB for elevating the importance of physical activity and creating such an innovative initiative to dovetail with the CEO Pledge. We are hopeful that the leadership of NIHB and others will inspire novel outreach efforts across the country and deep into every segment of the population. Clearly, our national approach to addressing the sedentary criss must be judged, in great part, by its effectiveness in reaching the communities most impacted.

Above: NCPPA Executive Team takes CEO Pledge

About the CEO Pledge

The CEO Pledge is an evidence-based national campaign promoted by NCPPA to encourage every CEO in the United States to recognize physical activity as an important driver of employee health and business performance. Studies of employee wellness programs consistently find that executive leadership is critical to employee engagement. If employees believe that creating a culture of physical activity is an executive priority, employees are more likely to be physically active.

You may have read here before about the National Physical Activity Plan, but wonder how it can be put into action on a local or individual level.

The National Coalition for Promoting Physical Activity (NCPPA) is a proud advocate for the plan, which is a comprehensive set of strategies, policies, practices and initiatives aimed at increasing physical activity in the national population. Our goal is to produce a measurable and progressive increase in the percentage of Americans who meet recommended guidelines for physical activity throughout their lifetimes. The results we are looking for include improved health and well-being; increased productivity; reduction of health disparities; and lowered rates of disease, disability, and premature death attributable to sedentary lifestyles.

To carry out our work for the National Physical Activity Plan, NCPPA has built a network of eight industry sector teams, including business/industry, education, health care, parks and recreation, public health, and transportation. These teams of individuals work together to develop strategies and tactics aimed at getting people moving.

Mission: Readiness

So how do the sector goals translate into specific actions and policies? One great example where the impetus for increasing physical activity has tremendous impact is the military. Mission: Readiness, an organization of over 200 retired generals, warns Congress that the tripling of childhood obesity rates over the past three decades means that one in four 17-24 year-olds in the United States is too overweight for military service. Only 22% of high school seniors have daily physical education, and many students in those classes still get little exercise. Mission: Readiness advocates for replacing unhealthy public school food and making physical education and activity part of the school day. Over a 10-year period, the number of states with 40% or more of young adults who were overweight or obese went from 2 to 43, the group said. This is not only a public health issue, but one of national security.

Mission: Readiness continues to pushing state and school districts to increase physical education so more children will be physically fit and, therefore, prepared for military service.

CEO Pledge on Physical Activity

Another example of the NPAP in action is the campaign launched by NCPPA's Business & Industry Sector called the CEO Pledge on Physical Activity. On September 24, 26 CEOs of corporations and organizations committed themselves to being physically active, and signed the pledge to provide their employees with opportunities to engage in physical activity. The pledge reads:

For the betterment of my company, our employees, their families, and our country, I pledge to improve employee health and wellness by providing opportunities and resources for physical activity before, during or after the workday, and to enhance my own health and wellness by engaging in regular physical activity.

"Research studies show that overall employee happiness and productivity are enhanced by daily exercise, especially when accessibility and support to exercise come from within the corporate environment," NCPPA President Laurie Whitsel told CEOs assembled at a Capitol Hill signing ceremony. The lack of physical activity is a leading contributor to the nation's obesity crisis, and work-related concerns often create hurdles to employee access to opportunities for physical activity."

Below: Three CEOs present their signed Pledge on Physical Activity certificates. From left to right: Dave Pickering, Preventure; Brian Biagioli, National Council on Strength & Fitness; and Scott Goudeseune, American Council on Exercise.

Below: Sue Liebenow of L&T Fitness signs the pledge.

"The CEO Pledge makes clear that business leaders have an influential role to play in addressing our country's health and health care crises," said Joe Moore, President and CEO of the International Health, Racquet & Sportsclub Association, and one of the first to sign the pledge. "With most working adults spending roughly half their waking hours on the job on the days that they work, it is incumbent upon business and industry leaders to become part of the solution. By promoting physical activity and healthy lifestyles within the workplace, CEOs help their company's bottom line, but they also help society."

These are just two examples of how the National Physical Activity Plan is being put into action around the country every day. Please friend NCPPA on Facebook for more information and updates on the plan. And please check out our CEO Pledge page on Facebook, as well.

How are you implementing the National Physical Activity Plan?