**Conflict of interest**

The authors declare no conflicts of interest with respect to research, authorship and/or publication of this article.

**109**

**Author details**

Thomas Gilliam1

1 IPCS, Hudson, OH, USA

2 Cleveland Clinic, Cleveland, OH, USA

provided the original work is properly cited.

\* and Paul Terpeluk<sup>2</sup>

\*Address all correspondence to: tgilliam@ipcs-inc.com

© 2020 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/3.0), which permits unrestricted use, distribution, and reproduction in any medium,

*Muscle Health: The Gateway to Population Health Management*

*DOI: http://dx.doi.org/10.5772/intechopen.94058*

*Muscle Health: The Gateway to Population Health Management DOI: http://dx.doi.org/10.5772/intechopen.94058*

*Occupational Wellbeing*

**4.4 Research study conclusions**

new vital sign of workplace health.

**5. Conclusions**

training programs.

**Conflict of interest**

and has fewer medical claims.

and/or publication of this article.

absolute strength and a health body weight. The SBW is a good measure and predictor of health and injury risk. The SBW also shows the importance of maintain a healthy

The Cleveland Clinic study shows that it is possible to design a defensible strength test to be used in the selection process for physically demanding nursing jobs. This study shows the importance of physical strength specifically in the nursing profession. When a nurse's physical capability is correctly matched to the physical demands of the job, a nurse can better meet the essential functions of the job and better serve patients. Also, the analysis of this study shows it is possible to hire through a work justified strength screening program a healthier worker who will have lower paid average medical and per employee per month costs in the first year of benefit eligibility. The results of this study support the premise that strength is a

As automation continues to improve in the workplace and with fewer physically demanding jobs, the industrial worker will need to rely on means other than work to maintain a healthy and strong muscle mass. Without a resistance training intervention, the worker will continue to become weaker and heavier putting the worker at greater risk for injury and disease. This will lead to greater costs and absenteeism. How much of a responsibility will the employer have in providing such intervention programs remains to be seen. The intervention could be in short durations (10 minutes) several times a day at the workplace or providing some incentive to reimburse memberships at fitness centers. This is nothing new and it has not been very successful in the past. But making muscle health tied into a health/benefit deductible plan could improve participation rates in resistance

The research is now clear that muscle strength is the new vital sign of the worker's physical health. Musculo-skeletal health of the worker can be improved. When a worker maintains good muscular strength, the worker is more productive

The authors declare no conflicts of interest with respect to research, authorship

muscle mass and healthy body weight throughout life.

**108**
