I.   Fitness programs

     A.   adults
          1.   individualized
          2.   health oriented
               a.   related to chronic diseases
                    (1)  inactivity
                    (2)  loss of natural environment
     B.   fitness boom
          1.   is about 20 years old
               a.   1973 - Jackie Sorenson
                    (1)  fitness and music   - before aerobics
          2.   is affecting young to middle age, but not kids

     C.   Money Spent
          1.   $$ 35,000,000,000.00 spent in ?
          2.   4,000+ companies manufacture equipment


II.  Fitness assessments
     
     A.   hard to assess    - as a country
          1.   fitness is increasing, but not in all parts of
               society
     B.   People not affected
          1.   older
          2.   less educated
          3.   financially well off
     C.   people affected by fitness boom
          1.   young to middle age
          2.   professionals
          3.   business types

III. Preventative programs
     
     A.   goals
          1.   prevent disease
          2.   slow down progress of disease
          3.   rehabilitate
     B.   should include progressive withdrawal of supervision and
          increasing amounts of self responsibility

IV.  Rehabilitation programs

     A.   definition
          1.   this is the sum o the activity required to insure
               the patients best possible physical, mental, and
               social conditions, so that by their own efforts
               they can regain as normal a place in the community
               and lead an active productive life
     B.   should include progressive withdrawal of supervision and
          increasing amounts of self responsibility


V.   Exercise Programs

     A.   Primary prevention programs
          1.   prevent heart attacks from occurring
     B.   Secondary prev.      "
          1.   rehab program (already had the attack and trying to
               prevent another from happening)

VI.  CORPORATE FITNESS PROGRAMS    ( 6 Types )

     A.   Types
          1.   Paper program
               a.   lectures and seminars
          2.   Fingertip program
               a.   paper program plus incentives
                    (1)  bike racks, showers, etc
          3.   Share Cost program
               a.   is located at a satellite location  ( gym /
                    hotel)
               b.   the company pays for memberships (ex YMCA)
          4.   Contract facilities program
               a.   company contracts with a private firm to
                    design a program at a independent that is
                    owned by the comp.
          5.   Complete on site program
               a.   full staff, director, technicians, fitness
                    instructors, and all employees

             **     there may also be combinations of the above in
                    any fashion.

     B.   Why Worthwhile

          1.   Impact on absenteeism
               a.   illness
               b.   job dissatisfaction
               c.   injuries
               d.   attitude toward job    ( like, hate )

               **   In 1980 the average absenteeism was 5.1 days
                    per year, at a total cost of 48 billion.
               **   2 - 3 days absence per year for those who
                    exercise has been reported.

     C.   Turn over rate of members

          1.   mean cost to hire and train employees
               a.   clerical = $4000. per year
               b.   management = $10,000 per year
          2.   if have a corporate fitness pgm, this will attract
               new employees
               a.   also hotels
     
     D.   Increases in productivity

          1.   General beliefs
               a.   greater satisfaction and moral
               b.   increased work capacity and endurance
               c.   important psychologically as well
          2.   Levels of value
               a.   1 = less absenteeism
               b.   2 = relief of boordom, anxiety, pent up
                    aggression
               c.   increased mental awareness
               d.   increased physical work capacity
               e.   favorable influence on cerebral system

     E.   Health Care Costs
     
          1.   reduction in costs to corporations
          2.   physically fit need less medical treatment
               a.   huge increases in medical costs
               b.   CVD cost EACH employee $1000. per year
               c.   preventive fitness programs reduce medical
                    cost on the average $50. per year

     F.   Death of high level executives

          1.   Industry pays $700 million per year for recruitment
               and replacement of high level employees.
               a.   Xerox states half to one million for high
                    level compensation and training costs

     G.   DO's and DON'Ts in starting a fitness program

          1.   DO'S

               a.   Extend the program as widely as possible
                    throughout the program. 
               b.   Make the facilities available as often as
                    possible.
               c.   Screen employees prior to participation.
               d.   Demonstrate top level commitment to the
                    program.
                    (1)  get exec.s involved
               e.   Publicize your efforts

          2.   DON'TS

               a.   Don't need a lot of money to begin with
               b.   Don't think of it as a track or a gym.
               c.   Don't try to get everyone involved tight away.
               d.   Don't expect to see immediate money return.
                    (1)  About 5 years till break even time.
               
     H.   Difference between recreation and fitness program

          1.   rec pgms. are a picnic and football
          2.   fitness programs involve intensely purposeful
               exercise to improve conditioning.

     I.   Record keeping
          
          1.   personal records mostly
               a.   absenteeism
               b.   productivity
          2.   Some records on facility use