CHAPTER 1

The Workforce, Wellness, and Healthy Outcomes

How healthy are American adults? According to one metric, 42 percent of adults are obese,1 up from 30 percent 20 years ago.2 This may increase to 50 percent by 2030.3 Thus, based on the relationship between weight and wellness, a substantial number of Americans can reduce their incidence of debilitating illnesses such as type 2 diabetes, hypertension, cancer, heart failure, stroke, and other chronic ailments by shedding excess pounds. Overweight, obesity, and other unhealthy conditions are some of the factors that have propelled the nation’s medical care bill to $4 trillion (about $12,000 per person in the United States) in 2021.4

Moreover, a survey by the American Psychological Association ...

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