Why has my HHS changed?
The HHS now reflects your health risk more accurately and, since it indicates progressive damage that might be induced by unacceptable values, encourages prevention and action. If such unacceptable values continue, it can result in progressive damage that can increase your risk of suffering adverse health consequences.
How is the HHS calculated?
The parameters used to calculate your HHS are : estimated body fat, blood pressure, glucose (or HbA1c if available), total cholesterol (and HDL cholesterol if available) and smoking status.
How was the HHS developed?
The revised HHS is based on research from 35 000 MMI clients’ health assessment data and validating the data in a scientific manner along with a panel of health experts.
Why was body fat percentage added as a metric?
Excessive body fat is an increasing South African and global epidemic that has been found to be a substantial risk factor in numerous diseases, including diabetes and certain types of cancers. For this reason, body fat percentage is included in the new HHS. Furthermore, a high body fat percentage is associated with numerous other risk factors such as high blood pressure, abnormal cholesterol levels, etc. It is also important to understand that an excessively low body fat percentage can also result in a myriad of health conditions.
The new HHS provides an indication of whether their body fat is within, or outside acceptable ranges. Body fat percentage will be calculated using waist circumference, weight, height, age and gender, using a scientifically validated equation. You may choose to have your body fat percentage measured using a caliper test at a Biokineticist.
Why is blood pressure assessed?
Normal blood pressure: Systolic blood pressure (top reading) 91-129 mmHg; diastolic blood pressure (bottom reading) 61-80 mmHg.
Why is total cholesterol assessed?
Total cholesterol is the only lipoprotein lipid value that will be taken into consideration in the HHS, except for when HDL is used in the calculation. Since the HHS is not a diagnostic tool, but utilised for mass screening with the aim of identifying and preventing health risk.
Total cholesterol is an indication of atherosclerosis, which is associated with an accumulation of cholesterol in the muscular walls of arteries and is one of the leading causes of CVD in South Africa. This finding is substantiated by the WHO, which indicates that nearly half of the variance in CVD rates is due to differences in blood cholesterol levels. In South Africa, 80% of ‘westernised’ South Africans have an elevated cholesterol level, while the levels of the remaining 20% place them at risk of developing high cholesterol.
Within range total cholesterol: 4.11-5.19 mmol.l-1
Why does cholesterol form part of the HHS?
What about HDL?
High-Density Lipoprotein Cholesterol (HDL) will be an optional addition in the revised HHS calculation. It will only be used if the result is sent to Multiply. Aptly known as the ‘good cholesterol’, high levels of HDL reduces an individual’s risk to develop atherosclerosis.
Within range HDL for males: 1.17 - 2.33 mmol.l-1
Within range HDL for females: 1.30 - 2.33 mmol.l-1
Will a low HDL reading influence my HHS?
Yes, A low / below acceptable HDL reading is seen as just as concerning to us as any hyper (above acceptable and too high) health measurement and thus this will affect your HHS negatively. Example: Total cholesterol is below acceptable and the HDL is below acceptable the HHS is Amber.
What if I'm not satisfied with the HDL reading?
The latest readings will always replace all existing readings. As such, if a client undergoes another health assessment without an HDL, then their HDL will be deleted automatically and only the latest total cholesterol will be used to calculate the HHS.
Why is glucose assessed?
Within range random/non-fasting glucose: 3.90-7.8 mmol.l-1
What about HbA1c?
Within range HbA1c: 4.0-5.6%
Why does smoking status form part of the HHS?
Will vaping/electronic cigarettes/e-cigarettes, pipes, cigars and hubbly-bubbly be considered smoking?
Why are the normative ranges for male and female clients sometimes different?
What if a health professional disagrees with Multiply’s HHS ranges?
What does each variable’s category mean?
Acceptable: Within range of the standardised norms.
Somewhat acceptable: Above the range of the standardised norms.
Too high: Far exceeding the range of the standardised norms.
How should the HHS colours be interpreted?
Amber: There is room for improvement. You should take action to reduce your cardiovascular disease risk factors
Red: You could be doing a lot better. You need to take strong action to reduce your cardiovascular disease risk factors.
Can a person that exercises regularly still have unacceptable values?
What if I am not happy with my estimated body fat percentage?
Why does Multiply not show the body fat percentage?
The equation used by Multiply estimates the range in which a client’s body fat percentage lies and not a specific body fat percentage.
Will body fat percentage be calculated for a pregnant client?
No. The body fat percentage measurement will be excluded when calculating the HHS and fitness assessment level, including for six months after the pregnancy. A client will be required to supply proof of the continuing pregnancy and/or the birth certificate to the nurse or biokineticist to prove the continuing pregnancy or that they gave birth within the last six months. It is not possible to change a pregnant woman’s HHS or fitness assessment level, if she did not know that she was pregnant at the time of undergoing the health and/or fitness assessment. However, she can repeat the assessment(s) at her own cost.
Will a high cholesterol reading penalise a pregnant client or one that has given birth in the last six months?
Can a HHS and fitness assessment test result change the results of one another?
How many points does a client earn for completing a health assessment?
If you achieve a green HHS, you will earn 100 points.
If you achieve an amber HHS, you will earn 60 points.
If you achieve a red HHS, you will earn 30 points.
How long is a health assessment valid for?
How many times a year should a health assessment be done?
Do you have to fast before a health assessment?