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Results for “Multiphasic Screening”

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PubMed1989

[A study of factors in medical insurance records associated with participation in health examinations].

Factors in medical insurance records of two groups classified as participants and nonparticipants in a multiphasic health examination (MHE) conducted in a rural town in Kyoto prefecture were compared. The purpose of this study was to clarify how the conditions of medical care influenced the participation in the MHE. The factors were days of consultation, total insurance points and days of consultation classified by specific disease and the area of the medical facility. Participants were examined at least once in 1987-1988 and nonparticipants were never examined in the corresponding period. The data were obtained from the medical insurance records of outpatients for the period from April 1986 thru March 1987. The medical care bills of 170 males and 201 females aged 30-69 were randomly sampled from National Health Insurance records (unit = family), and those of 55 males and 88 females aged 70 and over were from the Medical Service for the Aged (unit = person). These samples were about one forth of target population respectively. Both older participants and older nonparticipants of both sexes had more consultation days and more total insurance points than the corresponding younger subjects. Nonparticipants of both sexes aged 70 and over had more consultation days and more total insurance points than participants; female nonparticipants aged 50-69 had slightly more consultation days and those aged 30-49 also had more insurance points. Nonparticipants tended to have previous medical care for hypertension or ischemic heart disease, which the MHE is responsible for discovering.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed2002

[Classification of physical activity and health related variables in men].

OBJECTIVES AND METHODS: In this study, the relationship of physical activity with aerobic capacity and health checkup results were examined among 288 men aged 45.7 (mean) +/- 8.13 (SD) years. Physical activity was evaluated from a 3-day activity record and expressed as metabolic-equivalent (MET) (/day). Total caloric intake was evaluated from a 3-day dietary record. VO2 max was measured as the index of aerobic capacity, and body mass index (BMI), waist-hip ratio (WHR), % fat, and increase in body weight from 20 years old were used as indices of body composition. RESULTS: In multiple regression analysis, MET value, % fat, WHR and increase in body weight from 20 years old were independently and significantly associated with VO2 max. As MET value was a significant predictor, it may be important to evaluate physical activity not only during leisure time, but also throughout the whole day. In addition, preventing total body fat and abdominal fat increase seemed important to maintain and to increase aerobic capacity. To grasp the pattern of physical activity more precisely, subjects were classified into 6 groups (A: sedentary, B: sedentary + walking, C: sedentary + brisk walking, D: sedentary + exercise, E: active, F: active + exercise), and each variable was compared using one-way analysis of variance and post-hock test analysis (Tukey method). MET value increased in the order of groups A, D, E and F. Groups D and E showed no significant difference in the VO2 max and MET value, while both groups showed significantly higher values than those of group A. Therefore, aerobic capacity differed not only according to the presence of habitual exercise, but also according to whether the subjects had an active daily life. When sedentary, it seemed important to be active for about 1-hour/day. Regarding body fat, group F showed the lowest value in each variable. Systolic and diastolic blood pressures, and blood triglyceride levels were highest in group A and lowest in group F, suggesting the effects of an active daily life and habitual exercise. In group A, the total caloric intake was also highest. Therefore, improving the total lifestyle, including diet, was also considered necessary. CONCLUSIONS: Classification of subjects according to their pattern of physical activity may be useful in health education settings to increase physical activity and to prevent life-style-related diseases.

Activities of Daily Living↗
PubMed1984

Hyperparathyroidism, hypercalcemia and the otolaryngology head and neck surgeon.

Ability to successfully accomplish parathyroid surgery, as well as to understand the pathophysiology of parathyroid disease and hypercalcemia, is essential to the Otolaryngology Head and Neck surgeon (who must treat parathyroid disease), because of the more frequent identification of parathyroid adenomata and parathyroid hyperplasia (with their inherent hypercalcemia). Today many more cases are recognized because of hypercalcemia identified by now routine multiphasic biochemical screening tests. The etiology of hypercalcemia is discussed in considering the differential diagnosis of pseudohyperparathyroidism, and true hyperparathyroidism of parathyroid hyperplasia and parathyroid adenomata. Pseudohyperparathyroidism, secondary to ectopic elaboration of parathormone-like substance is treated medically. Parathyroid hyperplasia can sometimes be controlled medically, but the only definitive treatment for hyperplasia and parathyroid adenomata is surgery, to the extent indicated, in these often critically ill patients with this multisystem disease. Medical, as well as surgical treatment, is described. A patient is described who demonstrated in a slowly moving montage all the classic history and findings of severe hyperparathyroidism in successive phases to her ultimate demise, manifesting neurological, renometabolic , skeletal, cardiovascular and gastrointestinal multisystem symptoms which are described. The complete relief of the acute symptoms following excision of a massive parathyroid adenomata is described and the spectacular pathologic specimen is demonstrated. This patient's course is compared with that of a typical case of pseudohyperparathyroidism.

Adenoma↗
PubMed2006

Relationship between markers of inflammation and brachial-ankle pulse wave velocity in Japanese men.

The objective of the present study was to examine the relationship between markers of inflammation, such as high-sensitivity C-reactive protein (hsCRP) and erythrocyte sedimentation rate (ESR), and brachial-ankle pulse wave velocity (baPWV), an indicator of arterial stiffness, in Japanese men. We studied 269 male subjects (mean age, 53 years) who entered our health check-up program. Subjects who were receiving any medication were excluded from the study. baPWV was measured using a volume-plethysmographic apparatus (Form /ABI; Colin, Co. Ltd., Komaki, Aichi, Japan). In addition to routine laboratory tests including ESR, serum levels of hsCRP were determined by a highly sensitive ELISA technique. baPWV was significantly correlated with age (r = 0.41, P < 0.0001), height (r = - 0.21, P = 0.0006), body weight (r = - 0.17, P = 0.007), mean blood pressure (r = 0.66, P < 0.0001), pulse pressure (r = 0.56, P < 0.0001), heart rate (r = 0.25, P < 0.0001), ln (ESR) (r = 0.20, P = 0.001), fasting blood glucose (r = 0.23, P = 0.0001), and ln (serum hsCRP) (r = 0.23, P = 0.0002). baPWV in the highest tertile of ESR was significantly higher than that in the lowest tertile of ESR (P = 0.005). baPWV in the highest tertile of serum hsCRP was significantly higher than those in the lowest tertile (P = 0.002) and the middle tertile of serum hsCRP (P = 0.02). In multiple regression analysis, baPWV significantly correlated with ln (serum hsCRP) independently of other clinical variables that showed a significant correlation with baPWV. baPWV is significantly associated with serum levels of hsCRP in Japanese men, suggesting that inflammation is involved in arterial stiffening.

Adult↗