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Health checks and cardiovascular risk factor values over six years’ follow-up: Matched cohort study using electronic health records in England

PLoS Medicine Aug 07, 2019

Alageel S, et al. – In this study that included individuals who were registered with general practices in the Clinical Practice Research Datalink in England and received health checks between April 1, 2010, and December 31, 2013, researchers calculated the cardiovascular risk management and risk factor outcomes of the health check program during 6 years’ follow-up. There were 127,891 and 322,910 health check individuals and matched controls, respectively. Compared with controls, health check individuals had lower BMI, systolic blood pressure (SBP), and smoking; however, total and HDL cholesterol measures were comparable. Health check individuals were more prone to receive weight management advice, smoking cessation interventions, or statins. There were net declines in risk factor values up to 6 years following the check for BMI, SBP, and smoking. Hence, people who took up a health check casually had lower risk factor values vs controls, and were more apt to receive risk factor interventions. Moreover, risk factor values exhibited net decreases up to 6 years after a health check in BMI, blood pressure, and smoking, which may be of public health significance.

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