Key result
Periodic health checkups postponed the onset of inpatient care for hypertension among men (HR 0.56; 95% CI 0.36-0.85), but had no impact on other health outcomes in men or women.
Why the study?
The long-term impact of periodic health checkups on health outcomes among middle-aged adults needed to be examined.
Do periodic health checkups prevent deterioration in health among middle-aged adults?
Cohort (n=29,770)
Do periodic health checkups prevent deterioration in health among middle-aged adults?
Periodic health checkups have a limited preventive impact on health deterioration among middle-aged adults, only postponing inpatient care for hypertension in men.
Answers are grounded in this paper and cite their sources.
May delay hypertension inpatient care in middle-aged men only; leaves open broader preventive value of PHCs pending randomized trials.
OBJECTIVES: We aimed to examine the long-term impact of periodic health checkups (PHCs) on health outcomes among middle-aged adults. METHODS: We used longitudinal data from 29 770 individuals (15 399 men and 14 371 women) aged 50-59 years in the baseline year (2005), obtained from a population-based 14-wave survey. PHC participants were defined as those who underwent PHCs for the first three consecutive waves, and we investigated the onset of inpatient care for five types of non-communicable diseases (diabetes, heart disease, stroke, hypertension, and dyslipidemia) as well as poor self-rated health and problems in the activities of daily living in the subsequent 11 waves. Cox-proportional hazards models were used to estimate the impact of PHCs on health outcomes by employing the propensity score matching (PSM) method. RESULTS: Participation in PHCs was closely related to a respondent's socioeconomic status and health behavior. After controlling for these factors by PSM, the hazard models showed that PHCs postponed the onset of inpatient care for hypertension (hazard ratio, 0.56; 95% confidence interval: 0.36-0.85) among men, but PHCs had no impact on any other health outcomes in men or women. CONCLUSIONS: The preventive impact of PHCs on health deterioration is generally limited among middle-aged adults. Future studies should address policy measures to enhance the effectiveness of PHCs.
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Oshio et al. (2021) conducted a cohort in Middle-aged adults (n=29,770). Periodic health checkups vs. No periodic health checkups was evaluated on Onset of inpatient care for five types of non-communicable diseases, poor self-rated health, and problems in activities of daily living (HR 0.56, 95% CI 0.36-0.85). Periodic health checkups postponed the onset of inpatient care for hypertension among men (HR 0.56; 95% CI 0.36-0.85), but had no impact on other health outcomes in men or women.
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