Health Status and the Factors Affecting the Deterioration of the Medical Examination Population in a Cancer Hospital in Henan Province from 2017 to 2022
MA Wen
YIN Ruihong
LIU Feng
Abstract：Objective To explore risk factors of health examination results and worsening health status.Methods Based on cross-sectional data of population once received health examinations in a cancer hospital in Henan Province during 2017 to 2022.The physical examination items were divided into four categories:laboratory test(28 items),imaging test(21 items),tumor marker test(14 items)and measuring blood pressure,and the number of abnormal items and abnormal rate of individual were calculated according to the category.The relationship curves between body mass index(BMI)and abnormal physical examination results were fitted with restricted cubic splines.Linear regression or logistic regression model was used to explore the influencing factors of various abnormal physical examination results,and the association between age,sex,body mass index and physical examination results at the first physical examination and the deterioration of the results at the last physical examination was analyzed based on the data of the repeated physical examination population.Results A total of 5 844 physical examination individuals were included in this study,including316 repeated physical examination groups.Elderly,male,unhealthy BMI were risk factors of abnormal test results,and the risk could be higher as BMI increased.The first health examination with the overweight result could increase the risk of worsening tumor marker result of the last time(OR=2.62,95%CI:1.29-5.32),while successfully detected the initial abnormal results of laboratory(OR=0.50,95%CI:0.41-0.62),imaging examination(OR=0.64,95%CI:0.56-0.74)and blood pressure tests(OR=0.12,95%CI:0.07-0.23)could decrease the risk of worsening results of those tests at the last time.Conclusion Unhealthy BMI will increase the risk of abnormal and worsening health status.Timely detecting the abnormal test results will help improve later health status.
Keywords：health examinationrisk factorrestricted cubic splineworsening health status
Publication Date：2023-12-15
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：6( 4248-4253 )