Skip to main content
Log in

Follow-up study of participants in an extensive health examination programme at a Swedish industry

  • Originals
  • Published:
Klinische Wochenschrift Aims and scope Submit manuscript

Summary

Two years after an extensive health examination at a Swedish industry, a follow-up study was carried out in 110 employees (94% of those initially examined). The control included a history of the subject's health, a physical examination, an electrocardiogram, urine and faeces examinations and 16 chemical analyses of whole blood or serum. Except for repeat examinations of those who had had initial values outside reference values, most of the chemical analyses meant nothing, leading to unnecessary expense and possible risk of either worried or complacent participants. The history and physical and laboratory examinations, aimed at finding factors which can be improved by changing the life style seem to be most beneficial. It is concluded that extensive health examinations, including a large number of laboratory examinations which are carried out at many industries as a health control, should be critically evaluated at these industries.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

ECG:

electrocardiogram

SD:

standard deviation

HDL:

high density lipoprotein

ASAT:

aspartate aminotransferase

ALAT:

alanine aminotransferase

References

  1. Alderman MH, Lamport B (1990) Labelling of hypertensives: a review of the data. J Clin Epidemiol 43:195–200

    PubMed  Google Scholar 

  2. Becker MH (1986) The tyranny of health promotion. Public Health Rev 14:15–23

    PubMed  Google Scholar 

  3. Burdine JN, McLeroy KB, Gottlieb NH (1987) Ethical dilemmas in health promotion: an introduction. Health Educ Q 14:7–9

    PubMed  Google Scholar 

  4. Chovil AC, Altekruse EB (1986) Health promotion in occupational medicine and the primary care physician. Fam Community Health 8:29–35

    Google Scholar 

  5. Council on Scientific Affairs, Division of Scientific Activities, American Medical Association, Chicago (1983) Medical evaluations of healthy persons. JAMA 249:1626–1633

    Google Scholar 

  6. Ebeling K (1987) Screening zur Früherkennung bösartiger Neubildungen — wissenschaftliche Grundlagen, Methoden der Erfolgsbewertung und praktische Konsequenzen. Z Arztl Fortbild (Jena) 81:521–528

    Google Scholar 

  7. Flodmark BT (1989) Blodprovstagning hos anamnestiskt friska personer är bortkastade pengar. Läkartidningen 86:3134

    Google Scholar 

  8. Friedman GD, Collen MF, Fireman BH (1986) Multiphasic health checkup evaluation: a 16-year follow-up. J Chron Dis 39:453–463

    PubMed  Google Scholar 

  9. Gordon J (1987) Workplace health promotion: the right idea in the wrong place. Health Educ Res 2:69–71

    Google Scholar 

  10. Haines AP, Sanders TAB (1989) Dietary advice for lowering plasma cholesterol. BMJ 298:1594–1595

    PubMed  Google Scholar 

  11. Jones A, Davies DH, Dove JR, Collinson MA, Brown PMR (1988) Identification and treatment of risk factors for coronary heart disease in general practice: a possible screening model. BMJ 296:1711–1714

    PubMed  Google Scholar 

  12. Kaplan GA, Camacho T (1983) Perceived health and mortality: a nine-year follow-up of the human population laboratory cohort. Am J Epidemiol 117:292–304

    PubMed  Google Scholar 

  13. Lefebvre RC, Hursey KG, Carleton RA (1988) Labelling of participants in high blood pressure screening programs: implications for blood cholesterol screening. Arch Intern Med 148:1993–1997

    PubMed  Google Scholar 

  14. Leitch D (1989) Who should have their cholesterol concentration measured? What experts in the United Kingdom suggest. BMJ 298:1615–1616

    PubMed  Google Scholar 

  15. Maschewsky-Schneider U, Greiser E (1989) Primary prevention of coronary heart disease versus health promotion — a contradiction. Ann Med 21:215–218

    PubMed  Google Scholar 

  16. Ostwald SK (1986) Cost-benefit analysis. A framework for evaluating corporate health promotion programs. AAOHN Journal 34:377–382

    PubMed  Google Scholar 

  17. Rose G, Bengtsson C (1991) Evaluation of a laboratory health examination programme in a Swedish industry (Volvo). Scand J Clin Lab Invest 51:155–160

    PubMed  Google Scholar 

  18. Sacks G, Marsden R (1989) Evaluation of a practice-based programme of health checks: financial cost and success at risk detection. J Royal Coll Gen Pract 39:369–372

    Google Scholar 

  19. Schilling RSF (1989) Health protection and promotion at work. Br J Ind Med 46:683–688

    PubMed  Google Scholar 

  20. Schneider WJ, Stewart SC, Haughey MA (1989) Health promotion in a scheduled cyclical format. J Occup Med 31:443–446

    PubMed  Google Scholar 

  21. Stoate HG (1989) Can health screening damage your health? J Royal Coll Gen Pract 39:193–195

    Google Scholar 

  22. Tunstall-Pedoe H (1989) Who is for cholesterol testing? BMJ 298:1593–1594

    PubMed  Google Scholar 

  23. Tymstra T, Bieleman B (1987) The psychological impact of mass screening for cardiovascular risk factors. Fam Pract 4:287–290

    PubMed  Google Scholar 

  24. Wallin L, Wright I (1986) Psychosocial aspects of the work environment: a group approach. J Occup Med 28:384–393

    PubMed  Google Scholar 

  25. Warner KE, Wickizer TM, Wolfe RA, Schildroth JE, Samuelson MH (1988) Economic implications of workplace health promotion programs: review of the literature. J Occup Med 30:106–112

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rose, G., Bengtsson, C. Follow-up study of participants in an extensive health examination programme at a Swedish industry. Klin Wochenschr 69, 1146–1151 (1991). https://doi.org/10.1007/BF01815433

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01815433

Key words

Navigation