Abstract
Main purposes of conducting multiphasic health testing include (1) confirmation of health: comprehensive evaluation of health, (2) detection of lifestyle-related diseases especially of cancers at their early stages, (3) establishing intra-individual fluctuation ranges for each test, (4) correction of lifestyle, mainly of its dietary and athletic aspects to prevent lifestyle-related diseases.
In the past, when the target diseases of multiphasic health testing were called“adult diseases”, (1) and (2) were the main purposes of conducting the tests. However, the concept of improving health has changed from the detection of aging phenomena to the correction of daily life habits and now the individual standard fluctuation ranges (3) are mandatory criterion for health testing to achieve effective instructions showing concretely how to correct undesirable lifestyle.
Analysis of each examinee's serial test data based on chronological observations of data helps physicians predict whether the fluctuations of data suggest the impending diseases or not and enables and frank discussions between physicians and their examinees which allow the examinees to realize how their lifestyles should be corrected. This should be the real goal of conducting health testing.
Observation of test data over one year shows that they often fluctuate reflecting the change of environmental factors: jobsites, home background, health conditions on the moment of having tests, habitually taking medicines and favorite foods.
Some representative cases are presented to show the ways to interpret each fluctuation of data. Cases chosen are all punctual annual repeaters who visited us for six years successively.
