Physical examinations during health checkups, including cardiac and pulmonary auscultation, are considered essential and standard procedures. In particular, cardiac auscultation is considered increasingly important because it is an initial and noninvasive examination for detecting valvular heart disease. Herein, we report the case of a 51-year-old asymptomatic man with a cardiac murmur that was incidentally detected during cardiac auscultation performed during a routine health checkup. Notably, a systolic cardiac murmur with the apex at its strongest point (Levine III/VI) was observed. Because we suddenly encountered heart murmurs that had not existed the preceding year, urgent cardiac disease was suspected, specifically valvular heart disease. The patient was immediately referred to the Department of Internal Medicine at our Institution's Cardiovascular Center for further evaluation. Based on the echocardiographic findings, the patient was clinically diagnosed with mitral regurgitation due to mitral valve prolapse. Consequently, the patient was carefully followed up and scheduled to undergo surgery as he exhibited exacerbated cardiac symptoms. Thus, cardiac auscultation during medical health checkups may aid the diagnosis of valvular heart disease.

 Objectives: The aim of this study is to evaluate the association of lifestyle factors, other than sodium restriction, with blood pressure (BP) levels among middle-aged and elderly men with non-hypertensive BP levels. Low-sodium diets are a common approach to prevent hypertension. It has also been well-known that some lifestyles are associated with hypertension. Additionally, it is effective to address prevention starting from the normal stage to prevent the development of hypertension. However, there are a few studies which have presented the association of BP with combined lifestyles among relatively healthy men. Therefore, an investigation of how a combination of various lifestyles such as sleep duration, habitual exercise, routine drinking, daily breakfast, and dinner timing may provide benefit to individuals with non-hypertensive BP levels.

 Subjects: A total of 124 Japanese men who had a systolic blood pressure (SBP) less than 139 mmHg and a diastolic blood pressure (DBP) less than 89 mmHg during the ‘anti-aging health checkups' were enrolled in the study.

 Methods: The analyses were conducted for all subjects using personal data regarding clinical characteristics and lifestyles. A multiple regression analysis was conducted to identify the association between BP and lifestyle factors. Further interaction effects of combined lifestyle factors after adjustment for confounders were calculated.

 Results: It was obvious that SBP and DBP were associated with age and BMI. Drinking habit had a significant positive association with an increase only in DBP level. Moreover, routine drinking combined with sleep duration, habitual exercise, daily breakfast and dinner timing had an association with DBP. Whereas, SBP did not have any significant association with lifestyles.

 Conclusion: Our findings suggest that the combination of a no-routine drinking habit with even one healthy lifestyle is a significant suggestion for an appropriate DBP level in relatively healthy middle-aged and elderly men. These results might motivate the necessary lifestyle modification to maintain normal BP.

 Objective: To investigate the effectiveness of fundus photography in specific health checkups by the proportion of patients whose ophthalmology checkups led to a cataract surgery plan and ophthalmologic findings.

 Methods: Fundus photography was performed on 1,928 residents who underwent specific health checkups between June and December 2022, and 193 were selected for a thorough examination. A total of 102 participants who brought their screening forms were included in the analysis. The history of ophthalmology examinations and whether cataract surgery was planned were retrospectively investigated from the medical records. The participants were divided into a first-visit group (first G) and a second-visit group (second G) based on their history of ophthalmologic examinations and were compared.

 Results: The participants were aged 73.6 ± 7.7 years (mean ± standard deviation); 47 (46.1%) were male, and 55 (53.9%) were female. Of those who underwent a thorough examination, 52 (51.0%) had an initial visit, and 50 (49.0%) had a repeat visit to our department. Cataract was diagnosed in 71 patients (69.6% prevalence). The results of the intergroup comparison showed that 42 (41.2%) were diagnosed with cataracts in first G and 29 (28.4%) in second G, and the number of planned surgeries was 20 (38.5%) and 8 (16.0%) in the first and second G, respectively, both with significant biases (p < 0.05, Pearson's chi-square test).

 Conclusions: The usefulness of fundus imaging in health checkups for residents to detect cataracts was evidently demonstrated.