title: Cardiovascular risk factor screening and follow-up in a military population aged 40 years and older.
abstract: OBJECTIVE
  This study analyzed a worksite-based cardiovascular risk assessment offered to soldiers aged 40 and older to identify unrecognized cardiovascular risk and evaluate compliance with instructions to follow up for further evaluation.
  
  
  METHODS
  Participants had fasting blood tests, waist circumference and blood pressure measurement and a carotid artery duplex scan performed at their worksite. A healthcare professional discussed the participants' results with them and, if indicated, recommended follow up within the following one month.
  
  
  RESULTS
  Seventy-six (46%) of the 163 eligible soldiers agreed to participate. Twenty-nine (38%) of the 76 participants were instructed to follow up for elevated blood pressure, glucose, or lipids. Only 7 of 29 (24%) complied with follow-up instructions.
  
  
  CONCLUSIONS
  Voluntary worksite-based interventions can effectively identify soldiers with unmanaged cardiovascular risk factors, but a more aggressive follow-up strategy should be used to ensure these soldiers receive indicated medical intervention.
authors.affiliation: Dept of Family Medicine, Madigan Army Medical Center, Tacoma, Washington, USA.
authors.forename: Diane
authors.initials: D
authors.lastname: Flynn
authors.forename: Jeremy D
authors.initials: JD
authors.lastname: Johnson
authors.forename: Cathy J
authors.initials: CJ
authors.lastname: Bailey
authors.forename: Jason T
authors.initials: JT
authors.lastname: Perry
authors.forename: Charles A
authors.initials: CA
authors.lastname: Andersen
authors.forename: John G
authors.initials: JG
authors.lastname: Meyer
authors.forename: Nancy A
authors.initials: NA
authors.lastname: Cox
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008887:Military Medicine; D008889:Military Personnel; D016272:Occupational Health; D012307:Risk Factors; D014481:United States