title: Check-up and cardiovascular risk progression: is there a room for innovation?
abstract: OBJECTIVE
  To evaluate the impact of traditional check-up appointment on the progression of the cardiovascular risk throughout time.
  
  
  METHODS
  This retrospective cohort study included 11,126 medical records of asymptomatic executives who were evaluated between January, 2005 and October, 2008. Variables included participants' demographics characteristics, smoking habit, history of cardiovascular diseases, diabetes, dyslipidemia, total cholesterol, HDL, triglycerides, glucose, c-reactive protein, waist circumference, hepatic steatosis, Framingham score, metabolic syndrome, level of physical activity, stress, alcohol consumption, and body mass index.
  
  
  RESULTS
  A total of 3,150 patients was included in the final analysis. A worsening was observed in all risk factors, excepting in smoking habit, incidence of myocardial infarction or stroke and in the number of individuals classified as medium or high risk for cardiovascular events. In addition, a decrease in stress level and alcohol consumption was also seen.
  
  
  CONCLUSIONS
  The adoption of consistent health policies by companies is imperative in order to reduce the risk factors and the future costs associated with illness and absenteeism.
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Raquel Dilguerian de Oliveira
authors.initials: RD
authors.lastname: Conceição
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Antonio Gabriele
authors.initials: AG
authors.lastname: Laurinavicius
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Nea Miwa
authors.initials: NM
authors.lastname: Kashiwagi
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: José Antonio Maluf de
authors.initials: JA
authors.lastname: Carvalho
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Carlos Alberto Garcia
authors.initials: CA
authors.lastname: Oliva
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Raul Dias
authors.initials: RD
authors.lastname: Santos Filho
mesh_terms: D000328:Adult; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000175:diagnosis* / Q000517:prevention & control; D002784:Cholesterol / Q000097:blood; D003920:Diabetes Mellitus / Q000097:blood; D018450:Disease Progression; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D010808:Physical Examination / Q000379:methods*; D012189:Retrospective Studies; D018570:Risk Assessment / Q000145:classification / Q000379:methods; D012307:Risk Factors; D012737:Sex Factors; D012907:Smoking; D013315:Stress, Psychological / Q000175:diagnosis; D013997:Time Factors
chemical_list: D002784:Cholesterol