VH-SAMPLEPro-Active Health Care | |||||||||||||||||||||
Vitalis Health Lifestyle Disease and Longevity Clinic Biological Age and Risk Profile Physician reviewed online assessment Sample Patient Confidential — For Patient Use Only What This Report Contains What this report contains 01 Your Age Profile How your biological age compares with your years 02 Lifestyle Scores Diet, activity, mood and stress 03 Risk Flags from History What your history and questionnaire responses point to 04 Lifestyle Summary Where your daily habits help you and where they do not 05 Your Disease Risk Profile Cardiovascular, metabolic, kidney and liver risk 06 Physician Notes Your physician's notes on your cardiovascular risk 07 Overall Clinical Impression Your physician's summary and the areas needing attention 08 Laboratory Findings Your results, grouped and marked, with your lipid targets 09 Next Steps & Action Plan What happens next, and what to do in the meantime How to read this report Colour marks priority. Green is favourable, amber needs attention, red needs attention first. Results are grouped and marked. Findings outside the expected range are shown as borderline or abnormal, and normal results are listed separately. Biological age is an estimate. It is calculated from your results to track change over time. It is not a diagnosis or a prediction. Read the sections together. No single number describes your health. The impression on page four draws them into one picture. Your Age Profile Age comparison — the reference bar is your chronological age Chronological Age 37 years Your actual age — the reference for all comparisons below. Reference Biological Age(PhenoAge — Levine 2018) 32 years Your cells are ageing slower than expected — excellent. 5 years younger Heart Age(QRISK3 Healthy Heart Age) 36 years Your heart age is equal to or younger than your chronological age — a positive sign for cardiovascular health. 1 years younger PhenoAge — estimated 10-year mortality risk 0.82% Based on your biological age markers (Levine 2018). This is an estimate — a lower value means your body markers suggest better long-term health prospects. Lower is better. What PhenoAge does and does not capture PhenoAge reflects ageing along inflammatory, hepatic, renal, hematologic and fasting-glucose axes only. It does not incorporate HbA1c, lipid profile, blood pressure or body composition, so a younger-than-chronological PhenoAge does not by itself rule out metabolic ill-health. Please read this score together with the Metabolic Health, Lipid and Body Composition sections of this report. Lifestyle Scores Diet Risk Score 5/27 Low Risk Your diet shows good nutritional habits with limited harmful foods. Physical Activity Index 60/100 Adequate Your activity level is adequate. Building more structured exercise into your routine will improve long-term health outcomes. Mood & Anxiety (PHQ-4) 4/12 Minimal symptoms You have reported some symptoms in the mood and anxiety questionnaire. Both anxiety and mood sub-scores were in the minimal range — no significant concern at present, but worth monitoring. Perceived Stress (PSS-10) 16/40 Moderate Stress You are experiencing moderate levels of stress. This can affect cardiovascular and metabolic health over time. Risk Flags from History Family history of heart disease or stroke Heart disease or stroke has been recorded in your parents or siblings and in your grandparents or extended family. This can indicate increased cardiovascular risk for you, so regular monitoring of blood pressure and cholesterol is important. Family history of diabetes Diabetes has been recorded in your parents or siblings and in your grandparents or extended family. This increases your own risk, so maintaining a healthy weight, exercising regularly, following a low glycaemic diet and monitoring your blood sugar are important. Cancer in the family Cancer has been recorded in your family history (Gall bladder cancer for paternal aunt). Age appropriate cancer screening is recommended. Early-onset disease in the family Close family members developed high blood pressure at a young age. Disease appearing early in a family raises your own risk more than later onset does, and means screening should begin earlier than usual. Regular monitoring of your blood pressure is important. Physician Notes Intermittent fatigue and unrefreshing sleep. No cardiac or osmotic symptoms. Most consistent with the insulin resistance and raised stress recorded below. Physician Assessment — Mental Health & Stress PHQ-4 minimal, no disorder indicated. Perceived stress moderate at 16 of 40, which matters here because it compounds insulin resistance. Stress reduction discussed; both scores to be repeated at three months. Lifestyle Summary •Water intake is good. •Sleep duration is in the recommended range. •Sleep and waking times are consistent every day. •Regular time with family and friends is a strong protective factor. Your Disease Risk Profile Cardiovascular Disease Risk Moderate You have a moderate cardiovascular risk. Lifestyle changes and risk factor control are important to prevent progression. Metabolic & Diabetes Risk Mild - Moderate HOMA-IR: 5.93 · Metabolic Syndrome: Absent You have some early metabolic risk factors. Diet and exercise can reverse this. Kidney Health Risk Low eGFR: 97 mL/min/1.73m² — G1 · ACR: 7.4 mg/g — A1 Your kidney health indicators are reassuring. Liver Health (FIB-4) Low Risk FIB-4 Score: 1.05 No significant liver fibrosis detected. Physician Notes Nil Overall Clinical Impression Overall assessment 37-year-old female with marked insulin resistance, impaired fasting glucose and an atherogenic lipid pattern, at moderate cardiovascular risk on a background of early-onset family disease. Areas of concern Lipid & Cardiovascular Markers LDL 130, non-HDL 158 and apolipoprotein B 104, all above target. HDL low at 42. Atherogenic pattern, in keeping with the insulin resistance below. Other Cardiovascular Risk Markers Moderate CVD risk category with strong family history of early-onset hypertension and heart disease. QRISK3 0.6%. Insulin Resistance & Metabolic Markers Fasting insulin 30.00 mIU/L, HOMA-IR 5.93. Fasting blood sugar 113 mg/dL, impaired fasting glucose. Metabolic syndrome criteria not met. Other Areas of Concern Nil. Laboratory Findings ✓ Positive Findings hsCRP — 0.01 mg/dL Visceral Fat Score — 7 Body fat percentage is in the normal range (32.0%)
Body Mass Index21.7Healthy rangeSouth Asian thresholds Lipid Targets (LAI 2023 — Moderate CVD Risk) LDL Cholesterol Target: <100 mg/dL Current: 130 mg/dL ↑ above target Non-HDL Cholesterol Target: <130 mg/dL Current: 158 mg/dL ↑ above target Apolipoprotein B Target: <90 mg/dL Current: 104 mg/dL ↑ above target Next Steps & Action Plan What comes next in the consultation Your detailed diet and lifestyle plan, any supplements your results indicate, and any onward referral are covered in the optional consultation with the physician. These are handled there because they need to be matched to your routine, your food preferences and any treatment you are already taking. Testing Recommendations Further tests USG Abdomen Follow-up tests After 3 months — Fasting Insulin, Fasting Blood Sugar (FBS) After 6 months — Body Composition (Accuniq) Immunisations Hepatitis B — Suggested Tdap / Td Booster — Suggested HPV (Gardasil 9) — Suggested Cancer Screening Pap Smear / HPV Test — Suggested | |||||||||||||||||||||