To
Gayle Robins
From US HealthCenter
250 South Main Street Suite 201
250 S. Main Street
Thiensville, WI 53092
Suite 201
Thiensville, WI 53092
Printed: 8/11/2014 10:27:26 AM
Thank you for participating in the health screening and health risk assessment program.
This program is uniquely designed to provide you with the necessary tools to increase your health awareness and aid
you in future health improvements or maintenance.
The eCareConnect Program allows you to keep track of your progress from year to year which will give you an
excellent overall picture of your health status.
You can find your online health reports on your own website called “Personal Health Desktop” or PHD.
Your Personal Health Desktop is designed to provide you with easily accessible medical records and self-improvement
health tools and health information customized specifically for your needs. This site is strictly confidential and will not
be shared with anyone.
To view your Personal Health Desktop, go to ushealthcenter.com
Refer back to company sponsored communication or contact us at 877-322-7398
8/11/2014
Personal Health Assessment ©US HealthCenter, Inc.
Page: 2 of 18
Present and Predisease Risk Factors Summary
The following is a summary of present diseases and pre-disease risk factors which will provide you with areas for health
improvement. If you have any questions about the information, consult your physician or wellness leader.
Latest HRA
7/17/2014
Lifestyle Related Risks
2014
2013
2012
Accidents & Injuries
Low
Low
Low
Alcohol
Low
Low
Low
Tobacco
Low
Low
Moderate
Overweight
Low
Low
Elevated
Sedentary Lifestyle
High
Elevated
High
Stress and Anxiety
Low
Low
High
Nutritional Habits
High
Serious
Serious
Sunburn Exposure
Elevated
Moderate
Serious
2014
2013
2012
Back Condition
Low
Low
Low
Breast Cancer
Low
Low
Low
Colorectal Cancer
Low
Low
Low
Coronary Heart Disease-Female
Low
Low
Low
Lung Cancer
Low
Low
Low
Peripheral Artery Disease
Low
Low
Low
Stroke
Low
Low
Low
Depression
Low
Low
Moderate
Hypertension
Low
Low
Moderate
Skin Cancer
Low
Moderate
Moderate
Diabetes II
Low
Low
Elevated
Medical Condition Related Health Risks
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Legend
Significant Risk Areas
Areas in which we encourage you to engage with your physician or health coach to manage/improve.
Past/Present Condition: Past or present condition.
Serious Risk Level: Risk factors seriously contribute to the development of a disease. Participants in
this category are approximately 10 to 15 times more likely than the normal population to contract this
condition.
High Risk Level: Risk factors are in the process of contributing to a disease. Participants are
approximately 6 to 9 times more likely than the normal population to contract this condition.
Elevated Risk Level: Threshold where risks factors start to contribute to the development of a
disease. Participants are approximately 3 times more likely than the normal population to contract this
condition.
Legend
Low Risk Areas
Areas in which we encourage you to maintain. You are doing better than average in these areas.
Moderate Risk Level: Risk factors are present but have not started contributing to the development
of a disease. Proper health management and lifestyle changes are important steps at this level.
Low Risk: Risk factors are lower than the current population at this time.
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WellCentives™ Measured Risks Report
Your Current WellCentives™ Score is:
94.0% (Excellent)
We encourage you to review these results and your Health Risk Assessment with your health care provider.
Excellent
92% - 100%
Good
75% - 91.9%
Fair
65% - 74.9%
Poor
50% - 64.9%
Very Poor
Below 50%
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WellCentives™ Measured Risks Report
Your WellCentives Score is based only on results taken from your health screening. Due to ongoing studies, normal
values may be updated annually which can result in a slight change in your score. Your total points received is divided
by the total points eligible to calculate your WellCentives score based on a 0-100% scale.
2014
Health Status
2013
Health Status
2012
Health Status
Test Name
Optimal
Values
Max
Points
Tobacco use (Cotinine)
negative
18
Negative
BMI
<25
6
22.59
6
22.43
6
26.14
4
Body Fat Content
<23%
6
24.61
6
24.38
6
29.04
2
Waist/Hip Ratio
<0.8
6
0.87
2
0.87
2
0.88
2
Blood pressure (Systolic) <120 mm Hg.
12
120
12
118
12
120
12
Blood pressure
(Diastolic)
<80 mm Hg.
6
75
6
79
6
80
6
Glucose (Blood sugar)
<100 mg/ dL
12
98
12
96
12
100
12
Total Cholesterol
<200 mg/ dL
5
192
5
189
5
200
5
HDL
>45 mg/dL
5
60
5
63
5
60
5
LDL
<100 mg/dl
4
112
2.4
110
2.4
100
4
TC/HDL Ratio
<4.0
0
3.20
NA
3.00
NA
3.33
NA
Triglycerides
<150 mg/dl
4
145
4
149
4
200
1.33
GGT
< 50 U/L
10
38
10
40
10
50
7.5
Results
Points
18
Excellent
94.0% out of 100%
Results
Negative
Points
18
Excellent
94.0% out of 100%
Results
Negative
Points
18
Good
84.8% out of 100%
* LDL may not be calculated if triglycerides are greater than 400
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Additional Lab Results
Discuss this report with your health care provider before taking any action based upon its results.
Lab Results
Test
Normal
Range
2014
2013
2012
Measurements US Units
Waist-to-Height
Ratio (WHtR)
<.49
Weight
Waist circumference
<35"
Hip circumference
0.41
0.41
0.42
140
139
155
27
27
28
31
31
32
Inches
6
Height
66
66
66
Additional Lab Results
LDL
<=100 mg/dl
112
110
100
Blood Pressure
(Systolic)
<=120 mm
Hg.
120
118
120
Triglycerides
<=150 mg/dl
145
149
200
Total Cholesterol
<200 mg/ dL
192
189
200
GGT
<= 50 U/L
38
40
50
HDL
>=45 mg/dL
60
63
60
Blood Pressure
(Diastolic)
<=80 mm Hg.
75
79
80
Glucose (Blood
sugar)
<=100 mg/ dL
98
96
100
negative
neg
neg
neg
Tobacco use
(Cotinine)
Walking-minutes
30
Hemoglobin A1C
<6.2%
5.2
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Your Lab Results Defined
Below you will find definitions of tests which may have been included in your lab screening conducted recently. Please
note not all test explanations listed below may apply to you. Only your physician can diagnose a medical condition. If
you have any questions, consult with your personal physician.
BLOOD CHEMISTRY PROFILE
ALBUMIN
Higher values represent dehydration, while lower values are generally a result of renal or hepatic problems.
ALKALINE PHOSPHATASE (ALKP)
An enzyme found primarily in the bone and liver that may indicate bone, liver or kidney disorders. Generally higher in
children than in adults because of its role in the bone making processes. Levels may be elevated at times of pregnancy.
SGPT (ALT)
An enzyme present in many tissues including the liver. Elevations occur in acute viral hepatitis and other liver disorders.
SGPT may also be elevated in the presence of certain medications.
SGOT (AST)
Enzyme which has three main sources - skeletal muscle, heart muscle, and liver tissue. Elevations can be due to disease
or trauma to the muscles, to heart damage, and to various liver diseases. SGOT may also be elevated in the presence of
certain medications.
TOTAL BILIRUBIN
A by-product of the breakdown of old red blood cells and is made into a water-soluble form in the liver. Elevations may
be due to anemia, chronic liver disease, and carcinoma.
BLOOD UREA NITROGEN (BUN)
BUN is a by-product of protein metabolism and is cleared by the kidneys. Elevations can result from any type of kidney
disorder, strenuous exercise, or diuretic medications.
CALCIUM (CA)
Serum calcium is a blood test that measures calcium in the blood. High calcium concentration may mean a high rate of
calcium ingestion or, more likely than not, abnormal regulation of calcium due to hormonal irregularity of the pituitary or
parathyroid glands. Low calcium may suggest a rapid loss from the bone that may lead to osteoporosis.
COTININE
Cotinine is a test for nicotine in the system.
CREATININE
A by-product of muscle metabolism also cleared by the kidneys. Elevations suggest kidney or muscular disorders. Protein
diets may cause mild elevations.
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GAMMA GLUTAMYLTRANSFERASE (GGT)
A liver enzyme that is present in various tissues. Elevations may indicate hepatitis, heavy alcohol consumption or the use
of certain medications.
GLUCOSE
Measures the blood sugar level. Test is extremely sensitive to food intake, so fasting at least 8 hours before the test is a
must. Elevations are indicative of diabetes.
LACTATE DEHYDROGENASE (LDH)
LDH is most often measured to check for tissue damage. The enzyme LDH is in many body tissues, especially the heart,
liver, kidney, skeletal muscle, brain, blood cells, and lungs. LDH affects the chemical reaction for the conversion of
pyruvate and lactate.
POTASSIUM (K)
A mineral that is important for the muscles and nerves to work properly. If your body does not get enough potassium
(hypocalcaemia), your muscles will not work properly and you will feel weak. Too much potassium can cause an
irregular heart beat.
SODIUM (NA)
A mineral necessary for controlling the amount of water in the body and for proper functioning of nerves and cells. The
body's main source of sodium is common salt (sodium chloride). If too much sodium builds up in the body, water is
retained and may lead to harmful effect on the heart, kidneys and circulation.
TOTAL PROTEIN
Very low values may be associated with peripheral edema or malnutrition. High values may suggest dehydration, chronic
inflammation. Higher values represent dehydration, while lower values are generally a result of renal or hepatic
problems.
URIC ACID
Uric acid is a chemical created when the body breaks down substances called purines. Most uric acid dissolves in blood
and travels to the kidneys, where it passes out in urine. If your body produces too much uric acid or doesn’t remove
enough of it, you can get sick. High levels of uric acid in the body is called hyperuricemia.
CORONARY PROFILE
TRIGLYCERIDES
Measures the amount of blood lipid (fat) derived primarily from carbohydrate intake. High levels may be associated with
various disorders, including diabetes, alcohol abuse, and pancreatitis. Readings are extremely sensitive to diet.
Triglyceride level classifications are
Less than 150 mg/dL
Desirable
150-199 mg/dL
Normal
200-249 mg/dL
Moderately High
250-499 mg/dL
High
Greater than 500 mg/dL
Very High
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CHOLESTEROL
Cholesterol is a blood lipid (fat) which has a direct correlation with the chances of developing coronary heart disease.
Elevated cholesterol levels can be hereditary or from excess dietary intake of cholesterol rich foods. Your total blood
cholesterol will fall into one of these categories:
Less than 200 mg/dL
Desirable
200-239 mg/dL
Borderline High
240 mg/dL & over
High
HIGH DENSITY LIPOPROTEIN (HDL)
Measures the amount of “good” cholesterol. HDL removes excess cholesterol from arteries, inhibiting the formation of
atherosclerotic lesions. HDL can be increased by regular exercise, weight loss, smoking cessation, and reduction of fat
intake.
LOW DENSITY LIPOPROTEIN (LDL)
Low-density lipoprotein is known as the “bad” cholesterol. High levels of LDL carry cholesterol through the blood,
“painting” it on arteries in combination of calcium and plaques.
CHOLESTEROL/HDL RATIO
Cholesterol reading divided by the HDL reading. The best tool for gauging the risk of developing premature coronary
disease. The lower the ratio, the lower the risk of coronary heart disease.
LDL/HDL RATIO
Low Density Lipoprotein (LDL) divided by High Density Lipoprotein (HDL) or in other words, bad cholesterol divided by
good cholesterol.
ADDITIONAL TESTS
PROSTATE SPECIFIC ANTIGEN (PSA)
The measurement of a glycoprotein protease found only in prostate tissue. Elevations can occur with benign
prostate hypertrophy, inflammation, prostatitis, or prostate cancer. Any elevation above the normal range should be
checked thoroughly by a physician.
It is important to remind you that the data collected from your answers and tests is collected solely to determine your
health evaluation as accurately as possible. This information is not shared with anyone else except you through the
personal health reports and your Personal Health Desktop. US HealthCenter uses only the data provided by your
answers and tests. You should not be alarmed if it seems that the system over or underreports your risk. It depends
strictly on the accuracy of your answers and the statistical data available to us from evidence-based medicine. No
system is 100% accurate. That is why it is important to discuss your health reports with your physician or health
coach.
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Readiness To Change
2014
Doesn't apply
Alcohol use
Doesn’t apply
Back pain
Doesn't apply
Disease management
Doesn't apply
Exercise
Doesn't apply
Lower cholesterol
Considering
Nutrition/ weight loss
Doesn't apply
Stop smoking
Considering
Stress reduction
Considering
Wellness management
2013
Doesn't apply
Alcohol use
Doesn’t apply
Back pain
Doesn't apply
Disease management
Doesn't apply
Exercise
Doesn't apply
Lower cholesterol
Considering
Nutrition/ weight loss
Doesn't apply
Stop smoking
Considering
Stress reduction
Considering
Wellness management
2012
Doesn't apply
Alcohol use
Doesn’t apply
Back pain
Doesn't apply
Disease management
Doesn't apply
Exercise
Considering
Lower cholesterol
Considering
Nutrition/ weight loss
Considering
Stop smoking
Considering
Stress reduction
Considering
Wellness management
8/11/2014
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Wellness Activities Interest
2014
If you are interested or ready to join a program, which ones would you choose?
Cholesterol Reduction
Fitness
Wellness Management
Women's Health
If you had a high disease or lifestyle risk, would you be interested in participating in a
health coaching program?
Interested
If your company offered wellness seminars and activities, how ready are you to
participate?
Interested
2013
If you are interested or ready to join a program, which ones would you choose?
Cholesterol Reduction
Fitness
Wellness Management
Women's Health
If you had a high disease or lifestyle risk, would you be interested in participating in a
health coaching program?
Interested
If your company offered wellness seminars and activities, how ready are you to
participate?
Interested
2012
If you are interested or ready to join a program, which ones would you choose?
Cholesterol Reduction
Fitness
Nutrition and Weight Loss
Stress Management
Wellness Management
Women's Health
8/11/2014
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Page: 12 of 18
If you had a high disease or lifestyle risk, would you be interested in participating in a
health coaching program?
Interested
If your company offered wellness seminars and activities, how ready are you to
participate?
Interested
8/11/2014
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Health Risk Summary
Risk Factor: Lifestyle
Nutritional Habits
Risk Level: High Risk
Incidence: 40.6% of the U.S. population
Complications: Approximately 40% of Americans do not eat a nutritionally balanced diet, which may lead to obesity,
hypercholesteremia, diabetes, coronary artery disease, hypertension, heart attack and various cancers.
Prevention: Good nutrition is important to your health. Eat a low fat, balanced diet. Avoid eating fatty foods, "fast foods",
junk food, unhealthy snacks and eating between meals. Incorporate fruits and vegetables into your regular meals and
snacks. Avoid excessive alcohol intake and lower your cholesterol and stress, and exercise regularly.
Diet: The recommended balanced diet is composed of four to five servings of fruits and vegetables a day, a balanced
intake of low-fat dairy products, fish, poultry and meat, and a limited amount of starches. The calorie ratio should consist
of approximately 50% proteins, 25% fat, and 25% starches, fruits and vegetables. Make sure to eat proper food portions
and learn about the benefits of fiber. If you are not able to start a healthy nutritional program on your own, join a local
diet and nutrition program or consult a professional.
Exercise: Engage in aerobic and muscle-strength exercises, as recommended by your physician.
Medical Evaluation: See a physician for a routine medical evaluation which may include:
• General medical examination with nutrition, activity and metabolic (BMI) evaluations
• Blood chemistry with a lipid profile
• EKG
Self Help: Learn more about the benefits of a healthy diet. Take the Diet, Metabolism and Activity Assessment and
Eating Profile Questionnaire and then go to the Diet and Nutrition Road to Wellness Program. Remember, it is always
important to check with your physician and/or health plan before taking any self-help action.
Health Resources: Check with your health plan.
Sedentary Lifestyle
Risk Level: High Risk
Complications: National statistics show that only a third of children and adults get sufficient exercise. Sedentary life
leads to a number of debilitating diseases such as obesity, hypertension, diabetes and cardiovascular diseases.
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Risk Factor: Lifestyle
Sedentary Lifestyle
Risk Level: High Risk
Prevention: Avoid smoking and excessive alcohol intake. Lower cholesterol, stress, exercise regularly and normalize
your weight. Start a gradual weight loss and exercise routine. Avoid diet pills and so called miracle or quick weight loss
programs.
Diet: Eat a low fat, high fiber, nutrient and calorie-balanced diet.
Exercise: Engage in aerobic and muscle-strength exercises, as recommended by your physician.
Medical Evaluation: See a physician for a thorough medical evaluation which may include:
• General medical examination with a nutrition, activity and metabolic (BMI) evaluation
• Fitness test
• Blood chemistry test with blood lipid profile
• Glucose tolerance test
• EKG
• Cardiovascular stress test
Follow your physician's advice and have regular medical check-ups.
Self Help: Learn more about avoiding a sedentary lifestyle. Take the Fitness Test and then go to the Fitness Road to
Wellness Program. Start exercising regularly by joining a fitness program or get home exercise equipment. Remember, it
is always important to check with your physician and/or health plan before taking any self-help action.
Health Resources: Check with your health plan.
Sunburn Exposure
Risk Level: Elevated Risk
Complications: National statistics show that you may have greater exposure than the average population to the sun and,
therefore, skin cancer.
Prevention: Practice sun protection by staying in the shade, wearing protective clothing and applying high-grade (15+)
sunscreen, especially if you have light skin pigmentation.
Diet: Eat a normal low fat, high fiber, nutrient and calorie-balanced diet.
Vitamins: Vitamin supplements can include: antioxidants made up of vitamins A, C, E, Selenium, PABA SOD, Coenzyme
Q, zinc, copper, manganese, especially vitamin C. Read about basic vitamins and antioxidants.
Exercise: Engage in aerobic and muscle-strength exercises, as recommended by your physician.
Medical Examination: See a physician for a thorough medical evaluation which may include:
• General medical examination
• Skin exam and evaluation of skin tumors and blemishes
• Skin biopsy
Self Help: Learn more about the consequences and prevention of sunburn and skin cancer. Check the daily UV index if
you live in a sunny region. Perform frequent self-skin examinations. Remember, it is always important to check with
your physician and/or health plan before taking any self-help action.
Health Resources: Check with your health plan.
8/11/2014
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How is the WellCentive
Score determined?
Each biometric screening
participant receives a
WellCentives Score based
on their results from
specific body
measurements and blood
chemistries. US
HealthCenter uses a
algorithm to create the
score based on a 0 - 100%
scale. Table 1 to the right
illustrates the biometric
values for earning
maximum points. Your
points are then used to
calculate your WellCentives
Score as shown below:
WellCentives
Score Calculation
Total Points Received
Total Points Eligble
= Participant's
WellCentives Score
WellCentive Score Summary
Test
Male
Female
Points
Max Points
Tobacco
negative
negative
18
18
positive
positive
0
<25
<25
6
>25 - <30
>25 - <30
4
>30 - <35
>30 - <35
2
>35 - <40
>35 - <40
1
>40
>40
0
<20
<25
6
>20 - <24
>25 - <28
4
>24 - <26
>28 - <31
2
>26 - <30
>31 - <34
1
>30
>34
0
< 1.00
< 0.80
6
BMI
Body Fat
Waist/Hip
Ratio
Diastolic
Blood
Pressure
Participant WellCentives
Score = 82.9%
Blood
Glucose
Total
Cholesterol
8/11/2014
> 0.80 - < 0.834
4
>1.04 - < 1.10
> 0.834 - < 0.90
2
> 1.10 - < 1.125
> 0.90 - < 0.093
1
> 1.125
> 0.093
0
Systolic Blood <120
Pressure
>120 - < 130
Example:
Participant total
points received = 78.0
Total Points
Received = 78.0
--------------------------Total Points Eligible = 94.0
> 1.00 - < 1.04
<120
12
>120 - < 130
8
>130 - < 140
>130 - < 140
4
>140 - < 150
>140 - < 150
2
>150
>150
0
<80
<80
6
>80 - < 90
>80 - < 90
4
>90 - < 100
>90 - < 100
2
>100 - < 110
>100 - < 110
1
>110
>110
0
< 100
< 100
12
> 101 - < 110
> 101 - < 110
8
> 111 - < 125
> 111 - < 125
4
> 126 - < 139
> 126 - < 139
1
> 140
> 140
0
<200
<200
5
>200 - < 220
>200 - < 220
3
>220 - < 230
>220 - < 230
2
>230 - < 240
>230 - < 240
1
>240
>240
0
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6
6
6
12
6
12
5
Test
Male
Points
Max Points
>45
5
5
>31 - < 35
>40 - < 45
3
>25 - < 31
>35 - < 40
2
>20 - < 25
>30 - <35
1
<20
< 30
0
<100
4
>100 - < 130
>100 - < 130
2
>130 - < 160
>130 - < 160
2
>160 - < 200
>160 - < 200
1
>200
>200
0
<150
<150
4
>150 - < 200
>150 - < 200
3
>200 - < 250
>200 - < 250
1
>250 - < 500
>250 - < 500
1
>500
>500
0
<60
<50
10
>60 - < 80
>50 - < 70
8
>80 - < 120
>70 - < 110
5
>120 - < 240
>110 - < 220
3
>240
>220
0
HDL (fasting) >35
LDL (fasting) <100
Triglycerides
(fasting)
GGT
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Female
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4
4
10
Health Maintenance Schedule
The Health Maintenance Schedule follows the suggestions provided by the U.S. Preventive Services
Taskforce and is customized for each individual based on your gender and age. Use this schedule as a
guideline for preventive maintenance.
Age Group
19-39
Blood Chemistry Test
Every 2 years
Chest x-ray
Every 2 years
Complete Blood Count Blood Test
Every 2 years
EKG
Every 3 years
Hearing
Every 2 years
Influenza Vaccine
Receive if you are at high risk of exposure
Lead Screening
Receive a screening if you are at high risk of exposure
Micro-Urinalysis
Every 2 years
Pap Smear
Every 1-2 years
Pneumococcal Vaccine
Receive if you are at high risk of exposure
Routine Checkup
Every 2 years
Tetanus Toxoid
Every 8-10 years
Travel Vaccinations
Receive if you are at high risk of exposure
Tuberculosis (TB) Screening
Receive a screening if you are at high risk of exposure
Visual Acuity
Every 2 years
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