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It is often said that exercise is good for health, but as everyone knows, improper exercise can also affect the results of physical examinations and laboratory tests.
The types of exercise that can affect the test results can be broadly divided into two categories: one is static exercise, that is, it does not last for a long time, but has a high intensity of action, such as weightlifting, throwing a ball, etc., which can be performed using the energy stored in the muscles; The other type is dynamic exercise, that is, the exercise that lasts for a long time and the intensity of the action is not very large, such as long-distance running, swimming, bicycle racing, etc., when doing this kind of exercise, the human body needs to produce a lot of heat through aerobic and anaerobic enzyme pathways to maintain. The amount of exercise has a different effect on the test items.
Static motion doesn't have a big impact, while dynamic motion has a greater impact. In addition, there is no difference between those who exercise regularly or have been engaged in sports for a long time and those who neglect to exercise. So, how does exercise affect laboratory tests?
As a result of strenuous exercise, the balance of fluids inside and outside the blood vessels is disrupted, the evaporation of a large amount of sweat, and changes in hormone levels (such as increased secretion of adrenal hormones and decreased secretion of insulin) cause sharp changes in certain chemical components in the blood and other body fluids. For example, a blood white blood cell count can be as high as 25 109 L, which is several times higher than normal.
Some scholars compared the blood collection results of a group of marathon runners the day before the race and 45 minutes after the race, and found that potassium, sodium, calcium, glucose, uric acid, total bilirubin, aspartate aminotransferase and other components increased to varying degrees after the race. Of course, this variation can vary from person to person, and even includes environmental influences, such as the training status of each athlete, changes in temperature, etc.
Elevated creatine kinase activity in the blood is an important part of the doctor's diagnosis of myocardial infarction. People who usually do not pay attention to exercise, once there is some strenuous activity, creatine kinase activity will increase significantly; In well-trained people, the increase in creatine kinase activity after strenuous exercise is not particularly significant, but some components of creatine kinase activity are higher than in the general population. Therefore, experienced doctors will not easily put on the "hat" of myocardial infarction on the patient, but will comprehensively analyze the patient's condition to make a diagnosis.
From the perspective of the physical examiner, it is also necessary to avoid strenuous exercise before the examination.
Exercise always requires sweating, which will reduce the amount of water in the blood, resulting in an increase in albumin, etc.; The decrease in urine excretion can increase the levels of creatinine and uric acid in the blood and urine. It can be seen that exercise not only affects various components in the blood, but also certain components in urine and even stool. For example:
Some athletes develop severe blood in the urine after a number of strenuous competitions, which can return to normal after rest. There are also athletes who have a positive fecal occult blood test after a race.
It can be seen that activities such as excessive or excessive intensity of early exercise, long-distance cycling, and long-distance walking can affect the test results. For this reason, the author reminds readers to reduce excessive exercise as much as possible within two days before the test, so as not to adversely affect the results of the physical examination.
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You can't eat breakfast before the physical examination, so try not to do exercise, and be sure to avoid fainting caused by low blood sugar, especially the elderly.
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Many people have a good habit of insisting on exercise and morning exercise, which can improve physical fitness and ensure health. Regular physical examinations can help us to check the physical health of the body, in the event of illness, in order to ensure the correct results of the physical examination, it is generally required to have sufficient rest. So can I exercise in the morning on the day of the physical examination?
Does exercise affect?
If you have been in the habit of running in the morning, you can also run before the morning physical examination, which will have no effect on the physical examination. However, if you don't usually have the habit of morning exercise, it is easy to cause excessive fatigue and affect the accuracy of some physical examination results. For example, it is easy to cause blood pressure to rise sharply, or the heart rate to increase rapidly, and it is also easy to cause hypoglycemia.
It is recommended not to run before the morning check-up, to ensure a good mental state, and to ensure good rest. The accuracy of the results of the physical examination can be guaranteed. Leaky bridges.
There will be an impact, especially if you exercise vigorously on the day of the check-up. Strenuous exercise causes changes in the composition of blood and body fluids, and large amounts of glucose are stored in the muscles and are fueled for exercise. Once the reserves are almost exhausted, the muscles absorb glucose from the blood for their own use.
Therefore, exercise will gradually lower blood sugar levels, and after exercise, the muscles will store glucose in muscle cells and liver, and blood sugar will be further reduced, which will affect the results of blood sugar and other indicators during physical examination.
Exercise before the physical examination will cause rapid heartbeat, increased blood pressure, accelerated metabolism, and changes in blood glucose, blood lipids, creatinine, creatine, ketones, aminotransferases and other substances, which will affect the results of physical examination and analysis. Changes in red blood cells and urine ketones may be seen on urine tests, tachycardia may be seen on ECG, and T-wave changes may be present that can affect ECG findings. If you exercise a lot, it will also affect the chest X-ray examination and abdominal ultrasound examination, so it is recommended that you pay attention not to exercise and keep quiet before the physical examination.
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You can't exercise before the physical exam. Exercise can lead to an increase in myoglobin, creatine kinase, etc., and change the levels of certain hormones, causing an increase in blood sugar, free fatty acids, lactic acid, etc. Blood pressure testing has strict requirements for a "calm state".
It is recommended not to exercise two days before the physical examination, not to do walking and other activities 1 hour before blood collection, not to walk back and forth before blood pressure measurement, and not to talk loudly with friends in the team to sit and wait to maintain emotional stability. Particularly hard brushing, bleeding gums, or too hard toileting in patients with hemorrhoids may affect the results of the fecal occult blood test.
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The blood test can only be done in the morning.
The physical examination and laboratory test requires fasting blood to be collected from 7:30 to 8:30 in the morning, and not more than 9:30 in the morning
00。Too late, due to the influence of physiological endocrine hormones in the body, the blood sugar level is distorted (although it is still fasting). Therefore, the test taker should collect blood as soon as possible and not miss the time easily.
However, excessive fasting can also affect test results. If the fasting time is more than 18 hours, some tests may have abnormal results, such as serum bilirubin may increase due to fasting time, and blood sugar may decrease to hypoglycemia due to prolonged fasting. The fasting criteria are:
The night before the blood draw, try to maintain the habits of the plain finch and eat normally; Meals should be light and do not drink alcohol; Do not drink coffee or strong tea after meals. When I woke up the next morning, I didn't eat breakfast, drank little or no water, didn't do morning exercise, and calmly went to the hospital to wait for blood collection.
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Although exercise is good for health, it is not known that exercise can affect the test results.
Exercise is generally divided into two categories: one is static exercise, which does not last for a long time, but has high-intensity actions, such as weightlifting, throwing balls, etc., which can be carried out as long as the energy stored in the muscles is used; The other type is dynamic movement, which lasts for a long time and the intensity of the action is not very large, such as long-distance running, swimming, and cycling, and the human body must produce a lot of heat to maintain it. Therefore, the amount of exercise has a certain impact on the inspection items.
Due to strenuous exercise, the volatilization of a large amount of sweat and changes in hormone levels, the original balance of body fluids inside and outside the blood vessels is disrupted. For example, the secretion of adrenal hormones increases and the secretion of insulin decreases, which will cause rapid changes in certain laboratory components in blood and other body fluids, and excessive sweating can also cause an increase in serum protein content; The decrease in urine excretion can increase the levels of creatinine and uric acid in the blood and urine, especially for the examination of urine screening for cancer.
Elevated creatine kinase activity in the blood is an important part of doctors diagnosing myocardial infarction. People who usually do not pay attention to exercise, once there are some strenuous activities, creatine kinase will rise significantly, and people who exercise regularly after strenuous exercise after strenuous exercise creatine kinase activity does not rise significantly, but some components in its composition are also higher than the average person. Therefore, doctors should not easily put on the "hat" of myocardial infarction.
It can be seen that exercise will have an impact on various components in the blood, and strenuous exercise should be avoided before the physical examination.
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1. Do not participate in strenuous sports such as long-distance running, do not participate in long-distance running or other intense sports, and adjust your body to a better state before the physical examination, so that the diseases hidden in the body will also be shown according to the examination! Strenuous exercise can make some of the data values in your physical exam problematic.
2. It is forbidden to drink water and eat after dinner the day before the physical examination.
Eat dinner normally the day before the physical examination, and don't eat anything else after eating, including snacks and plain water, because some physical examination items can only be checked when they reach a certain fasting state, such as blood drawing, B ultrasound, CT, etc.
3. Those who take drugs for a long time can continue to take them, and take other drugs after physical examination.
If you have been taking medicine all year round or this month, then you can continue to take medicine, and tell your attending physician what medicine you are taking during the physical examination, and tell the attending physician what you are taking, so that the attending physician can make a correct analysis of the physical examination report, if you only start to take it in the past few days, then wait until the end of the physical examination to take it.
4. Get enough sleep.
Sleep will affect the results of your physical examination tomorrow, especially the electrocardiogram and organ examination, and you must sleep well the day before, so that you can have a better result during the examination.
5. If there is a blood test item, you should fast.
Generally speaking, there are requirements for blood sampling in the physical examination items, so basically you will not eat or drink water from the night before the physical examination to after you get up, and it is better to keep an empty stomach!
6. Women need to avoid the menstrual period, preferably 5-7 days after that.
If you happen to be in or over for less than 5 days, it is recommended to wait for 5-7 days before going for a physical examination, and 5-7 days after menstruation to check the ** type of examination is still more accurate.
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Moderate exercise is possible, do not exercise vigorously, it will affect the report of the results of the examination.
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can be appropriate.
Exercise, but not vigorously.
The exercise can not be overworked. Generally, three to five days before the physical examination, you can have an appropriate version of the right to exercise, and you can not exercise vigorously. In addition, the diet is mainly a light diet, one meat, four vegetables, and one soup, and you can't eat too greasy or fried food.
In addition, for eight hours on the day of the medical examination, or after 12 a.m. the night before the medical examination, you will not eat anything, drink water, eat, etc. During the physical examination, you should relax and not put too much pressure on yourself. In addition, during the physical examination, it is necessary to wear some loose clothes, which is conducive to blood testing or some chest X-ray, electrocardiogram and other examinations.
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Of course, this is possible, but you can exercise moderately as much as possible, do not do strenuous exercise, otherwise it will affect the blood sugar level, and the most important thing is to have an empty stomach. Good luck.
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The general medical check-up requirement is in the morning.
During the course of the day, a person's metabolism always fluctuates, and its metabolic rate is not a level. Therefore, the physical examination and laboratory test requires fasting blood to be collected at 7 30 8 30 in the morning, and it should not exceed 12 00 at the latest. Too late, due to the influence of physiological endocrine hormones in the body, the test value will be distorted.
In order to ensure the accuracy of the blood test results, many blood tests require fasting, but excessive fasting can also affect the test results. If the fasting time is more than 18 hours, some tests will have abnormal results. Generally, after waking up the next morning, I skip breakfast, drink little or no water, do not exercise in the morning, and calmly go to the hospital to wait for blood collection.
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It's best in the morning, and it's actually okay in the afternoon, because the check before you don't eat breakfast is more accurate, and you go in the afternoon, and you've already eaten.
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In order to ensure the accuracy of the blood test results, many blood tests require fasting, so it is recommended to have a physical examination in the morning.
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Blood tests require fasting, so it's best to go in the morning
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The basic ** of the entry physical examination includes liver function, chest X-ray, internal surgery, ophthalmology, otolaryngology, and the basic ** is not affected by fasting and fasting in principle, and can actually arrange an afternoon physical examination. However, if there are other items in the physical examination program, such as blood sugar, blood lipids, B ultrasound and other examination items, it is not recommended to do it in the afternoon, because these items will have an impact on the results after eating. Whether you can participate in the physical examination in the afternoon depends on the specific arrangements of the physical examination center, the general physical examination center does not arrange physical examination in the afternoon, do physical examination in the morning, sort out the information in the afternoon, write a summary, and bind the report, so most of the physical examination centers do not arrange physical examination in the afternoon, and go to the local physical examination center for consultation, it is recommended to participate in the physical examination in the morning.
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The physical examination for work entry is generally in a tertiary hospital or physical examination center, and the physical examination is a routine physical examination item, and it can generally be successfully passed.
If you really encounter a failure to pass the physical examination item, a special person can also replace the company if there is no designated medical examination hospital. Red Sun physical examination can help produce a physical examination report for entry into a tertiary hospital.
If there are unqualified items or problems in the physical examination, I wish you a smooth work.
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