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Job Burnout & Stress Test·
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how to prevent job burnout

How To Prevent Job Burnout: Using The Allostatic Load Stress Calculator

How To Prevent Job Burnout: Using The Allostatic Load Stress Calculator

how to prevent job burnout

Did you know that safeguarding your well-being from job burnout can be simple using the Allostatic Load Calculator (ALI)? In today’s fast-paced work environment, chronic stress has become a pervasive issue, taking a toll on our physical and mental health. The ALI empowers individuals to assess the impact of stress on their bodies by studying the intricate interplay between inflammatory, neuroendocrine, and metabolic systems. At its core, allostatic load refers to the physiological consequences of chronic exposure to fluctuating or heightened neural or neuroendocrine responses, primarily arising from stress. To put it simply, it’s the wear and tear on our bodies due to chronic stress. Discover effective strategies on how to prevent job burnout through the assessment of allostatic load, gaining valuable insights into maintaining a healthy work-life balance and fostering resilience against the deleterious effects of chronic stress.

Before delving into how the allostatic load calculator works, it’s essential to understand the broader concept of ‘allostasis.’ Unlike ‘homeostasis,’ which strives to maintain internal stability, allostasis pertains to the process by which the body adapts to stressors by establishing new norms. Essentially, it’s the body’s response to cope with stress at the expense of its natural norms, whether it’s a looming work deadline or a sudden scare.

This article was last reviewed by Mai Saleh, Healsens, on January 22, 2023. This article was last modified on 21 January 22, 2023.

Package of lab tests to calculate your allostatic load:

  • Cortisol Blood Test
  • Dehydroepiandrosterone Sulfate (DHEA-s)
  • hs-C-reactive Protein (CRP)
  • Triglycerides (TG)
  • Thyroid Stimulating Hormone (TSH)
  • Hemoglobin A1c (HbA1c)
  • Albumin
  • Cholesterol (total)


For Whom is This Product Intended?

If you engage in a high-stress job or face prolonged personal challenges without relief, this can result in chronic allostatic load. When such a load lasts for years, we can talk about the cumulative effect of allostatic load. It would not be an exaggeration to say that those with a high allostatic load are often at a greater risk of several health challenges, including:

  • Cardiovascular diseases.
  • Impaired cognitive functions.
  • Digestive issues.
  • Sleep disturbances.
  • Mental health disorders, including depression and anxiety.

While stress is an inevitable part of life, its impact on our bodies doesn’t have to be. Just as understanding your biological age can inform lifestyle changes to reduce health risks, comprehending your allostatic load can guide interventions on how to prevent job burnout and address the associated challenges stemming from stress at home.

This holistic approach addresses not only workplace stressors but also those encountered in personal life, ensuring a comprehensive strategy for maintaining overall well-being. As we delve into the significance of the Allostatic Load Calculator, we can appreciate its proactive approach to mitigating job burnout and other chronic stress, preserving long-term well-being.

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Study Your Allostatic Load to Understand How to Prevent Job Burnout

Allostatic load cannot be directly observed because it is a latent and unobservable trait, but it’s possible to estimate it by summarizing data from a number of appropriate clinical biomarkers. The main reason is that it provides valuable information about your overall health status and can help identify areas for improvement. By undergoing an allostatic load blood test, you gain a comprehensive insight into the cumulative impact of stress on your body’s physiological systems. This not only enables early detection of potential health risks but also empowers you with the knowledge needed to proactively manage and optimize your well-being.

In the quest to prevent job burnout, home measurements are as essential as blood test results. Assessing body composition with a measuring tape at home plays a crucial role in understanding your allostatic load. Monitoring changes in your body composition offers an accessible and practical method for tracking the physical effects of stress. From cardiovascular health to cognitive function, and now body composition, the results of these assessments collectively offer a roadmap for targeted interventions, guiding you towards a healthier, more resilient lifestyle.

How to Prevent Job Burnout Unlocking Your Allostatic Load

You can find out your allostatic load by taking blood tests, as well as taking some measurements of your body parameters. For residents of the Netherlands, the test package is available via the reference link above or through the Healsens app. Since the calculation requires not only blood tests but also measurements of body parameters, installing the Healsens app and ordering tests from it can be more convenient. Additionally, when ordering tests through the app, the results will be sent automatically. However, both options are equally effective.

1 Download the Healsens App from Google Play or the App Store, depending on your device.

2 Complete the registration process in the app.

3 Go to the “Risks” page via the bottom menu of the application.

4 Tap on the test you need — ”Allostatic Load Index (ALI)

5 Tap on the “Add to Cart” button inside the test page and proceed with the ordering process.

Process of taking blood tests in:

*For Residents of Other Countries: If you wish to assess your allostatic load but are not a resident of the Netherlands, Healsens cannot facilitate blood tests for you. However, you can take the necessary tests at any other laboratory in your country and input the obtained results into the application.


If you order a blood test package through our partner labs, you need to manually enter the blood test results into the app. Because the app has no information about the person placing the order, this is necessary for the correct processing of the results. To receive the results directly in the app, install the app, choose the desired lab test package, and place the order directly from the app. When the order is placed from the app, the system recognizes your profile, and the results can be received automatically!

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Biologische leeftijd berekenen

Biological Age Blood Test

Biologische leeftijd berekenen

Did you know that you can determine your biological age through a simple blood test? While your chronological age is based on your date of birth, a biological age blood test measures various biomarkers to determine how well your body is aging. By taking this test, you can gain valuable insights into your overall health and identify areas where you may need to make lifestyle changes to improve your biological age.

So, why should you care about your biological age? Well, research has shown that people with a higher biological age than their chronological age are at a greater risk for age-related diseases like heart disease, Alzheimer’s, and cancer. However, the good news is that you can take steps to reduce your biological age and lower your risk of these diseases.

Package of lab tests to calculate biological age:

  • Albumine Blood Test
  • Creatinine Blood Test
  • Fasting plasma glucose (FPG, Glucose Blood Test, Fasting blood Glucose test, FBG)
  • High-sensitivity C-reactive protein (hs-CRP) Blood Test
  • White Blood Cells (WBC)
  • Mean Corpuscular Volume (MCV)
  • Lymphocyte, % (LYMP%)
  • Red Cell Distribution Width, % (RDW)
  • Alkaline Phosphatase Blood test (ALP)


For whom is this product intended?

Biological age is a measure of an individual’s health and physical condition that goes beyond their chronological age. While we all age, the rate and manner of aging can differ significantly between individuals, based on lifestyle habits, genetics, and other factors. Measuring biological age can help individuals understand how their bodies are aging and identify areas for improvement in their health habits. One tool for measuring biological age is Levine’s Phenotypic Age calculator, which uses a combination of biological markers to estimate an individual’s age at the cellular level.

So, for whom is this product? In short, anyone who is interested in their health and wants to take a proactive approach to aging. Individuals who want to optimize their health and longevity may benefit from using Levine’s Phenotypic Age calculator. This tool can be particularly useful for individuals who are at higher risk for age-related diseases, such as heart disease or cancer, or who have a family history of such conditions.

Furthermore, individuals who have experienced significant changes in their lifestyle or health status may also benefit from measuring their biological age. For example, if someone has recently quit smoking, started exercising regularly, or made significant changes to their diet, measuring their biological age can provide an objective measure of the impact of these changes on their health.

Discover Your True Biological Age with a Blood Test: Why Should You Get Tested?

But why should you purchase lab tests to calculate your biological age? The main reason is that it provides valuable information about your overall health status and can help identify areas for improvement. By knowing your biological age, you can make informed decisions about your health and lifestyle, such as increasing physical activity, improving diet, or reducing stress levels.

Moreover, measuring biological age can help you detect potential health issues early on when they are more manageable. For example, if someone’s biological age is significantly higher than their chronological age, it may indicate that they are at higher risk for age-related diseases, such as heart disease or cognitive decline. Armed with this knowledge, you can take proactive steps to reduce the risk and improve your overall health and well-being.

In conclusion, measuring biological age using Levine’s Phenotypic Age calculator can provide individuals with valuable insights into their health and aging process. By understanding your biological age, you can take a proactive approach to your health and make informed decisions about your lifestyle habits. With this information, you can optimize their health and well-being and potentially increase their lifespan.

Ordering Blood Tests in the Netherlands

If you are interested in checking your biological age, you can easily purchase a blood test kit from Healsens.

1 Download the Healsens App from Google Play or the App Store, depending on your device.

2 Complete the registration process in the app.

3 Go to the “Risks” page via the bottom menu of the application.

4 Tap on the test you need — ”Levine’s Phenotypic Biological Age

5 Tap on the “Add to Cart” button inside the test page and proceed with the ordering process.

Process of taking blood tests in:

» Discover how to check and improve your health with Healsens preventive checkup plan.


If you want to assess your biological age but are not residing in the Netherlands or have opted for a different laboratory, Healsens cannot upload your blood test results for you. Nevertheless, you have the option to undergo the required tests at any laboratory in your country and manually input the obtained results into the application. Healsens will open more opportunities for you to naturally normalize your blood test results. Furthermore, you gain full access to investigate your health risk assessment based on the provided data.

Why should you trust Healsens to calculate your biological age?

Healsens is committed to providing you with accurate and reliable results that you can trust. We partner with Medical Laboratories Dr. Stein & Collegae, a highly respected and accredited laboratory in the Netherlands, to ensure that your blood samples are processed with the utmost care and accuracy. Lab Stein has an excellent reputation within the Dutch healthcare sector. With more than 20 medical specialists (laboratory doctors), chemists, biologists, doctors-microbiology etc. and 600 employees, the laboratory is one of the three largest medical laboratories in Europe. They carry out more than 5 million tests per year.

Furthermore, we use Levine’s Phenotypic Age calculator to estimate your biological age. This algorithm has been proven with high accuracy in multiple studies and is widely accepted as a reliable method for calculating biological age.

At Healsens, we understand that not everyone is comfortable with preventive medical examinations without a referral from their general practitioner. That’s why we work with our partners to ensure that our tests are conducted with the highest standards of care and confidentiality.

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Source: ©️2019 Healsens B.V. All right reserve

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blood tests netherlands

Ordering Blood Tests In The Netherlands

Ordering Blood Tests In The Netherlands

blood tests netherlands

With pleasure, we announce that starting from version 1.5 and above of our Healsens application, residents of the Netherlands can now request blood tests without a referral from a general practitioner. This functionality enables you to obtain the essential tests you need, eliminating the need for a doctor’s visit. Simplify your healthcare journey with our blood test service in the Netherlands.

To get started, simply log in to the Healsens application and follow the instructions to place your order. Our comprehensive set of laboratory tests, including blood tests, are available to residents of Amsterdam, Utrecht, Arnhem, and other cities across the Netherlands. You can choose our Healsens Checkup Plan, which assesses the health of your vital organs, inflammation markers, heart disease risk, fat metabolism, diabetes risk, anemia risk, and potential deficiencies in vitamin D3 and B12. Alternatively, you can use our DNAm PhenoAge calculator, developed at Yale University, to assess the condition of your liver and kidneys, immunity, inflammation, and metabolism.


How to Order Blood Tests in the Netherlands?

To order blood tests online in the Netherlands, you’ll need to download the Healsens mobile app and create an account by registering within the app.


Once logged in, you’ll have the option to choose from a variety of lab test packages, including the comprehensive Healsens screening plan, which assesses the most common age-related conditions. Additionally, lab tests from your Healsens plan are readily accessible, along with their respective prices. The application’s algorithm intelligently selects the relevant lab tests based on your chosen plan. If you prefer a custom examination plan, the algorithm will also assist in identifying and pricing the necessary tests from the available options. It’s not uncommon to find that after completing all the tests and obtaining results within the normal range, the application may not suggest ordering any additional tests. This is how the algorithm operates, guiding you to take only those tests from the list “Tests to be passed” or fall outside the healthy range. You can always view the complete list of available analyses in your profile. In the risk calculators section, you’ll also find the option to request a package of analyses for risk assessment. This is where you can conveniently order a package of analyses for DNAm PhenoAge or AIP calculator, among others.

After selecting your desired test package, you’ll need to provide some basic information such as your name, address, and contact details. You’ll also need to pay for the tests using a credit or debit card. Once your order is confirmed, you’ll receive a confirmation email with instructions on how to prepare for your test, such as any necessary fasting requirements.


You’ll then receive a tailor-made test kit from one of Healsens’ partners by post at your home address. The test tubes will be provided with a barcode linked to your research, and they will be specially prepared with liquid for shipping. It is important to check all your data to ensure it is correct.


In the confirmation email, you’ll be able to choose a nearby blood test center where you can have a blood sample taken. You’ll need to book an appointment and bring your referral letter, test kit, and ID to the center. The blood will be taken by professionals, and you should have all the tubes in your test kit filled.


Once you’ve had your blood sample taken, you’ll need to send the test kit back to the lab using the pre-paid packaging provided. Simply post the collection material with the lab form as a letter, not registered or with a track & trace code. Medical mail is very well organized by postal services in the Netherlands, and you can be assured that your samples will be delivered safely to the laboratory.

You’ll receive the results of your lab tests by email within a few days up to a maximum of 10 working days. No one else will receive your results unless you give written permission. You’ll be called first for results that require immediate medical follow-up.

You can use your lab test results to improve your health by getting advice on nutrition, supplements, and lifestyle changes. Healsens works together with various health coaches, specialists, and therapists who provide complementary care. The Healsens app provides access to personalized health plans, coaching, and support to help you achieve your health goals.

Why should you trust Healsens?

Healsens is committed to providing you with accurate and reliable results that you can trust. We collaborate with Medical Laboratories Dr. Stein & College, a highly respected and accredited laboratory in the Netherlands, to ensure that your blood samples are processed with the utmost care and precision. Lab Stein has an excellent reputation within Dutch healthcare. With over 20 medical specialists (laboratory physicians), chemists, biologists, doctors in microbiology, and 600 employees, the laboratory is one of the three largest medical laboratories in Europe. They conduct more than 5 million tests annually.

Availability: Our laboratory test package is cost-effective and utilizes affordable laboratory tests, making it accessible and user-friendly.

At Healsens, we understand that not everyone feels comfortable with preventive medical examinations without a referral from their general practitioner. That’s why we work with our partners to ensure that our tests are conducted to the highest standards of care and confidentiality.

Unlock your health insights with our smart data analysis – the Free Health Tracker app, your reliable medical record!

Drastically reduce the time to detect chronic diseases & inspire healthy habits

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Important Blood Tests to Get

Important Blood Tests To Get

Important Blood Tests To Get

Important Blood Tests to Get

Preventive medicine is rapidly advancing towards a more personalized approach. This shift is driven by international medical organizations that prioritize disease prevention and develop clinical recommendations that account for various risk factors. Despite this, many medical centers still offer a standard list of tests to all patients, disregarding individual risk factors and updated recommendations. This approach can lead to delayed diagnosis of many diseases. It is crucial to understand which important blood tests to get based on individual needs and risk factors to avoid missing a potential illness. Additionally, understanding which tests to get can also help avoid unnecessary tests, false diagnoses, and treatments that can lead to excess mortality.

This article was last reviewed by Svetlana Baloban, Healsens, on January 24, 2022. This article was last modified on 3 March 2023.

Screening examinations

Let’s delve into the concepts of diagnostic and screening tests. If you visit a doctor with specific complaints and they prescribe a list of tests, those are diagnostic tests. However, if the doctor also recommends tests unrelated to your complaints, those are screening tests. While diagnostics are relatively straightforward, screenings can be more complicated.

If you’re experiencing symptoms, diagnostic tests can help identify the underlying cause. These tests are tailored to your specific needs and symptoms. On the other hand, screening tests are typically used to detect a particular disease or condition before symptoms develop. These tests are often recommended based on age, sex, family history, or other risk factors, even in the absence of symptoms.


However, screening tests are not always necessary or appropriate for everyone. Some tests may carry risks or lead to unnecessary interventions and treatments. That’s why health screening can be complex. Many articles on screening present a staggering array of medical data, and many reputable organizations offer their own (often differing) recommendations on screening. But where do these differences come from?

One reason for differing screening recommendations is the varying levels of evidence supporting them. Some tests may have a strong evidence base, while others may not. Additionally, different organizations may prioritize different outcomes, such as mortality reduction or cost-effectiveness. For example, a screening test that is highly effective at reducing mortality may also be expensive or carry risks, leading some organizations to recommend against it.

Diseases that are good candidates for screening are those that are widely prevalent and cause significant morbidity and mortality. For example, in the United States, good examples are heart disease and lung cancer. On the other hand, trypanosomiasis may be a good target for screening in Tanzania, but not in the United States. Thus, screenings depend not only on gender and age, but also on the place of permanent residence. But that’s not all.

The Factors for Assessing the Need for Screening

There are several factors that contribute to identifying which blood tests are important to get and will provide benefits. For example, it makes no sense to screen for diseases that have no asymptomatic period. Additionally, even if there is an asymptomatic period, it is necessary to consider whether treatment started before symptoms appear will reduce morbidity or mortality. The effectiveness of treatment should also be considered as a factor in the need for screening. Why screen for a disease that cannot be cured?

When it comes to screening for diseases, the next important factor to consider is selecting the appropriate screening test. Medical researchers aim to find tests with high sensitivity and specificity, but no test is perfect. For instance, the screening approach for diabetes has changed multiple times. Prostate cancer screening using PSA1 is known for having a high rate of false positives, which can lead to additional testing. Conversely, normal levels of biomarkers may be present in someone undergoing cancer treatment that produces those biomarkers2. Thus, it’s crucial to ensure that you have been recommended the best screening test available before getting important blood tests to get. However, this is just one of the many factors that need to be taken into consideration before deciding on a screening test.

The next factor that should be considered is the family history of diseases. Studying the hereditary risk factors allows for not missing potentially dangerous diseases, which are usually not screened for in a wide range of people because they are rare. For example, there are multiple methods for testing mutations in genes such as BRCA1 and BRCA2. The most accessible and affordable method is PCR testing, but it’s also the least accurate, diagnosing only 5% of all mutation cases. Therefore, if you have a family history of breast or ovarian cancer, it’s recommended to use more advanced screening methods like NGS. It’s crucial to take all of these factors into account when determining which important blood tests to get to ensure early detection and prevention of potentially life-threatening illnesses.

Interesting Fact

Do you know that there are several methods for testing mutations in the BRCA1 and BRCA2 genes? The most accessible and inexpensive one is PCR testing for mutations in the BRCA1 and BRCA2 genes. And as you might guess, it is the least accurate. Only 5% of all cases of mutations will be diagnosed by this testing method. Therefore, if you have a family history of breast or ovarian cancer, the NGS method is used as a screening method.

What Important Blood Tests to Get?

Fortunately, medical organizations such as the US Preventive Services Task Force, the American Society of Clinical Oncology (ASCO), the Centers for Disease Control and Prevention, and others, develop and publish their guidelines on screening and prevention of diseases, including important blood tests to get. Typically, these guidelines take into account risk factors, assess the benefits and harms of screening, and recommend the most optimal screening tests. In addition, they are constantly updated, allowing for the latest research on disease prevention to be utilized.

Thus, you can compile a list of tests that are specifically needed for you. This same list can be obtained using platforms such as Healsens. Typically, such a list of screening tests includes:

  • Cancer screenings
  • Screenings for the most common age-related diseases
  • Laboratory tests for general health maintenance

And this is actually a great idea to accumulate all recommendations because the medical field often undergoes changes and updates. Collecting information about which tests to take in one place, as well as monitoring them carefully and linking to sources, can help doctors keep up with the latest developments and improve the quality of their work. In turn, patients can obtain more reliable information about screenings and health recommendations.

Overall, the Healsens checkup plan appears to be a comprehensive and personalized approach to preventive health maintenance, utilizing the latest medical guidelines and research to provide individuals with the most appropriate screening tests for their individual needs.

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Biologische leeftijd berekenen


Aging is an inevitable process, but there are differences in susceptibility to age-related diseases and the risk of death among people of the same chronological age. This means that different people have differences in the rates of biological aging. To better understand the differences between biological and chronological age, it is necessary to measure biological aging. For this purpose, various calculators of biological age have been developed, which allow us to assess the impact of lifestyle on the aging process. One such biomarker is DNAm PhenoAge, a biological age biomarker developed at Yale University. DNAm PhenoAge significantly outperforms previous measurements in predicting various aging outcomes, including all-cause mortality, cancer, health span, physical functioning, and Alzheimer’s disease1.

This article was last reviewed by Svetlana Baloban, Healsens, on March 4, 2023. This article was last modified on 28 February 2023.

What is Biological Age by DNAm PhenoAge?

DNAm PhenoAge is an aging biomarker developed at Yale University that measures a person’s biological age. It is based on data from NHANES III and includes 9 biomarkers, such as the number of red and white blood cells, as well as a person’s chronological age. It is capable of predicting risks of various aging outcomes in tissues and cells and provides insight into important pathways of aging2. The DNAm PhenoAge biomarker has been validated in NHANES IV as a strong predictor of morbidity and mortality risk, and has been tested for accuracy in calculations on several patient cohorts taking into account age-related outcomes.

So, the biological age according to DNAm PhenoAge is a fairly accurate predictor of healthspan and lifespan at the epigenetic level. This means that biological age according to DNAm PhenoAge can be used as an indicator of a person’s health status before any pathologies appear. For most people, this can be a good indicator of the real state of their health before they encounter any diagnoses.


How to determine your biological age?

To calculate biological age using DNAm PhenoAge, several simple blood tests need to be taken, including:

Biological Age Blood TestUnits
Albumin Liverg/L
Creatinine ↓Kidneyumol/L
Glucose, serum ↓Metabolicmmol/L
C-reactive protein ↓Inflammationmg/dL
Lymphocyte percent Immune%
Mean cell volume (MCV) ↓ImmunefL
Red cell distribution width (RDW) ↓Immune%
Alkaline phosphatase ↓LiverU/L
White blood cell count (WBC) ↓Immune1000 cells/uL
Table 1. Phenotypic aging measures

In general, the DNAm PhenoAge biomarker can be determined through inexpensive blood tests, making it accessible to most people. After receiving the test results, online calculators can be used to calculate one’s biological age based on DNAm PhenoAge. This is convenient not only for a one-time calculation but also for monitoring the dynamics of biological age over time.

Below you can see the biomarkers of our user who, over the course of several years, was able to reduce their biological age by 21 years compared to his chronological age with the help of changes in their diet and physical activity.

AlbuminCreatinineGlucosehs C-react ProteinLymphs (Lympocyte, % not absolute)MCV (Mean Cell Volume)RDW (Red Cell Dist Width) or Red Blood Cell Distribution Width (RDW-SD)?Alkaline PhosphataseWBC (White Blood Cells)Age
g/Lumol/Lmmol/LLn(mg/L)%fL%U/L10^3 cells/uLyears
Table 2. Lab test results of a 49-year-old man whose biological age is 21 years less than his chronological age.

How to use biological age calculator?

The calculated biological age by Levine’s DNAm PhenoAge is compared to the current chronological age. If the result is lower than your passport age, it is not only good news but also an indicator that your lifestyle positively affects your health. But what if the situation is the opposite? The most important thing is not to get upset! Now you know that you should pay attention to your health, and it makes sense to review your lifestyle. Thanks to the fact that there are several biomarkers, you can see what exactly to focus on. In addition, by making changes to your lifestyle, you can evaluate each individual indicator in addition to your biological age.

To understand whether the dynamics are positive for each indicator, let’s return to Table 1. Each biomarker contains arrows ↓ or ↑. These arrows indicate a positive trend. For example, the downward arrow “↓” next to the glucose level indicates that lower levels of glucose indicate a younger biological age.

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Is it possible to reverse biological aging?

New research shows that we can actually reverse biological aging through diet and lifestyle. In 2021, it was published the results of a pilot randomized clinical trial that demonstrated the ability to reverse biological age and was confirmed by objective outcomes3.

This is a very interesting observation, and there are several factors that can influence biological aging. Our lifestyle, comprising factors such as diet, physical activity, and stress, is considered a crucial element that affects biological age. In an effort to reverse the biological age in humans, researchers utilized a combination of diet, physical activity, and stress resilience techniques. The study monitored a group of individuals who were enrolled in a health program featuring a balanced low-calorie diet, daily 30-minute exercise at 60-80 percent intensity of maximum perceived exertion, and breathing exercises twice a day.

Additionally, the study also focused on the quality of sleep, and it was discovered that insomnia was linked to an increase in DNAmAge clocks. Another study also found a connection between poor sleep quality/less sleep hours and accelerated aging in a small sample of 12 college female students4.

In the end, those who adhered to the recommended health program showed a reduction in age by 9 years, indicating that by maintaining a balanced diet, regular physical activity, and effective stress management, we can improve our overall health and potentially slow down the aging process.

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Соотношение кортизол/ДГЭА-С


A complex interaction between cortisol and dehydroepiandrosterone-sulphate (DHEA-S) is crucial in the stress system balance. In particular, significantly higher or lower cortisol/DHEA(S) ratios have been associated with depression1 and aggression2. In general, DHEA-S levels affect various body systems, as well as prevent aging (Chahal and Drake 2007). That is why the Cortisol DHEA ratio is a very informational indicator, which, along with other indicators calculated in Healsens, provides important information about human health. Thus, using the ratio of cortisol / DHEA-S, you can assess body responses to exercise or evaluate mental health. Another benefit is that you can check your cortisol and DHEA-S levels at home.

This article was last reviewed by Svetlana Baloban, Healsens, on January 24, 2020. This article was last modified on 4 March 2021.

How Cortisol and DHEA Sulfate Affect the Body

Let’s start by looking at how cortisol and DHEA-S affect overall health. Dehydroepiandrosterone (DHEA) and cortisol are produced in the adrenal glands and are both derived from pregnenolone. So, DHEA and DHEA-S production reaches its peak at the age of 20–30 and then declines progressively with age. When it comes to cortisol levels, while some studies show that cortisol increases with age3, others do not support this observation4. However, everyone agrees that the reduction in DHEA-S entails disruption of various physiological systems.

Stress Level

As mentioned above, DHEA and DHEA-S play a protective role during acute stress as an antagonist to the action of the stress hormone cortisol56. In turn, cortisol also helps to effectively manage stress. Let’s see how this happens.

About 15 minutes after a stressful situation, cortisol levels rise and remain elevated for several hours. This marks the onset of stage 1. During this stage, there are elevations in cortisol with no corresponding changes in DHEA. Subsequently, glucose is mobilized, non-essential organ systems are suppressed, and inflammation is reduced. All of these physiological responses collectively enable the body to effectively cope with stress.

However, in cases of chronic stress, this adaptive reaction can take a catastrophic turn: cortisol loses its ability to function normally. This transition ushers in stage 2. In this latter stage, the persistence of stress leads to a sustained peak in cortisol levels, matched by a corresponding elevation of DHEA.


It becomes increasingly challenging to maintain appropriate blood sugar levels, to allow for adequate rest, to achieve high-quality sleep, and to achieve a harmonious balance among other hormones. This signals the arrival of stage 3, wherein stress persists and becomes chronic. During this stage, cortisol levels decrease, while DHEA remains elevated. In the absence of timely intervention, prolonged adrenal hyperstimulation can result in adrenal exhaustion. This condition is eventually manifested by a decline in both cortisol and DHEA, a phase often denoted as adrenal exhaustion or stage 4. Ultimately, this process may culminate in adrenal failure.

Thus, the optimal ratio between salivary cortisol and DHEA is approximately 5:1 to 6:1, serving as an indicator of a normal state of adaptation to stress7.

When the body’s ability to maintain its normal stress adaptation is compromised, a process known as stress maladjustment can ensue. This phenomenon is now recognized as a chronic stress response, often identified by terms like pregnenolone steal, cortisol escape, or an elevated cortisol to DHEA ratio. The longer one remains in a state of chronic stress, the more pervasive its negative impact becomes on various aspects of physical well-being.

As a result, individuals grappling with depression or heightened anxiety levels (measured at 0.24 ± 0.03 in the healthy group compared to 0.41 ± 0.12 in the group of individuals with severe anxiety)8, along with those dealing with post-traumatic stress disorder, exhibit disruptions in the cortisol to DHEA ratio9. Nevertheless, it’s worth noting that certain studies have demonstrated the potential of DHEA treatment to mitigate the adverse health effects associated with stress.

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Musculoskeletal disorders

We have already mentioned that cortisol dysfunction entails disorders of the musculoskeletal system10. Thus, the higher the cortisol / DHEA-S ratio, the more serious the risk of this problem.

Moreover, multiple regression analysis showed that the independent risk factor for sarcopenia was a serum cortisol/DHEA-S ratio ≥ 0.211. Sarcopenia is a type of muscle loss that occurs with aging and/or immobility.

Immunity and Cortisol DHEA Ratio

In addition, an increase in the cortisol / DHEA-S ratio with age (Phillips et al. 2007) is associated with immune dysfunction and the risk of infection in the elderly due to the fact that DHEA-S enhances immunity. However, cortisol has an inverse immunosuppressive effect (Buford and Willoughby 2005). It is also worth adding that DHEA-S is known for its antioxidant properties12.

Metabolic Syndrome

Various studies have shown that both cortisol and DHEAS are related to metabolic syndrome13, and type 2 diabetes14. While high cortisol concentrations are associated with an increased risk of metabolic syndrome, high DHEA-S levels appear to be protective. By far, the strongest associations were observed for the cortisol / DHEA-S ratio. According to observations, the higher the coefficient, the greater the risk of metabolic syndrome. This ratio is also strongly associated with four of the five components of metabolic syndrome.

Alzheimer’s Disease

The cortisol / DHEA-S ratio may also be crucial in Alzheimer’s disease. For example, some studies have found a link between the cortisol / DHEA-C ratio and a decrease in hippocampal volume15. It is worth saying that a decrease in the volume of the hippocampus is one of the early diagnostic signs of Alzheimer’s disease.

This finding has been confirmed by other studies, observing the relationship between cortisol / DHEA-S and hippocampal atrophy (HA)1617. For example, such a direct relationship was observed in patients with Cushing’s syndrome18. Moreover, HC volume partially recovered following treatment-induced cortisol decrease. However, not all studies support this association within normal cortisol levels in healthy people19.

To sum up, the ratio of cortisol / DHEA sulfate can reflect:

  • psychological health (high level of anxiety, depression, etc.).
  • more favorable hormonal profile which implies higher levels of DHEA sulfate and a lower cortisol / DHEA-S ratio.
  • increased risk of sarcopenia.
  • increased risk of metabolic syndrome and type 2 diabetes.
  • mortality in general, which is strongly associated with the cortisol / DHEA-S ratio

This article was last reviewed by Svetlana Baloban, Healsens, on January 24, 2020. This article was last modified on 4 March 2021.

Assessing Exercises

DHEA (Aldred et al. 2009; Cumming et al. 1986) and DHEA-S (Tremblay et al. 2004) have been shown to increase in response to active exercise. Measuring the ratio of cortisol to DHEA-S can help determine the intensity of physical activity. A higher level of cortisol and/or a lower level of DHEA-S may indicate significant physical stress. This can be valuable information for assessing whether the workout is sufficiently intense or if a lighter approach is needed to prevent overtraining. However, resistance training showed a stronger increase compared to endurance training (Tremblay et al. 2004). It’s also worth noting that trained and untrained people can cause different hormonal responses to exercise. So, untrained people experienced more significant increases in DHEA and cortisol levels2021. Such result was observed in both young people and people over 60 years old22.

How to define intensity of exercise?

For this purpose, the researchers used heart rate (HR) indicators. So the exercise was stopped as soon as the participants had reached 75% of their maximum HR. You can also determine maximum HR by the Tanaka formula:

208 − (age × 0.7)

So, for a 65-year-old person, the maximum heart rate will be 162 beats per minute. Consequently, 75% of this figure will be 121 bpm. Healthwise, muximum loads are not advisable. Therefore, it is recommended to use between 50% and 80% of the maximum.

Research has shown that 16 weeks of regular exercise decreased cortisol/ DHEA ratio by nearly 30%. In addition, athletes with the highest performance levels and the greatest amount of training had the lowest ratio. So,

Healthy Cortisol/DHEA-S Ratio

1 : 5 – 1 : 6

1:6 corresponds to 0.167 & 1:5 corresponds to 0.2

Adrenal/DHEA Restoration

High Adrenal/DHEA-S Ratio

Taking this into account, DHEA supplementation may be considered. Research confirms that it has a significant effect on the concentration of cortisol. For example, even a single morning dose of 200 mg DHEA can lower cortisol concentrations23. Moreover, in women, such a decrease was more pronounced.

An earlier study in healthy people came to the same result24. By the way, researchers also found that taking DHEA (300 mg) did not improve memory. However, supplementation is rational only in cases of decreased DHEA-S levels. In addition, it is important to monitor the sex steroid hormones as well as DHEA-S, because both deficiency and excess of DHEA can lead to negative symptoms.

In addition to DHEA supplements, your doctor may recommend pregnenolone25 and seriphos (phosphatidylserine)26. Seriphos was developed to aid in lowering cortisol. Besides, it contains key nutrients for stress resiliency. As for about pregnenolone, it is a steroid hormone. It plays a key role in the production of other steroid hormones, such as progesterone, DHEA, and estrogen.

Research also shows that fish oil supplements2728 and an Asian herbal medicine called ashwagandha both help to reduce cortisol levels29.

Calculated Cortisol/DHEA-S Ratio in Healsens App

Clinical Note

Improving adrenal function (augmenting DHEA and pregnenolone) can significantly enhance thyroid function, thereby reducing the amount of thyroid medication necessary. If this possibility is taken into account, it is suggested that any patient on thyroid should be closely monitored and lower dosages of pregnenolone and DHEA should be initially considered.

Low Adrenal/DHEA-S Ratio

So, as discussed in previous chapters, exercise has a positive effect on DHEA and cortisol levels. Besides, your doctor may recommend taking licorice extract. This is because licorice helps the adrenal glands prevent the breakdown of cortisol. In some cases, cortisol supplementation may be required.

Either with increased and decreased cortisol / DHEA-S ratio, an adrenal support program is recommended. So, try to balance your intake of protein, healthy fats, and carbohydrates. It will also be very beneficial to increase your vegetable intake to get the required amount of vitamins and minerals. To this end, foods high in vitamin C, B-5, B-6 and magnesium will assist in maintaining adrenal health.

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cardiovascular risk assessment


Cardiovascular diseases such as ischemic heart disease, thrombosis, arterial hypertension with its complications – myocardial infarction and stroke – constitute a dynamic multistep process that is closely related to inflammation1. It is well-known that CVD diseases rank first among all other diseases of mankind. Traditionally for making an accurate diagnosis, the patient must undergo a series of procedures, undergo lab tests so that the doctor can prescribe the necessary treatment. However, there is another way. Doctors can use cardiovascular risk assessment tools aimed at detecting the disease at an early stage. This time, not only will we consider different methods / risk calculators that are now used in clinical practice, but we will also make the corresponding calculations using a real example of a patient’s history. And, of course, let’s talk about why, given the presence of such intelligent systems, the CVD problem is still relevant.

This article was last reviewed by Svetlana Baloban, Healsens, on January 24, 2020. This article was last modified on December 15, 2020.

Why do you need cardiovascular risk assessments?

Before proceeding to describe various calculation methods, let’s find out why they are needed at all. To begin with, we shall that most heart diseases develop completely asymptomatically over many years. In practice, it means that if one doesn’t feel any health problems, he or she simply does not go to the doctor unless a critical condition occurs. So, according to some estimates, 3.7 million Americans2 remain with undiagnosed heart disease. At the same time, the highest proportion of undiagnosed CVDs, which led to death from cardiovascular diseases, is among people aged 18–59 years. This is especially true when you consider that obesity, type 2 diabetes, and other risk factors are becoming more common at a young age.

Second, understanding the risks allows for early diagnosis of CVD and, accordingly, preventive lifestyle interventions or treatment as needed. And thirdly, the assessment of risk factors can clearly demonstrate how the total risk changes if you switch to a healthier lifestyle.

That is why, as early as in 1948, the Framingham Heart Study was initiated under the direction of the US National Heart, Lung, and Blood Institute. It was an ambitious medical research project that changed the medicine we know.

As part of this study, the main risk factors for cardiovascular disease were identified. These include the following indicators:


Valuable information has also been obtained on the role of cholesterol, age, gender, and psychological problems. During this time, the risk assessment has changed and developed significantly. In this article, we will analyze what cardiovascular risk assessment means and what calculators are used now in medical practice.

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SCORE Risk Chart (Systematic Coronary Risk Evaluation)

The European guidelines for cardiovascular disease (CVD) prevention recommend the use of modified SCORE risk charts. SCORE estimates the 10-year risk of fatal and non-fatal CVDs such as myocardial infarction, cerebrovascular disease, and congestive heart failure3.

The first Joint Working Group of European societies on coronary prevention used a simple risk chart. For their calculations, they considered the following categories:

  • age;
  • gender;
  • smoking status;
  • assessment of total cholesterol;
  • assessment of systolic blood pressure.

Then, the diagram became more complex in order to assess risks more accurately. So, in addition to total cholesterol, the ratio of cholesterol to HDL cholesterol was also taken into account in risk assessments.

In addition, given the geographic variability in cardiovascular risk across Europe, two SCORE charts have been developed for countries with high and low CVD risk. Countries with low risk include countries such as Andorra, Austria, Belgium, Cyprus, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Israel, Italy, Luxembourg, Malta, Monaco, Netherlands, Norway, Portugal, San Marino , Slovenia, Spain, Sweden, Switzerland and the United Kingdom of Great Britain and Northern Ireland.

Countries at high risk of CVD: Bosnia and Herzegovina, Croatia, Czech Republic, Estonia, Hungary, Lithuania, Montenegro, Morocco, Poland, Romania, Serbia, Slovakia, Tunisia and Turkey.

And the group of countries with a very high risk (note that the diagrams may underestimate the risk in these countries) included such countries as: Albania, Algeria, Armenia, Azerbaijan, Belarus, Bulgaria, Egypt, Georgia, Kazakhstan, Kyrgyzstan, Latvia, North Macedonia , Moldova, Russian Federation, Syrian Arab Republic, Tajikistan, Turkmenistan, Ukraine and Uzbekistan.

Based on the data reflected on it, one can conclude about the level of risk:

  • high risk (above 10%) in the presence of two or more risk factors;
  • moderately high (5-10%) in the presence of two or more risk factors;
  • moderate risk (1–5%) in the presence of two or more risk factors;
  • low risk (below 1%) in the absence of risk factors or the presence of only one.

Due to this SCORE scale, the following cardiovascular diseases can be detected: stroke, myocardial infarction, pulmonary embolism, dissecting aortic aneurysm.

Framingham Risk Score

The Framingham Risk Scale (FRS) determines the presence of diseases such as angina pectoris, coronary heart disease, myocardial infarction, stroke. Like the SCORE scale, this system opens the door for making a forecast for the next 10 years. This scale was developed in North America. Thus, NCEP 4 recommends the Framingham Risk Score for cardiovascular risk assessment. You can also calculate it by yourself.

The total risk on the Framingham scale is defined as:

  • low (risk below 10%);
  • medium (risk from 10 to 20%);
  • high (risk above 20%).

A value over 30% indicates a very high risk of cardiovascular disease.

A 10-year risk estimate can be obtained as a percentage, which is then used to make decisions about disease prevention. This assessment is also evolving. For example, in 2009 CCS added additional risks to the Framingham risk scale4. It included a family history of coronary heart disease in a first-line relative. It takes into account male first-degree relative younger than 55 years and female first-degree relative younger than 65 years old. For elderly patients, sensitive C-reactive protein results can also help to reclassify risks.

Risks Calculators
Health Risks Calculators in Healsens App

Reynolds Risk Score

If you are healthy and do not have diabetes, the Reynolds Risk Score is designed for your cardiovascular risk assessment. It may predict your risk of heart attack, stroke, or other serious heart diseases over the next 10 years. The risk calculation is designed for people aged 45 and over. The scale assesses the following risk factors: gender, age, systolic blood pressure, total and “good” (high-density lipoprotein) cholesterol, hs C-reactive protein level, myocardial infarction in parents under 60 years of age, smoking. You can calculate it yourself on the website http://www.reynoldsriskscore.org/.

For the Reynolds scale, a risk score of 10-15% is considered a moderate risk of cardiovascular disease over the next five years.

If the risk estimate is less than 10%, then the patient is considered to be at low risk of cardiovascular disease for the next five years.

ASCVD (Atherosclerotic Cardiovascular Disease) Risk Score

The Atherosclerotic Cardiovascular Disease Risk Scale (ASCVD) is a national guideline developed by the American College of Cardiology. It calculates the 10-year risk of heart diseases, such as heart attack or stroke. This risk calculator is considered an important step forward in assessing the risk of both heart disease and stroke and provides estimates that are applicable to Blacks / African Americans. It is used among patients with no pre-existing cardiovascular disease aged 40 to 79 years.

ASCVD is also used as a decision making tool. For example, it can help a doctor determine which patients should receive statin therapy for the primary prevention of CVD5. The calculator has also been tested against the final USPSTF guidelines for initiating aspirin therapy6. It is also included in the JNC-8 guidelines for blood pressure management7.

The ASCVD risk score is given as a percentage:

  • A risk of 0 to 4.9 percent is considered low. Eating healthy and exercising will help reduce your risk. Medicines are not recommended if your LDL or “bad” cholesterol level is less than 190.
  • A risk of 5 to 7.4 percent is considered borderline. Statin use may be recommended if you have certain conditions or “risk enhancers”. These conditions can increase your risk of heart disease or stroke. Talk to your PCP to see if you have any risk enhancers.
  • A 7.5 to 20 percent risk is considered intermediate. Moderate statin therapy is recommended.
  • Risk above 20 percent is considered high. It is recommended to start with high-intensity statin therapy.

PROCAM Score (Prospective Cardiovascular Munster Study)

This PROCAM score for cardiovascular risk assessment makes it possible to determine the development of coronary heart disease and its complications – myocardial infarction, sudden death within the next 4–8 years.

This risk calculator takes into account non-modifiable developmental factors (gender, age, family history of myocardial infarction) and modifiable ones (smoking, systolic blood pressure, diabetes, total cholesterol, triglyceride, high-density lipoprotein, low-density lipoproteins). The overall score ranges from 0 to 87 when all risk factors are estimated. At the same time, the risk of cardiovascular diseases is defined as low at less than 20%, and high at more than 20%.

QRISK (QRESEARCH Cardiovascular Risk Algorithm)

The QRISK assesses the risk of developing cardiovascular diseases for the next 10 years, including the risk of myocardial infarction, coronary heart disease, stroke, and transient cerebrovascular accident.

Assessing factors of the QRISK scale: age, gender, smoking, body mass index, family predisposition to cardiovascular diseases, treatment with drugs that reduce high blood pressure. The age for assessing QRISK ranges from 25 to 84 years old. Low risk – QRISK2 score less than 10%. This means that the likelihood of a stroke or heart attack in the next 10 years is less than one in ten. Moderate risk – QRISK2 10-20%. High risk – QRISK2 score over 20%. This means that a person has at least two out of ten chances of having a heart attack in the next 10 years.

Moreover, when a patient is admitted to a hospital, the GRACE scale can also be used. It can be used to assess the risk of nosocomial mortality, mortality and the development of myocardial infarction.

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The 65yo Patient’s CVD Risks

As an example, let’s review the case of a patient who was admitted to the intensive care unit 3 hours before dying of myocardial infarction at the age of 65. His complaints include vomiting, nausea, weakness, and shortness of breath that appeared within an hour of admission to the emergency department. On the eve of the event, the patient several times consulted the doctor about pain in the stomach and uncontrolled vomiting. The main risks include smoking with more than 40 years of experience. The man did not have diabetes or hypertension.

Cholesterol6.43mmol / L
Cholesterol – HDL1.02mmol / L
Cholesterol – LDL4.56mmol / L
Triglycerides1.32mmol / L
C-reactive protein3mg / L
Blood pressure120/80Hg

Based on the health data, the risk assessment of cardiovascular diseases was:

  • ASCVD score – 20.8% (high risk)
  • SCORE scale – 12.7% (high risk)
  • Framingham risk – 18.6% (average risk)
  • according to Reynolds – 19% (high risk)
  • by the PROCAM scale – 60 points or> 40% (high risk)
  • result on the QRISK risk scale – 23.5% (high risk)
  • on the ASSIGN scale – 30 (high risk)

It is important to note that despite the high risks, the man was not offered or received preventive treatment to reduce CVD risks.

Effectiveness of Using CVD Risk Scoring

So, the main factors in the development of CVD are known and there are effective and safe methods of treatment, however, cardiovascular diseases remain the main cause of death and severe disability worldwide. What’s the matter?

The problem is that traditional methods of preventing cardiovascular disease have proven to be insufficient. First, in practice, only 60-65% of cardiovascular diseases are identified using risk calculations8. In addition, the data showed that calculated risks do not always lead to disease development. Conversely, many acute clinical events occur in patients with moderate or no risk. This is most likely due to the fact that many other factors are not included in such calculations. The problem is also that there is no single risk assessment system. Therefore, different organizations offer their own options.

Finally, absolute risk based guidelines for cardiovascular disease (CVD) prevention are poorly used worldwide9! Although the guidelines available, the absolute risk is often not assessed. And even when it is assessed, it is not necessarily used to make management decisions as we see in the above case of a 65-year-old patient.

Finally, we add that studies have unequivocally shown that different CVD risk scales are the best signal for a patient showing it is time to change lifestyle in order to reduce risk factors10. These tools are safe11, which means they can be used everywhere. So that everyone can know their results and understand what changes are needed to reduce risks, Healsens makes calculations for most of the presented calculators, corresponding to the patient’s age. To download the application, follow the links below.

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электронная медицинская карта мобильное приложение


Often, we encounter difficulties in obtaining a comprehensive medical history from hospitals – including analyses, imaging, and treatment information. Electronic health records, prevalent worldwide, often prove ineffective for patients due to data management complexities and the presentation of research findings in conventional lab reports. Recently, new solutions have emerged that provide patients with not only data but also valuable resources. However, given access to such a volume of patient data, why not analyze it? Research conducted by various physicians using diverse calculators and algorithms on electronic health records can significantly benefit patient health preservation. Let’s take a look at the example of the Healsens electronic health record – how it processes patient data to calculate health risks and the functionalities employed to achieve these objectives within the context of mobile health apps.

Healsens is designed to gather preventive medicine outcomes and implement them into personalized recommendations. One of its key objectives is assessing health risks, validating them through medical research, and providing preventive care. For individuals, this means having a solution at their fingertips capable of aiding in disease prevention. For physicians, it involves evaluating the risks faced by their patients. Let’s explore together the tools utilized by Healsens: risk calculators, screening plans, analysis of biometric data, tracking medical history, and lifestyle change recommendations. These components collectively elucidate how Healsens operates.

Health Plan and Health Screenings

The foundation of a preventive approach relies on two main pillars – health screenings and health risk assessments. Your health plan serves as your guide, continually adapting to changes occurring within your body. The main screen of Healsens immediately presents your personalized health plan, unique to each individual. It, much like you, evolves to track changes and respond promptly. If you’re young and healthy, your plan will be concise. As you age, it expands, considering potential bodily changes.

Initiated your plan? Explore its contents. Here, blood tests, at-home parameter measurements, health screenings, and questionnaires provide a comprehensive health assessment. Blood tests offer insights into your body, while questionnaires gauge your emotional well-being. These tools are recommended for self-diagnosis. For each examination, whether blood tests, MRI, CT scans, or ultrasound, you’ll discover:

  • Reasons for undergoing the examination.
  • Medical organizations’ recommendations regarding screenings
  • Optimal goals for achievement.



Storage and Analysis of Data in Healsens Electronic Cards

  • Mobile Health Apps: Healsens
  • Empowering Health Monitoring: Utilizing Mobile Apps for Personal Biometric Analysis


Upon the initial creation of the plan, it takes into account your age and gender, assuming your overall health. However, as new data becomes available, the plan becomes more personalized. Depending on changes, various analyses or health screenings may be suggested to you, and the app will notify you about the reasons for these changes.

The more diverse health factors are known, the better the electronic health record can tailor an individual screening list to maximize health preservation. This encapsulates the essence of a smart electronic medical record and the Healsens mobile app. Preventive medicine is increasingly becoming personalized, hence some screenings are recommended specifically for individuals in at-risk categories. Thus, some screenings may be proposed to you only after an assessment of health risks.

It’s worth noting that such a personalized approach not only saves money but also aids in better health issue diagnosis. Consider the facts: according to survey data, in 2018, over 65% of Europeans visited a doctor for preventive check-ups and tests. However, only 17% included age-related screenings, which are a primary cause of early mortality and disability worldwide.

Health Checkup Plan

Assessing your health condition and disease development risks

Assessing health status and risk calculators are the second crucial aspect in maintaining health. Numerous organizations develop their risk calculators, curate lists of risk factors, and collaborate with scientific entities to identify individuals at risk. The primary goal is disease prevention. It’s important to note that most chronic conditions are more effectively treated at early stages, making treatment more efficient, accessible, and usually resulting in fewer complications. For instance, prediabetes is considered a reversible condition, while unfortunately, diabetes remains incurable.

Within the Healsens app, the risk assessment process is complemented by a unique approach. Risk calculators, found in the “Risks” section, integrate data from your health plan, considering analysis results and other parameters. As you progress through the health plan, you automatically assess your risks. However, these calculators also consider the user’s profile, displaying only relevant risks.

Examples of such individualized approaches can vary. For instance, the cardiovascular risk calculator SCORE 2 is not optimal for individuals under 40 and is specifically designed for European continent residents. This specificity is detailed in the article “Assessment of Cardiovascular Risk.” Users under 40 or residing outside the SCORE 2 assessment zone will not see this calculator.

Storage and Analysis of Data in Healsens Electronic Cards

Mobile Health Apps: Healsens

The Healsens mobile app for electronic medical cards stands out as an exemplary suite of mobile health apps, enabling users to upload and monitor their own medical data. It isn’t tied to a specific clinic, doctor, or country, offering versatility for users globally. The card system is user-friendly: individuals from any part of the world can input their data, tailor it to their needs, and then track its dynamics. However, this approach comes with one drawback: the necessity for manual input of results. Yet, for some countries, medical history synchronizes automatically, which is undoubtedly convenient.

Every laboratory test and medical examination represented in numerical format can be visualized as graphs. In addition to standard values provided by laboratories, users have the option to set personal targets to assess the effectiveness of treatment and the pace of achieving optimal indicators. Within the app, laboratory references and user-set targets are displayed as two distinct entities. Why is this so?

Laboratories establish reference values, considering, among other factors, the accuracy of their equipment. This leads to different reference values set by different labs, accounting for their individual margins of error. It makes sense to preserve these ranges. The set targets for analyses in Healsens represent a more personalized reference, considering individual characteristics. Thus, both laboratory references and set targets are always accessible. Let’s delve a bit into the practicality of setting goals.

Alongside the health plan, users receive set targets for most analyses included in the plan. This is done to notify when a particular indicator is in the ‘risk’ zone. Healsens’ targets are generally narrower than laboratory references and can account for user risks. The app always provides reasoning behind the set targets (see screenshot on the right). Furthermore, users have the option to set their own goals. This allows users to customize indicators to their specific needs. Consider an instance where this becomes highly relevant: suppose a user has a congenital condition – Gilbert’s syndrome, where their bilirubin levels are higher than usual and are considered normal for them. By setting ‘individual targets’ for bilirubin, the user can monitor their personal reference norms and react only if they exceed those norms. Additionally, we regularly publish articles to provide detailed information about diagnostics and treatment options.

Empowering Health Monitoring: Utilizing Mobile Apps for Personal Biometric Analysis

Weight Control

Mobile health apps like Healsens offer a platform not just for medical research but also for inputting home measurement history, including blood pressure, weight, pulse, waist size, and other biometric data. Each of these data points plays a crucial role in assessing one’s body condition. Moreover, some metrics come with their own risk assessments.

For instance, waist circumference is a pivotal factor in the onset of metabolic syndrome, a precursor to various cardiovascular diseases. Meanwhile, the waist-to-hip ratio serves to assess body composition, shedding light on fat distribution and its associated health implications.

Our goal is to prevent disease, and if the disease is progressing – to detect it as soon as possible.

Health Screening Sources

Healsens’ screening plans are beneficial not just for patients but also for physicians. As previously mentioned, Healsens accumulates recommendations from various healthcare organizations like USPSTF, TFHC, and others in preventive medicine. These recommendations are constantly updated, incorporating new models and risk factors. Having access to such a wealth of information is not always feasible for physicians to stay up-to-date with the latest screening recommendations.

That’s why we continuously track all changes in medical guidelines and provide links to methodical recommendations, enabling both physicians and their patients to quickly catch up with updates. This way, you’ll always be informed about the latest news on maintaining your health.

However, all this information is challenging to utilize without knowing how to interpret it. Hence, Healsens will send prompts and suggestions based on your data results. Additionally, we regularly publish articles to provide detailed insights into diagnostic methods and treatment options. With Healsens, you’ll have access to up-to-date recommendations, personalized tips, and informational materials to make informed decisions about your health and prevent the development of early diseases.

health screening source

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Surveys represent another essential tool for understanding one’s health status. Perhaps you’ve encountered surveys on the website aimed at assessing overall health or anxiety levels. This data serves as a crucial supplement to health care. Firstly, assessing well-being and understanding mental health are closely linked to physical health. Chronic stress, for instance, can impact our bodies in various ways, requiring such tools for consideration. Furthermore, the Healsens app may request additional information about risk factors such as smoking to more accurately assess individual health risks.

One of Healsens’ advantages is the use of clinical tools widely applied in medical practice. The app also employs tools available for self-diagnosis. While these tools don’t replace visits to specialists, they complement understanding one’s condition and risks. These assessment tools are also reliable and well-known among doctors and specialists, facilitating communication with your physician and understanding your condition.

Monitoring Well-being and Health Diaries

At times, everyone might experience discomfort, ranging from headaches to insomnia. Regularly monitoring one’s health status through Healsens holds significant value. Imagine noticing changes in your well-being that seem minor but significant. Typically, we only consult a doctor when discomfort becomes significantly bothersome, making it hard to ignore. During doctor visits, providing detailed information about the nature and frequency of these sensations is often required for an accurate diagnosis. But what if you already have a detailed record of all these nuances? Healsens can help gather this information in advance. The app allows tracking health status, storing necessary data, and providing it to the doctor when needed.

Therefore, when you consult a doctor, you’ll already have a comprehensive record of how your conditions and symptoms have changed over time. This provides a more accurate picture of your health, expedites the diagnosis process, and enables more precise treatment based on a complete history of your observations.

Continuing to monitor your well-being throughout treatment is also crucial. It not only ensures the effectiveness of measures taken and allows for adjustments but also tracks how your body responds to therapy over time. A detailed view of health changes helps the doctor make more informed decisions, adjusting treatment based on the complete history of your observations. Consequently, this significantly enhances the healthcare process, elevating the therapy’s effectiveness by making it more personalized and tailored precisely to your needs.

Healsens goes beyond simply organizing and storing your health and treatment records. It also empowers you with knowledge on preventive care, offers insights into treatment methods from around the world, and provides clear explanations of modern approaches to early detection, which can help extend your lifespan.

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Source: ©️2019 Healsens B.V. All right reserve



Healsens is a state-of-the-art mobile health app that is revolutionizing the healthcare landscape. But what exactly is Healsens and how is it transforming our approach to well-being? Essentially, Healsens is a comprehensive health management platform—an innovative solution aimed at empowering individuals to take control of their health journeys. This advanced application merges technology and healthcare realms, enhancing awareness of potential medical conditions and preventive programs to prevent delayed disease detection. It accomplishes this through personalized health checkup plans that integrate medical records, health risk calculators, and lifestyle questionnaires. So, what is Healsens, you might ask? It’s the pioneering bridge between technology and proactive healthcare, redefining how individuals engage with their health.

Smart Health Tracker App

Healsens’s smart health tracker app stands at the forefront of modern medicine’s push for greater personalization, equipping professionals with tools to evaluate age-related health risks. Understanding these risks and actionable steps for mitigation is crucial for patients, potentially enhancing longevity.

This shift towards personalized care is supported by an increasing number of medical organizations. They’re developing risk calculators capable of selecting necessary screenings based on patients’ risk factors, allowing for a better assessment of individual characteristics. Despite their high prognostic value, these tools often elude patient access. Healsens not only addresses this accessibility issue but also, when exploring ‘what is Healsens,’ emphasizes the significance of both a health screening plan and a health risk calculator.



What is Healsens in Questions and Answers

  • What’s Essential for Lifelong Health Maintenance?
  • What benefits can measurements of physical characteristics like waist and hip circumference, along with other body parameters, provide?



Personal Health Screening Plan

Let’s explore how the Healsens health tracker app functions! Understanding one’s health begins with patient data, enabling various calculations. These data must consider gender and age, as the risks for a 20-year-old greatly differ from those of a 50-year-old. Age crucially defines the necessary data. However, that’s not all! Beyond age, the current body state plays a vital role. It’s essential to track factors such as waist fat accumulation, morning and post-stress blood pressure, overall well-being, insomnia or panic attacks, and smoking habits. These factors contribute to a personal profile that aids in assessing health risks from lifestyle. Some factors are alterable (modifiable), while others, like age, are beyond influence (non-modifiable).

Healsens recommends tracking this data through various sections within the application. Users can monitor their body composition in one section, while symptoms like insomnia or different types of pain are tracked in the ‘How are you feeling’ section. However, the most significant indicators will be incorporated into your personal health screening plan within Healsens.

The initial health screening plan is formulated based on age and gender, encompassing evaluations of physical well-being (such as weight, waist-to-height ratio, etc.), blood tests, medical examinations, and specific questionnaires addressing anxiety and mental health assessment. These tests are pivotal in assessing one’s health. Healsens accompanies each health screening with its purpose, guiding users on the significance of the test and suggesting optimal ranges (goals in the app) to mitigate health risks.

Why are personal health screenings crucial? Proactively monitoring health through such an app involves risk analysis, identifying vulnerabilities and suggesting interventions before issues arise. Early detection through screenings helps identify diseases at their initial stages, allowing for timely intervention and treatment—a goal for maintaining good health. Risk assessment helps to detect the problem even earlier and begin interventions before the disease develops.

As people age, they commonly experience chronic conditions like diabetes, hypertension, cardiovascular diseases, obesity, and certain types of cancer. Therefore, screenings are primarily aimed at these diseases. Moreover, some screenings are recommended only for people in high-risk areas. Thus, before offering screening, a patient’s risk assessment is necessary, recommending examinations only for high-risk cases. This approach not only saves money but also helps avoid unnecessary medical intervention. However, such an approach doesn’t guarantee the detection of all diseases, especially rare ones. Medical organizations recommend screenings where early detection and treatment are beneficial.

Finally, let’s illustrate this approach. Colorectal cancer risk increases with age, prompting screenings from age 50, though high-risk individuals should undergo earlier screenings for timely treatment. A similar principle applies to other conditions. For instance, women at high risk of breast cancer are advised to study BRCA1/BRCA2 genetic mutations, and a specific calculator helps smokers assess the need for Lung Cancer screening.

Health Risk Assessment

We’ve highlighted the importance of risk assessment in health preservation, illustrating Healsens’ pivotal role in evaluating potential risks. Yet, how reliable is this assessment? Healsens employs both clinical calculators and those validated in randomized controlled double-blind studies, showcasing their high prognostic value. The clinical calculators reflect well-known accuracies, facilitating streamlined communication among doctors and patients and ensuring alignment on health concerns. These calculators are reliable and well-known in the medical community. We will review how they work first.

These calculators are recommended for clinical medical practice, aiding in determining the probability of developing specific conditions. Their high accuracy renders their results reliable, serving as a starting point for initiating treatment. For instance, according to the latest recommendations, assessing the risk suffices to initiate treatment for cardiovascular diseases. This means that if a patient falls into a high-risk category based on the assessment, treatment can commence. Furthermore, research confirms that additional, more detailed heart examinations may not provide added benefits.

While risk assessment for cardiovascular diseases is widely known, biological age assessment receives less attention. This calculator isn’t used in clinical practice despite studies confirming its superior predictive ability for disease risk compared to actual age. In Healsens, we use a calculator known as the gold standard of biological age calculators. The calculator is also convenient as it utilizes readily available and inexpensive laboratory tests, accessible to the majority. It is also effective for lifestyle adjustments and evaluating their efficacy. We have a separate article dedicated to this topic.

Levine's Phenotypic Biological Age

Unfortunately, there is no single calculator that can determine the overall health of our body. At Healsens, we select a range of calculators to incorporate best practices and recommendations, covering the main age-related diseases. Therefore, in addition to analysis-based calculators, Healsens offers tools that assess your body structure, wear and tear due to stress, and more.

However, all these calculations won’t be beneficial unless you are willing to make changes in your life. Positive changes, even small ones at times, can yield significant results not only in calculations but also in your well-being. Many of our users have succeeded in losing weight, addressing long-standing issues, and feeling more energetic. These changes serve as the strongest support on the path to health.

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What is Healsens in Questions and Answers

We’ve dedicated several articles that delve into Healsens features in detail, and now we’ve prepared answers to frequently asked questions about Healsens. This helps summarize how the Healsens health tracker app aims to assist individuals in managing their health.

What’s Essential for Lifelong Health Maintenance?

To sustain lifelong health, understanding personal risk factors for various conditions is crucial. Equally important is the ability to mitigate these risks. Most importantly, it’s about the willingness to work on these factors!

Why creating a personalized list of screening tests is a complex task that requires the efforts of multiple specialists?

Much like consulting a cardiologist for heart issues or a gastroenterologist for stomach problems, specialists must identify the need for screenings in their respective fields and understand the benefits and risks of early detection. Evaluating when risks become significant and when personalized risk assessment is necessary is crucial. Assessing the sensitivity of lab tests also plays a vital role. Several medical organizations, such as the Preventive Task Force, compile and publish this information.

Take a close look at this list; it’s not yet fully prepared for use. Please sort the list by the A&B category. Next, to utilize it, you’ll need to open the list and review the required tests and screenings. Alternatively, you can install Healsens, which consolidates recommendations from various reputable organizations such as the American Society of Clinical Oncology (ASCO), the U.S. Preventive Services Task Force, the American Academy of Family Physicians (Summary of Policy Recommendations), the Centers for Disease Control and Prevention, the American College of Physicians, and the American Cancer Society, among others. Through Healsens, you’ll promptly receive a list of recommended tests. Additionally, Healsens utilizes risk calculators to assess health risks based on your gender, age, and smoking status.

What’s the connection between health risks and the necessity to evaluate and be aware of them?

Relationship Between Health Risks and the Importance of Assessment and Awareness Understanding risks and intervening promptly aids in preventing diseases before they manifest, whereas by the time results appear, you’re already dealing with the ailment and its treatment. Hence, in some cases, it’s appropriate to initiate treatment with high risk (as in the case of cardiovascular diseases) rather than waiting for confirmation via ultrasound and cardiograms.

What benefits can measurements of physical characteristics like waist and hip circumference, along with other body parameters, provide?

Measuring physical traits like waist circumference and others is as significant as lab tests. For instance, fat deposits around the waist can impact health as much as high cholesterol does. Similarly, a high resting pulse rate can indicate cardiovascular risks.

I use a health tracker app that offers me various sets of analyses. Is this good?

Your body functions as a complex system where interplay between organs and systems can manifest in various health issues or concerns. For instance, chronic stress can trigger a cascade of problems from insomnia to gastrointestinal issues. Elevated insulin levels might affect the hormonal system, and a woman facing gynecological problems might trace the issue back to the endocrine system. Simply selecting a test package to examine a particular organ’s function might sometimes fall short.

For specific complaints, consulting the relevant specialist is most reasonable. However, this doesn’t negate the importance of undergoing screening tests. They can help detect early signs of potential issues, even if they don’t show explicit symptoms or fall within a specific specialist’s expertise. This aids in preventing or timely identifying diseases that may originate from another body system.

Thus, the interconnectivity between different body parts underscores the significance of a comprehensive health approach, encompassing both seeking professional advice for specific concerns and undergoing regular screening tests for an overall health assessment.

Unlock your health insights with our smart data analysis – the Free Health Tracker app, your reliable medical record!

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