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"The NHS England Health Check program mainly offers blood pressure, cholesterol tests and BMI measurements every five years to those aged 40-74. "Indicators such as blood pressure and cholesterol, which are the current focus of public health screening programs, are less useful as predictors of disability. The team say their work has important policy implications, particularly for screening programmes and prevention strategies.ĭr Davillas said: "We found that the markers which matter most for disability progression are associated with lung function, grip strength, obesity, anaemia, stress-related hormones and liver function. "In a publicly funded health care system, pro-rich inequity in health care use may be because people on lower low-incomes are heavily time-constrained, due to harsher employment and living arrangements, and may be more constrained in seeking the health care they need," Said Dr Davillas. This means that there is pro-rich inequity in health care use. "We tried to investigate the mechanism for why this happens and found that people with impaired biological health may develop disability in five years' time - resulting in increased health care and social needs."īut as a by-product of the analysis, the team found that people with higher incomes were more likely to seek the health care they need for their medical problems. "We also found that people's biological health is linked with future demand on healthcare services such as GP and outpatient consultations, as well as time spent in hospital. Dr Davillas said: "What we found is that underlying biomarker differences are linked with future disability - and that we could actually predict people's level of disability in five years' time, based on the biomarkers in their blood.