Unlock a Vibrant Lifestyle with Proactive Physiology Services
Our physiology and exercise health services are gold standard carried out where best suits you; at your gym or home or at our affiliated health club. Define your health journey: Discover the power of non-invasive physiological services and innovative technologies to help you take control of aging and embrace a vibrant, independent lifestyle. In so doing elevate your health, empower your life: Med-Ex "Fit for Life" is your partner in achieving optimal wellness, assisting you to live life on your terms.
Body Composition Analysis (European Standard)
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Body Composition Analysis or BCA is critical in tracking weight changes as well as determining the composition of those changes (fat versus muscle) and where in the body the change is occurring. For example in seniors muscle mass is an important consideration as muscle wasting can have significant implications for functional health and independent living.
Thanks to 40 years of research and presence in the market, more than 4000 peer reviewed articles and The AKERN® solution is the European gold-standard in bio-impedance body composition analysis. The tests help guide your diet and exercise journey providing objective measures of progress.
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15 minutes.
15 minutes for analysis and reporting.
BP & Cardiovascular Risk Assessments (non-invasive)
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It is important to know your cardiovascular risk and status particularly as we age and in regards to exercise. Why ? Because there is a high mortality risk associated with stiff arteries. Arterial stiffening is one of the most important determinants and increases the pressure against which the heart has to pump, that can reduce coronary/heart perfusion (myocardial ischaemia), and also increases pulse pressure that promotes end or damage to kidneys and high blood pressure and atheroma / atherosclerotic formation (Go et al., 2004; Haffner et al., 1998).
SphygmoCor® technology is used clinically for central arterial pressure waveform analysis to better inform blood pressure management. The SphygmoCor system helps physicians individualize care for patients with hypertension, renal disease, COPD, diabetes, and heart failure, among other diseases and conditions. This is the “gold standard” device used by health professionals globally.
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30 minutes.
45 minutes, 2 - readings with an exercise test to determine "active" arterial stiffness.
24hr Ambulatory Blood Pressure Monitoring
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Monitoring blood pressure (BP) is important as high BP can cause damage to pressure sensitive organs such as the heart and kidney. In a cross sectional analysis of the famous CRIC study patients with mean central pulse pressure > 50 mmHg pressure (not measured by a “simple” arm cuff) were at severe risk of chronic kidney disease (Townsend et al., 2010). Pulse pressure can only be measured using specialised devices, such as the Oscar 2™ Ambulatory Blood Pressure Monitor with SphygmoCor® inside. It is the gold standard in 24-hour ambulatory blood pressure monitoring (ABPM). A pressure measured over day and night captures the effects of daily activity and sleep on your blood pressure and is critical in charting medication dosage for BP regulation. It reveals both high and low blood pressure change.
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24 hours (covering any nocturnal dip or morning surge).
+30 minutes for analysis and reporting.
Cardiopulmonary & Pre-operative Assessment
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Cardiopulmonary Exercise Testing (CPET) is important because it provides valuable information about the cardiovascular and pulmonary systems during exercise. Cardio pulmonary exercise testing (also known as cardiopulmonary or CPET) refers to the heart and lungs, which are two essential organs that work together to provide oxygen to the body and remove carbon dioxide. This test is linked to health and longevity. It can help identify the presence and severity of various diseases or conditions. For example, heart failure, COPD, asthma, and other respiratory or cardiovascular disorders. CPET can also help determine a patient’s fitness level and develop individualised exercise programs.
Sub-maximal CPET is an exceptional tool for assessing the overall functionality of both heart and lungs, without being invasive. Careful assessment at lower stress testing involves the use of mild to moderate treadmill or Exercycle use over 3 short stages. It is particularly useful in determining fitness for operations that require general anaesthesia.
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30 minutes (Seniors, sub-max)
1 hour (Athletes).
+ 30 minutes analysis and reporting.
Holter ECG and Heart Rate Variability Assessment
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An electrocardiogram (ECG) is used to check how the heart is functioning. It mainly records how often the heart beats (heart rate) and how regularly it beats (heart rhythm). It can give us important information, for instance about possible narrowing of the coronary arteries, a heart attack or an irregular heartbeat like atrial fibrillation. While Heart Rate Variability (HRV) provides information on the accelerative/deaccelerative balance for example of the heart and has predictability for disease and mortality risk.
We utilise the most advanced ECG equipment from Cambridge in England, Finland and the US. We combine this with AI driven event analysis software to review longer ECG recordings (Holter monitoring upto 14 days) to find cardiac rhythm abnormalities and ensure accuracy of interruption. In particular we are able to provide the results to GPs and specialists in report formats for their assessment.
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30 mins - ECG and HRV readings are typical.
24 hour -7 day Holter monitoring.
+ 1 hour analysis and reporting.
Exercise Prescription and Cardio Rehabilitation
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Exercise prescription aims to use exercise as medicine. There are a few forms of exercise and in particular, aerobic or endurance exercises improve the health of your heart, lungs, and circulatory system. They also can delay or prevent many diseases that are common in older adults such as diabetes, colon and breast cancers, heart disease, and others. While strength training and gym based exercise keeps your muscles strong can help with your balance and prevent falls and fall-related injuries.
Prescription of specific exercise programs are those recommended by the American College of Sports Medicine - medically proven to assist with health and wellbeing. The frequency, intensity, time and type, (FITT) of each session are carefully matched to person’s intrinsic endurance, strength and functional fitness taking also into account exercise recovery.
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30 - 60 minutes (monitoring)
+1.5 hours for program design if required.
Gait, Balance and Functional Agility Assessment
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Gait, balance and agility are important measures relating to three areas of physiology. Pain, falls and functional rehabilitation. When physical pain occurs during walking it is useful to identify the parts of walking pattern that provide discomfort. The data can be electronically measured and shared with Surgeons, Physios and Podiatrists.
Physiological measurement of gait/balance and agility provides predictability of falls likelihood. With up to 45% of elderly people in the community falling annually (Delbaere et al., 2010), we can try and intervene and create preventative exercise.
A gait test can prevent the associated fragility fractures, loss of independence and quality of life, and premature mortality. Functional gait analysis can help identify weakness in walking pattern due to bone, foot or muscle weakness issues. It assists in creating specific exercise prescription to prevent loss of function and for rehabilitation post incident or surgery. Thirdly the tests can provide feedback on progression and rehabilitation.
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30 minutes
+ 30 minutes for balance and gait program design if required.
Range of Motion and Strength Testing
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Early identification of physical decline and appropriate interventions could help to prevent functional impairments, such as in walking and stair climbing, that often result in falls and physical frailty. (Alliance for Aging Research, 1999).
Aging results in an increase in body fat, reduction of muscle strength in both upper and lower limbs, and lower levels of flexibility, agility, and endurance. These factors mean that the ability to work and remain physically fit can be compromised.
We use highly accurate electronic Dynamometers to measure your strength and joint motion and assign Video assisted exercises via a Health app to your phone to assist your health journey and help change your functional fitness deficits into positives and halt or reverse decline. We can track your progress and measure your outcomes, help you age well.
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30 minutes
+ 30 minutes for strength and ROM program design if required.
Spirometry
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Spirometry is the most common type of pulmonary function or breathing test. This test measures how much air you can breathe in and out of your lungs, as well as how easily and fast you can the blow the air out of your lungs.
Your doctor may order spirometry if you have wheezing, shortness of breath, or a cough. This can help diagnose problems like asthmaand COPD, or can be done to check lung function before a surgery. You may also have spirometry done if you are being treated for a chronic lung disease, such as COPD, asthma, or pulmonary fibrosis, to determine if your disease is improving or worsening and whether your medications or inhalers are working properly.
Spirometry can be done in a doctor’s office or in the comfort of your own home with specialised pulmonary function testing equipment that we use.
Our equipment is the latest that has adherence to the latest international guidelines including ATS Interpretation 2021, ATS Spirometry 2019, ATS DLCO 2017.
We also offer standardised 6MWT, Endurance-Shuttle Walk Tests (E-SWT), Intermittent SWT and Titration tests. Using plethysmographic pulse oximetry we are able to create perfusion Indexes for each SpO2 value.
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45 minutes
+30 minutes for analysis and reporting.
+30 minutes for exercise design if required.
Biomarker Testing Coming Soon | physiological processes
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Coming Soon
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To be confirmed.
