Measures for achieving recruits' enhanced fitness--a transversal study.

Because of 10.94% frequency in obese recruits in Rijeka in 2005 occupational medicine decided to study causality of that and other most frequent diagnoses: pedes plani, myopia and astigmatism, kyphosis and scoliosis, asthma, hypertension and branch block. Double monitoring of 1,311 recruits was carried out by a transversal study during 2005, 2000 and 1995 and within each year according to location: city, suburbs, islands. The differences in the three periods in the city were obesity (p < 0.05) with highest frequency in 2005, asthenia (p < 0.05) with lowest frequency 0.99% in 2005, and pedes plani (p < 0.05) with highest frequency in 1995. Suburbs showed (p < 0.05) forpedes plani, p = 0.054 for obesity, and the islands obesity (p < 0.05). Myopia and astigmatism frequency went up to 25%, kyphosis to 14.13% and asthma to 5.43%. Hypertension frequency was negligible. Occupational medicine decided to react by measures increasing recruit fitness cooperating with school medicine, teachers and parents, by check-ups, corrections, dieting and physical activities.