In Latest Physical, Trump Proclaimed Healthy, but Obese

Alicia Ault

February 15, 2019

Although he is now officially obese, President Donald J. Trump has been declared in good health by the White House physician.

Sean Conley, DO, led the 4-hour exam on February 8 at the Walter Reed National Military Medical Center in Bethesda, Maryland. The president did not undergo any procedures requiring sedation or anesthesia, Conley said, in a memo released by the White House. Conley was assisted by 11 specialists.

"After taking into account all the laboratory results, examinations, and specialist recommendations, it is my determination that the President remains in very good health overall," said Conley.

The 72-year-old president weighed 243 pounds at the latest visit, up from the 239 pounds reported after a physical in January 2018. Conley said Trump is 6 feet, 3 inches tall; that puts his body mass index (BMI) at 30.4. 

In 2018, one of the memos issued by the White House — and reported by Medscape Medical News — said that Trump was 75 inches (6 feet, 3 inches) and 239 pounds, which would have put his BMI at 30.7.

A BMI over 30 is considered obese.

Increased Statin Dose

Trump's former White House physician, Navy Rear Admiral Ronny Jackson, MD, had encouraged the president to lose at least 10 pounds through a healthier diet and an exercise regimen. Conley's memo did not comment on whether Trump had changed his diet or begun exercising.

He did, however, note that Trump had increased his dose of rosuvastatin (Crestor, AstraZeneca) from 10 mg daily to 40 mg. Conley reported that Trump's total cholesterol was 196, his HDL was 58, and his LDL was 122. There was no mention of triglycerides or total cholesterol to HDL.

The cholesterol numbers represent some progress. In 2018, Trump's total cholesterol was 223, his triglycerides were 129, HDL was 67, and LDL was 143. The ratio of total cholesterol to HDL was 3.3.

Conley did not release any information about hemoglobin A1C. In 2018, Trump had a fasting glucose of 89 and a hemoglobin A1C of 5% — a normal measure.

The president's resting heart rate this year was 70 beats per minute and his blood pressure was reported at 118/80. In 2018, his blood pressure was 122/74 and his resting heart rate was 68.

"An updated baseline ECG was obtained and remains unchanged from last year," reported Conley.

At the time, Jackson said the ECG revealed a normal sinus rhythm of 71 and a normal axis. Trump also had a stress echocardiogram in 2018 that "demonstrated above-average exercise capacity based on age and sex," according to Jackson.

He also had a transthoracic echocardiogram, which showed normal left ventricular systolic function, with a 60%-to-65% ejection fraction, a normal left ventricular size and wall thickness, a normal right ventricle, and all normal valves.

Conley reported this year that the liver, kidney and thyroid function, electrolytes, and blood counts were all normal, and "no findings of significance or changes to report" for eyes, ears, nose, mouth, teeth, gums, heart, lungs, or gastrointestinal and neurologic systems.

Trump last year was given the Montreal Cognitive Assessment (MoCA) to screen for any potential cognitive deficits, and scored 30 out of a possible 30, according to Jackson. Conley made no mention of any additional cognitive testing in this year's exam.

The president continues — as reported in 2018 — to take 81 mg daily of aspirin for heart attack prevention, finasteride (Propecia, Merck) to treat male-pattern baldness, and antibiotics for rosacea.

During the latest exam, the president received the Pneumovax 23 and Shingrix vaccines for pneumococcal disease and shingles, respectively. In 2018, he received the Prevnar 13 pneumococcal vaccine and a second dose of the Twinrix vaccine for hepatitis A and B.

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