As part of last year 's physical exercise, Trump asked Dr. Ronny Jackson, a doctor at the time at the White House, to do something quite unusual. He asked her to take a cognitive exam.

These types of exams are not part of the routine of a standard physical exam. Jackson, who was also President Barack Obama's doctor, said it was the first time that he was aware that a president was undergoing a cognitive test.

"He's been actively asking me to include it, that's what we've done," Jackson told reporters, including myself, who attended a press conference revealing the results. of the examination. Jackson said Trump had received 30 out of 30 at Montreal's Cognitive Exam, a quick assessment for screening for mild cognitive impairment and early Alzheimer's disease, but not for the first time. a diagnostic tool.

According to him, if it will be administered again this year, it would be up to the president to decide. He saw no indication that this was necessary, he said, but "if the President wants to do one next year, we will do another one next year" .

The press conference itself was also unique in that it was one of the few to have been examined by a White House doctor to review the results of a medical examination.

Dr. William Lukash, President Gerald Ford's physician, was known to speak to the press about the results of the examination, but traditionally, the results of the physical examination of the commander-in-chief are communicated to the press. As a journalist and doctor, I never remember having covered a press conference during which the physical examination of the president had been discussed.

This is the cognitive test that the president has succeeded
At last year's review, we learned that Trump's blood pressure was normal, but his cholesterol and weight were a concern. In fact, his 239 books brought him close to being obese, according to the US Center for Disease Control and Prevention. guidelines.

What we know about President Trump's health

Its lipid panel indicated that its HDL (or "good") cholesterol level of 67 mg / dL was within the limits desired range 60 mg / dL or more. However, her total level of cholesterol and LDL (or "bad" cholesterol) had risen by previous evaluations.
In 2016, her total cholesterol was 169 and her LDL was 94 mg / dL. The most recent tests of last year revealed a total cholesterol level of 223 and an LDL of 143 mg / dL, both considered height limit. A total cholesterol level below 200 is desirable and an LDL level of less than 100 is considered optimal.

Although Trump does not have high cholesterol, it is a health problem. We know that a high cholesterol level increases the risk of heart disease.

New cholesterol recommendations offer a more personalized approach

Dr. Harold Bornstein, the president's former physician, said Trump was already taking a low dose of statin for several years to lower his cholesterol. During last year's press conference, Jackson said that he had recently increased the daily dose of 10 mg rosuvastatin, commonly sold as Crestor, provided by the president to the statin. , without specifying how much or how often.

We also learned that in addition to the statin, Trump daily took several vitamins, Propecia for hair loss, a daily aspirin for heart health and a cream for rosacea. a skin condition characterized by persistent redness of the face.

Jackson said he hoped to work with a nutritionist to improve the president's diet and prescribe a program of exercises. It's not clear if the president – who is well known for avoiding the exercises and who calls one of McDonald's Big Mac's favorite meals – has followed his doctor's recommendations.

Coronary Calcium Screening Predicts Risk of Heart Disease, Study Says
in the official reading of the physical examination, the White House did not reveal that Trump had also undergone a coronary calcium test. After being questioned, Jackson told reporters that the president had undergone a heart scan and scored 133 points on the test. According to Mayo Clinic"A score of 100 to 300 – moderate plaque deposition – is associated with a relatively high risk of heart attack over the next three to five years." Previous medical records indicate that in 2009, her coronary calcium score was 34 and in 2013, 98.

"Some people just have excellent genes"

Despite these factors, Jackson was rather optimistic about the president's health.

In his report, he pointed out that the first patient had no family history of heart disease and attributed to the president a "long period of abstinence from tobacco and alcohol." "as the key to alleviating concerns about heart disease. Trump is known for taking a sip of wine here and there, but usually does not drink.

At the conference, Jackson told reporters, "This is called genetics, I do not know, some people just have excellent genes." Jackson added profusely: "I told the president that he had a healthier diet over the last 20 years, he could live up to 200 years old".

Pentagon opens investigation into Ronny Jackson's allegations

Trump's records indicate that he had a colonoscopy in 2013 that showed no signs of abnormal tissue growth or cancer. A colonoscopy was not performed during the examination last year, but Jackson said another should be held this year.

Jackson also told reporters that he was ready to work hand in hand with the First Family to encourage the president to eat better and to do more exercise. "Her daughter, Ivanka, and Mrs. Trump are both supporters of a healthier diet and exercise, so they will be my partners in solving this problem," Jackson said.

Later in the spring of 2018, Trump hired Jackson to lead the Veterans Administration. He finally withdrew after becoming involved in the confirmation process policy. Since then, it has not been known who was responsible for monitoring the president's health.

Last year, Dr. Sean Conley took over from Jackson as the head of the White House medical unit, overseeing a medical team that sees and treats the president. This role traditionally serves as a doctor to the president.

Stress and health

There is no doubt that the job of president is stressful. A 2015 study in the British Medical Journal, it was found that presidents and elected officials generally lived three years less and had a 23% higher risk of premature death than their vice presidents. This gap can be amplified among presidents who have suffered from a pre-existing chronic condition, which is not the case with Trump.
Is golf an exercise?

Jackson had been excited to return to the podium to share this year's physical and lab results, but it's not clear whether Conley, or another member of the White House, will do the same, this year.

At the press conference last year, Jackson was prescriptive. "We would like the LDL to drop below 120, so we are aiming for that," he said. He added that he would like to see the president lose 10 to 15 pounds. Considering that the president's weight and cholesterol seem to be the biggest concerns, these are the right goals. As a doctor, I agree.

Jackson has increased the dosage of his statin – although we do not know how much or how often. And he was right to focus on diet and exercise. But the question now is not how to get there.

The question now, as we wait for the possible news of a second annual visit, is how was the president willing to receive a patient?

CNN's Nadia Kounang contributed to this story.