[An extended health surveillance program for mentally stressed employees--results and experiences].

One-week physical and psychic fitness training courses are held for nomenclature and management personal annually. Undergoing exercise bouts, they are tested for their cardiocirculatory capacity and given specific information on the type of continuous physical endurance training they should carry out. A follow-up course one year later reviews the level of fitness reached. The follow-up course focuses on a psychologically oriented manager training group talks and concentrative relaxation. Other groups of working people, including shift workers and mothers with several children are given the opportunity to undergo a four-week physical fitness training during preventive spa treatment courses. 140 persons attend this type of treatment every year. For the purpose of objectifying treatment results and reviewing the cardiocirculatory capacity random samples were taken of 20 persons exercising on a fitness machine before, immediately after and six months after the treatment course. Biochemical parameters were also determined. Physical fitness was up between 25 and 50 watts in 72 per cent of the test persons. Under exercise, the blood pressure and the heart rate fell significantly. The LPTT, cholesterol and uric-acid levels in serum were below the initial values. The improved fitness persisted only in 27 per cent of the test persons after six months, with the biochemical parameters equalling the initial values. Preventive measures in the form of physical fitness should be extended at enterprise and local levels. However, working people should be more aware of the possibilities available for physical fitness training.