Nightingale Health Check: Metabolic Screening Test

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Same-Day Appointment

MOH-Registered

Near MRT Stations

Find out how your metabolic age compares with your actual age from a single blood sample

• One blood sample, reported as your 10-year risk of 5 common diseases, your metabolic age, or both
• Home blood draw available for added privacy and convenience
• Doctor review of your results with personalised advice on what to change

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Located in Tanjong Pagar, Orchard, Jurong & Novena

Medically Reviewed By: Dr Leonard Leng – MBBS, MMed (FM), GDOM, DWD
Last updated: Sep 9, 2026

The Nightingale Health Check is a metabolic screening test that uses a single blood sample to estimate your 10-year risk of 5 common chronic conditions: heart attack, ischaemic stroke, type 2 diabetes, fatty liver disease and chronic kidney disease. It also summarises your overall metabolic health as either a Metabolic Age or a Metabolic Resilience Score.

Your risk is expressed in comparison with people of your age, sex and ethnicity. The test does not diagnose disease, and a raised risk score does not mean you have the condition.

A routine blood test checks whether each result is within the normal range today. The Nightingale Health Check analyses your results together and compares them against large groups of people whose health was tracked for more than 10 years, which allows it to estimate your risk of developing these conditions in future.

In a study of around 300,000 adults, University of Cambridge researchers found that adding the Nightingale Health Check to standard cardiovascular risk screening, which is based on cholesterol, blood pressure, age and smoking, identified more of the people who went on to have a heart attack or stroke.

The Nightingale Health Check measures around 40 values in your blood and reports 27 of them, grouped into 7. Together, these estimate your risk of developing 5 conditions over the next 10 years.

The Nightingale Health Check analyses a single blood sample using nuclear magnetic resonance (NMR) spectroscopy, the same technology behind an MRI scanner, which reads dozens of molecules from one sample at once instead of running a separate test for each one. Measuring the molecules your metabolism produces this way is called metabolomics.

The Nightingale Health Check is intended for adults aged 30 to 65. It tends to be most useful for:

• People with lifestyle or family risk factors – Those with a family history of cardiometabolic disease, or with habits they suspect are harming their health, who want to understand their risk before symptoms appear.
• People who feel well and have normal routine results – Chronic conditions can develop quietly over many years, and reading results one at a time may not reveal a pattern that a combined analysis picks up.
• People making changes and wanting to measure them – Anyone who has adjusted their diet, training or alcohol intake and wants an objective measure of whether those changes are showing up in their blood results.
• People focused on healthspan – Those interested in longevity who want a metabolic baseline they can track over time.

The test is not designed to diagnose an existing condition. If you have symptoms, or are already being treated for diabetes, heart disease or kidney disease, speak with your doctor about which tests are appropriate, as a risk-screening test may not be a suitable starting point.

1. Blood sample – One blood sample is taken at the clinic, or at home if you choose a mobile blood draw. The appointment takes about 30 to 60 minutes.
2. Analysis – The laboratory takes around 40 measurements from your blood and combines them into your risk estimates.
3. Report and review – You receive a report of your results within 1 to 3 working days, and your doctor will explain what they mean for you.
4. Retest – The test can be repeated after 3 to 12 months to see whether your results have changed.

• Do not eat for 4 hours before your blood sample is taken.
• You may drink water normally during that period.
• Continue your usual medications unless your doctor advises otherwise.
• If you intend to retest later, taking the sample at a similar time of day makes the two results easier to compare.

Depending on the package you choose, your Nightingale Health Check report shows your 10-year risk for the 5 conditions, your Metabolic Age or Metabolic Resilience Score with the blood values behind it, or both.

"The changes that lead to heart disease, stroke and type 2 diabetes are visible in the blood long before symptoms appear, and they respond to everyday habits. The Nightingale Health Check gives patients a starting point to track."
— Dr Leonard Leng

"The changes that lead to heart disease, stroke and type 2 diabetes are visible in the blood long before symptoms appear, and they respond to everyday habits. The Nightingale Health Check gives patients a starting point to track."

— Dr Leonard Leng

At ATA Medical, we offer the Nightingale Health Check with consultation and results review, alongside our longevity and lifestyle medicine services. Prices are as follows:

Related blood tests are measured by standard laboratory methods rather than the NMR analysis used for the Nightingale Health Check, and do not form part of the Nightingale scores.

• Tanjong Pagar Clinic
• Orchard Clinic
• Jurong Clinic
• Novena Clinic