BETHESDA, Md. (NEWSnet/AP) — President Joe Biden “continues to be fit for duty,” his doctor wrote Wednesday after conducting an annual physical while the 81-year-old seeks reelection in November.

Dr. Kevin O’Connor, Biden's physician, wrote that the president is adjusting well to a new device that helps control his sleep apnea and has experienced some hip discomfort; but also works out five times per week.

“President Biden is a healthy, active, robust, 81-year-old male who remains fit to successfully execute the duties of the presidency,” O’Connor said in a six-page memo on the president’s health, following a physical that took Biden to Walter Reed National Military Medical Center for more than 2 1/2 hours.

His memo added that Biden “feels well and this year's physical identifies no new concerns.”

The oldest president in U.S. history, Biden would be 86 by the end of a second term, should he win one. His latest physical mirrored one he had in February last year when O'Connor described Biden as “healthy, vigorous” and “fit” to handle his White House duties.

O'Connor's report said that Biden’s stiff walking was no worse than last year and was the result of arthritic changes in his spine. He said the president also noted “some increased left hip discomfort.” There were no signs of stroke, multiple sclerosis, Parkinson’s or other similar conditions in what the report called an “extremely detailed neurologic exam.”

Biden, last summer, began using a continuous positive airway pressure, or CPAP, machine at night to help with sleep apnea, and O'Connor wrote that the president had responded well to that treatment and is “diligently compliant" about using it.

After he returned to the White House on Wednesday, Biden attended an event on combating crime and suggested that when it came to his health “everything is squared away” and "there is nothing different than last year.”

He also joked about his age and people thinking "I look too young.”

White House press secretary Karine Jean-Pierre said that O’Connor was one of a team of 20 different medical specialists who helped complete the physical.

Asked why Biden wasn't undergoing a cognitive test as part of the physical, Jean-Pierre said that O'Connor and Biden's neurologist “don't believe he needs one.”

“He passes a cognitive test every day, every day as he moves from one topic to another topic, understanding the granular level of these topics,” Jean-Pierre said, noting that Biden tackled such diverse issues as Wednesday's crime prevention event before his planned trip to the U.S.-Mexico border on Thursday and next week's State of the Union address.

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