President Bush’s doctors pronounced him healthy and in better shape than most men his age Tuesday, but the president himself seemed a little upset about packing on some extra pounds.

Doctors treated a small precancerous lesion on his left arm but indicated it was nothing serious. They told him to use sunscreen and wear a hat.

Bush got the works at his annual physical. It took more than four hours and was conducted by a team of nine doctors, overseen by White House physician Richard Tubb and Dr. Kenneth Cooper, the president of the Cooper Aerobics Center in Dallas. The group included skin, hearing, heart, eye and sports medicine specialists.

Before leaving the National Naval Medical Center in suburban Maryland, Bush – an avid mountain biker who is known to be intensely interested in his fitness level – homed in on the negative.

“I’m doing fine. My health is fine. I probably ate too many birthday cakes,” said the president, who celebrated his 60th birthday on numerous occasions last month.

The scale showed Bush at 196 pounds. He was 191.6 pounds at his exam last July. The physical also found the president shorter by a quarter of an inch, at 5 feet 11 1/2.