Preventive Healthcare for Adults Ages 40 – 65
Important health-screening guidelines to consider when you reach 40 and beyond.
The United States Preventive Services Task Force (USPSTF) recommends age-specific screening measures for adults to ensure optimal health.
- It is good practice to establish a healthcare provider for annual medical check ups even if you are healthy.
- Many chronic diseases like hypertension, diabetes mellitus, dyslipidemia, and kidney disease do not manifest symptoms in their early stages. A medical checkup and simple blood tests can easily reveal many of these disease processes in their early stages, at which time they can be medically managed and controlled.
Below are the following age-specific preventative healthcare screening test you should discuss with your medical provider
1. Screening for high blood pressure, also known as hypertension.
Ideally, this should start in your early 20s, however, it is essential to screen for as you get older. Hypertension affects about 45% of American adults and is a major risk factor for heart disease, stroke, and kidney failure.
A medical provider can check your BP, they will tell you if it is normal and advise you of ways to maintain a healthy range or measures to treat and prevent complications.
2. Screening for Diabetes Mellitus:
The American Diabetes Association (ADA) recommends universal screening for pre-diabetes and diabetes on all individuals 45 yrs and older.
- Diabetes is the leading cause of kidney disease and new cases of blindness.
- It is also an increased risk factory for cardiovascular diseases
- Screening asymptomatic individuals allows for early detection, diagnosis, and treatment with the ultimate goal of improving optimal health outcomes
3. Screening for colorectal cancer:
Screening for CRC starts at age 45 for individuals at average risk. People at increased risk, namely those with a family history of colon cancer or a personal history of inflammatory bowel disease should screen earlier. A colonoscopy is the best screening test to detect and treat colon cancer, especially in its early stages.
4. Screening for lung cancer:
Lung cancer is a leading cancer killer in the U.S. Smoking poses the greatest risk, hence screening is recommended if you currently smoke or have quit smoking in the past 15 yrs
- Are between the ages of 50 and 80
- Have smoked an average of 1pk/day for 20 yrs or 2pks/day for 10 yrs
- Screening with a low dose CT scan can help detect abnormal mass or tumors in your lungs at an early stage
5. Screening for Cervical Cancer: (Women)
- Ages 21-29 pap smears every 3 yrs
- Women aged 30-65, screen every 5 yrs
6. Screen for Breast Cancer: BRCA gene risk assessment
Consider the use of a risk assessment model for patients with a history of biopsy or positive family history
- Ages 40 screen for breast cancer or earlier if you have a family history of breast cancer
- Annual screening unless you have a positive biopsy. In that case you will need to be screend more frequently.
7. Screening for Osteoporosis (If post-menopausal and elevated risk)
- Screen women 65 years and older
- Screen postmenopausal women if you have a history of bone fractures
8. Screening for Prostate Cancer (Men)
Clear evidence exists that screening with a prostate-specific antigen (PSA) test can reduce the number of deaths from prostate cancer. The American Cancer Society recommends men should make an informed decision after discussing the benefits with their primary care physician.
- Men at high risk should screen at age 45 and follow up per primary care physician’s recommendations.
- Men at average risk can start screening at age 50 and then every 5 years if negative.
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