Prevention Guidelines, Men Ages 40 to 49

Screening tests and vaccines are an important part of managing your health. A screening test is done to find possible disorders or diseases in people who don't have any symptoms. The goal is to find a disease early so lifestyle changes can be made and you can be watched more closely to reduce the risk of disease, or to detect it early enough to treat it most effectively. Screening tests are not considered diagnostic, but are used to determine if more testing is needed. Health counseling is essential, too. Below are guidelines for these, for men ages 40 to 49. Talk with your healthcare provider to make sure you’re up to date on what you need.

Screening

Who needs it

How often

Alcohol misuse

All men in this age group

At routine exams

Blood pressure

All men in this age group

Yearly checkup if your blood pressure reading is normal

Normal blood pressure is less than 120/80 mm Hg

If your blood pressure is higher than normal, follow the advice of your healthcare provider

 

Depression

All men in this age group

At routine exams

Type 2 diabetes or prediabetes

All men beginning at age 45 and men  without symptoms at any age who are overweight or obese and have 1 or more other risk factors for diabetes

At least every 3 years (yearly if blood sugar has begun to rise)

Type 2 diabetes

All men with prediabetes

Every year

Hepatitis C

Men at increased risk for infection – talk with your healthcare provider

At routine exams

High cholesterol or triglycerides

All men ages 35 and older, and younger men at high risk for coronary artery disease

At least every 5 years

HIV

All men

At routine exams

Obesity

All men in this age group

At routine exams

Prostate cancer

Starting at age 45, talk to healthcare provider about risks and benefits of digital rectal exam (DRE) and prostate-specific antigen (PSA) screening1

At routine exams

Syphilis

Men at increased risk for infection – talk with your healthcare provider

At routine exams

Tuberculosis

Men at increased risk for infection – talk with your healthcare provider

Check with your healthcare provider

Vision

All men in this age group

Every 2 to 4 years if no risk factors for eye disease2

Vaccine

Who needs it

How often

Chickenpox (varicella)

All men in this age group who have no record of this infection or vaccine

2 doses; the second dose should be given at least 4 weeks after the first dose

Hepatitis A

Men at increased risk for infection – talk with your healthcare provider

2 doses given at least 6 months apart

Hepatitis B

Men at increased risk for infection – talk with your healthcare provider

3 doses over 6 months; second dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose and at least 4 months after the first dose

Haemophilus influenzae Type B (HIB)

Men at increased risk for infection – talk with your healthcare provider

1 to 3 doses

Influenza (flu)

All men in this age group

Once a year

Measles, mumps, rubella (MMR)

All men in this age group who have no record of these infections or vaccines

1 or 2 doses

Meningococcal

Men at increased risk for infection – talk with your healthcare provider

1 or more doses

Pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23)

Men at increased risk for infection – talk with your healthcare provider

PCV13: 1 dose ages 19 to 65 (protects against 13 types of pneumococcal bacteria)

 

PPSV23: 1 to 2 doses through age 64, or 1 dose at 65 or older (protects against 23 types of pneumococcal bacteria)

 

Tetanus/diphtheria/
pertussis (Td/Tdap) booster

All men in this age group

Td every 10 years, or a one-time dose of Tdap instead of a Td booster after age 18, then Td every 10 years

Counseling

Who needs it

How often

Diet and exercise

Men who are overweight or obese

When diagnosed, and then at routine exams

Sexually transmitted infection prevention

Men at increased risk for infection – talk with your healthcare provider

At routine exams

Use of daily aspirin

Men ages 45 to 79 at risk for cardiovascular health problems

At routine exams

Use of tobacco and the health effects it can cause

All men in this age group

Every exam

1National Comprehensive Cancer Network 

2American Academy of Ophthalmology