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Prevention Guidelines, Men Ages 50 to 64

Screening tests and vaccines are an important part of managing your health. A screening test is done to find diseases in people who don't have any symptoms. The goal is to find a disease early so lifestyle changes and checkups can reduce the risk of disease. Or the goal may be to detect it early to treat it most effectively. Screening tests are not used to diagnose a disease. But they are used to see if more testing is needed. Health counseling is important, too. Below are guidelines for these, for men ages 50 to 64. Keep in mind that screening recommendations vary among expert groups. Talk with your healthcare provider about which tests are best for you and to make sure you’re up-to-date on what you need.

Screening

Who needs it

How often

Unhealthy alcohol use

All men in this age group

At routine exams

Blood pressure

All men in this age group

Yearly checkup if your blood pressure is normal

Normal blood pressure is less than 120/80 mm Hg

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

Colorectal cancer

All men at average risk in this age group

Multiple tests are available and are used at different times. Possible tests include:

  • Flexible sigmoidoscopy every 5 years, or

  • Colonoscopy every 10 years, or

  • CT colonography (virtual colonoscopy) every 5 years, or

  • Yearly fecal occult blood test, or

  • Yearly fecal immunochemical test every year, or

  • Stool DNA test, every 3 years

If you choose a test other than a colonoscopy and have an abnormal test result, you will need to follow-up with a colonoscopy. Screening recommendations advice vary varies among expert groups. Talk with your healthcare provider about which tests are best for you.

Some people should be screened using a different schedule because of their personal or family health history. Talk with your healthcare provider about your health history.

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 your blood sugar has already begun to rise)

Type 2 diabetes

All men with prediabetes

Every year

Hepatitis C

Men at increased risk for infection; 1 time for those born between 1945 and 1965

At routine exams; talk with your healthcare provider.

High cholesterol or triglycerides

All men in this age group

At least every 5 years; talk with your healthcare provider about your risk

HIV

All males up to age 64 and men at increased risk.

At least once up to age 64 at routine exams; talk with your healthcare provider if you are at risk

Lung cancer

Men between the ages of 55 to 74 who in fairly good health and are at higher risk for lung cancer

  • Currently smoke or who have quit within past 15 years

  • 30-pack year smoking history

a Eligibility criteria and age limit (possibly up to age 80) may vary across major organizations

 

Yearly lung cancer screening with a low-dose CT scan (LDCT); talk with your healthcare provider

Obesity

All men in this age group

At yearly routine exams

BMI (body mass index)

All men in this age group

Every year, to help find out if you are at a healthy weight for your height

Prostate cancer

Starting at age 50, talk with your healthcare provider about risks and benefits of testing with digital rectal exam (DRE) and prostate-specific antigen (PSA) screening

At routine exams if you decide to be tested.

Syphilis

Men at increased risk for infection

At routine exams; talk with your healthcare provider

Tuberculosis

Men at increased risk for infection

Talk with your healthcare provider

Vision

All men in this age group

Talk with your healthcare provider

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

Hepatitis A

Men at increased risk for infection

2 or 3 doses (depending on the vaccine) given at least 6 months apart; talk with your healthcare provider

Hepatitis B

Men at increased risk for infection

2 or 3 doses (depending on the vaccine) second dose should be given 1 month after the first dose; if a third dose , it should be given at least 2 months after the second dose and at least 4 months after the first dose; talk with your healthcare provider

Haemophilus influenzae Type B (HIB)

Men at increased risk for infection

1 or 3 doses; talk with your healthcare provider

Influenza (flu)

All men in this age group

Once a year

Measles, mumps, rubella (MMR)

Men in this age group born in 1957 or later who have no record of these infections or vaccines

1 or 2 doses; talk with your healthcare provider

Meningococcal ACWY (MenACWY)

Men at increased risk for infection

1 or 2 doses depending on your case. Then a booster every 5 years if you are still at risk. Talk with your healthcare provider.

Meningococcal B (MenB)

Men at increased risk for infection

2 or 3 doses, depending on the vaccine and your case; talk with your healthcare provider

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

Men at increased risk for infection

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

PPSV23: 1 to 2 doses through age 64, (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 1-time dose of Tdap instead of a Td booster after age 18, then Td every 10 years

Zoster (Shingles)

All men in this age group

2 vaccines are available:

 

  • Recombinant zoster vaccine (RZV; Shigrix) is recommended as the preferred shingles vaccine. It is given in a series of 2 doses. The 2nd dose is given 2 to 6 months after the first. This is given even if you've had shingles before or had a previous Zoster live vaccine (ZVL; Zostavax)

  • Zoster live vaccine (ZVL; Zostavax) may be given to healthy adults over age 60. It's given in one dose

 

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

At routine exams; talk with your healthcare provider

Use of daily aspirin

Men ages 50 years and up in this age group who are at high risk for cardiovascular health problems and not at increased risk for bleeding as identified by their healthcare provider y

At routine exams; talk with your healthcare provider

Use of statins

Men between the ages of 40 and 75 years who have ; men

  • An LDL-C level of more than 70 mg/dL but less than 190 mg/dL, no diabetes and borderline to high level of risk

  • An LDL-C level of 190 mg/dL or greater

  • A diagnosis of diabetes and LDL-C level of greater than 70mg/dL

At routine exams, or more often as directed by your healthcare provider. Statin dosages may vary based on your overall health, risk factors, and other health conditions such as diabetes. Talk with your healthcare provider about your risk .

Use of tobacco and the health effects it can cause

All men in this age group

Every exam

Online Medical Reviewer: Daphne Pierce-Smith RN MSN CCRC
Online Medical Reviewer: L Renee Watson MSN RN
Date Last Reviewed: 5/1/2019
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