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Health Maintenance Guidelines
Ages 40 to 49
Check blood pressure, weight and height to calculate body mass index (BMI) and health risks.
SCREENING TESTS
- HIV Testing Discussion - Routine discussion
- Depression Screening - A formal screening
- Diabetes Screening - Recommended for all non-Caucasians, for individuals with sustained blood pressure greater than 135/80, BMI greater than or equal to 30, a family history of gestational diabetes.
Lipid Testing - Every 5 years
Women's Health
Pap Test - Every 3 years
Mammogram [+] - Optional annually
Lipid Testing - Optional beginning at age 45
IMMUNIZATIONS
Diphtheria-Tetanus-Pertussis, Td/Tdap - Booster every 10 years
Vaccination Information Sheets from the CDC
[+] Annual mammography in this age group has been confirmed to decrease mortality but is not recommended by all professional organizations due to differing risk-benefit analyses. Options for breast cancer screening should be discussed with your provider annually.
The USPSTF recommends against routine screening mammography in women aged 40 to 49 years. The decision to start regular screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms (Grade C Recommendation).
These guidelines may not pertain to patients on chronic medications or patients with personal or family health risks. In addition to the specific tests and immunizations listed here, health maintenance also includes regular monitoring of blood pressure, weight, height, vision, hearing, and risk factor screening for coronary artery disease, depression, diabetes, hypertension, memory change, sexually transmitted diseases, and for tobacco, alcohol and dietary concerns.
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Body Mass Index (BMI) is your weight in relation to your height.
How to calculate your BMI:
> Underweight: Below 18.5
> Normal: 18.25 - 24.9
> Overweight: 25.0 - 29.9
> Obesity: 30.0 and Above
BMI = (Weight (pounds) / Height (inches)2) x 703
Interactive Tool: Is Your Weight Increasing Your Health Risks?
How to calculate your BMI:
> Underweight: Below 18.5
> Normal: 18.25 - 24.9
> Overweight: 25.0 - 29.9
> Obesity: 30.0 and Above
BMI = (Weight (pounds) / Height (inches)2) x 703
Interactive Tool: Is Your Weight Increasing Your Health Risks?
