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Health screening - men age 65 and older

Definition

You should visit your health care provider regularly, even if you feel healthy. The purpose of these visits is to:

  • Screen for medical issues
  • Assess your risk of future medical problems
  • Encourage a healthy lifestyle
  • Update vaccinations
  • Help you get to know your provider in case of an illness

Alternative Names

Health maintenance visit - men - over age 65; Physical exam - men - over age 65; Yearly exam - men - over age 65; Checkup - men - over age 65; Men's health - over age 65; Preventive care exam - men - over age 65

Information

Even if you feel fine, you should still see your health care provider for regular checkups. These visits can help you avoid problems in the future. For example, the only way to find out if you have high blood pressure is to have it checked regularly. High blood sugar and high cholesterol levels also may not have any symptoms in the early stages. A simple blood test can check for these conditions.

There are specific times when you should see your provider. Below are screening guidelines for men age 65 and older.

ABDOMINAL AORTIC ANEURYSM SCREENING

  • If you are between ages 65 - 75 and have smoked, you should have an ultrasound to screen for abdominal aortic aneurysms.
  • Other men should discuss this screening with their provider.

BLOOD PRESSURE SCREENING

  • Have your blood pressure checked every year.
  • If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to be checked more often.

CHOLESTEROL SCREENING AND HEART DISEASE PREVENTION

  • Your cholesterol should be checked every 5 years if levels are normal.
  • If you have high cholesterol, diabetes, heart disease, kidney problems, or certain other conditions, you may need to be checked more often.

LUNG CANCER SCREENING

The U.S. Preventive Services Task Force recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults until age 80 who:

  • Have a 30 pack-year smoking history AND
  • Currently smoke or have quit within the past 15 years

COLON CANCER SCREENING

Until age 75, you should have one of the following screening tests:

  • A stool test done every year
  • Flexible sigmoidoscopy every 5 - 10 years, along with a stool guaiac test
  • Colonoscopy every 10 years

You may need a colonoscopy more often if you have risk factors for colon cancer, such as:

  • Ulcerative colitis
  • A personal or family history of cancer of the colon or rectum
  • A history of large growths called adenomas

DIABETES SCREENING

  • If you are age 65 or older and in good health, you should be screened for diabetes every 3 years.
  • If you are overweight and have other risk factors for diabetes, ask your doctor if you should be screened more often.

DENTAL EXAM

  • Go to the dentist every year for an exam and cleaning.

EYE EXAM

  • Have an eye exam every 1 - 2 years if you have vision problems or glaucoma risk.

HEARING TEST

  • Have your hearing tested if you have symptoms of hearing loss.

IMMUNIZATIONS

  • If you are age 65 or older, get a pneumococcal vaccine if you have never had one, or if it has been more than 5 years since you had the vaccine.
  • You should get a flu shot each year.
  • Get a tetanus-diphtheria booster every 10 years.
  • You may get a shingles or herpes zoster vaccine after age 60.

OSTEOPOROSIS SCREENING

  • If you have risk factors for osteoporosis, you should check with your provider about screening. Risk factors can include long-term steroid use, low body weight, smoking, heavy alcohol use, or a family history of osteoporosis.

PROSTATE CANCER SCREENING

  • Talk to your provider about prostate cancer screening. The potential benefits of PSA testing have not been shown to outweigh the harms of testing and treatment.
  • If screening is done, a PSA test is the best method.
  • Routine prostate exam for men without symptoms is not recommended.

PHYSICAL EXAMS

  • Have a yearly physical exam.
  • Your provider will check your weight, height, and body mass index (BMI).

During the exam, your provider will ask you questions about:

  • Your medicines and risk of interactions
  • Alcohol and tobacco use
  • Diet and exercise
  • Safety, such as using a seat belt, or smoke alarms
  • Depression

References

American Diabetes Association. Standards of medical care in diabetes -- 2014. Diabetes Care. 2014;37 Suppl 1:S14-S80.

Atkins D, Barton M. The periodic health examination. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 14.

Basch E, Oliver TK, Vickers A, et al. Screening for prostate cancer with prostate-specific antigen testing: American Society of Clinical Oncology provisional clinical opinion. J Clin Oncol. 2012 Aug 20;30(24):3020-5.

Centers for Disease Control and Prevention. Recommended Immunization Schedule for Adults, United States, 2014. http://www.cdc.gov/vaccines/schedules/downloads/adult/adult-schedule.pdf. Accessed July 24, 2014.

Gaziano M, Ridker PM, Libby P. Primary and secondary prevention of coronary heart disease. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, PA: Saunders; 2012:1010.

Greenland P, Alpert JS, Beller GA, et al. 2010 ACCF/AHA guideline for assessment of cardiovascular risk in asymptomatic adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2010;122(25):e584-e636.

Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014 Feb 5;311(5):507-520.

Helfand M, Carson S. Screening for Lipid Disorders in Adults: Selective Update of 2001 US Preventive Services Task Force Review. Rockville, MD: Agency for Healthcare Research and Quality (US); 2008 Jun.

Levin B, Lieberman DA, McFarland B, Smith RA, Brooks D, Andrews KS, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the U.S. Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. CA Cancer J Clin. 2008;58:130-160.

National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines): Colorectal cancer screening. Version 2.2013. Available at http://www.nccn.org/professionals/physician_gls/pdf/colorectal_screening.pdf. Accessed July 24, 2014.

National Osteoporosis Foundation. Clinician's Guide to Prevention and Treatment of Osteoporosis. Washington, DC: National Osteoporosis Foundation; 2013.

Peterson ED, Gaziano JM, Greenland P. Recommendations for treating hypertension: what are the right goals and purposes? JAMA. 2014 Feb 5;311(5):474-476.

Rex DK, Johnson DA, Anderson JC, Schoenfeld PS, Burke CA, Inadomi JM; American College of Gastroenterology. American College of Gastroenterology guidelines for colorectal cancer screening 2009 [corrected]. Am J Gastroenterol. 2009;104:739-750.

Screening for Prostate Cancer. U.S. Preventive Services Task Force Web site. http://www.uspreventiveservicestaskforce.org/prostatecancerscreening.htm. Accessed July 24, 2014.

Stone NJ, Robinson J, Lichtenstein AH, Bairey Merz N,  Blum CB, et al. 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults. Circulation. 2014 Jun 24;129(25 Suppl 2):S1-S45.

U.S. Preventive Services Task Force. Recommendations for adults. Rockville, MD: Agency for Healthcare Research and Quality; 2013. Accessed July 24, 2014.

U.S. Preventive Services Task Force. Screening for osteoporosis: recommendation statement. Am Fam Physician. 2011;83:1197-1200.

Whitlock EP, Lin J, Liles E, Beil T, Fu R, O'Connor E, Thompson RN, Cardenas T. Screening for Colorectal Cancer: An Updated Systematic Review [Internet]. Rockville, MD: Agency for Healthcare Research and Quality (US); 2008 Oct.
http://www.ncbi.nlm.nih.gov/books/NBK35179/. Accessed July, 24, 2014.

Wolf AM, Wender RC, Etzioni RB, et al. American Cancer Society guideline for the early detection of prostate cancer: update 2010. CA Cancer J Clin. 2010;60:70-98.


Review Date: 8/8/2014
Reviewed By: Deborah Greenberg, MD, Associate Professor of Medicine, Division of General Internal Medicine, University of Washington, Seattle, WA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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