Health Maintenance Guidelines
Ages 40 to 49
Check blood pressure and screen for obesity and health risks.
- Diabetes: All non-Caucasians; All Caucasians with sustained blood pressure greater than 135/80, or BMI greater than or equal to 25, or history of gestational diabetes, or family history of diabetes.
- HIV: Between ages 15-65
- Alcohol Misuse: Discuss with your provider
- Prevention of Sexually Transmitted Infections: Discuss with your provider
- Influenza: Yearly
- Tdap/Td: Adults under 65 who have never received Tdap should get a Tdap booster, regardless of when a prior Td was given. After this, Td is required every 10 years.
- Lipid Test: Every 5 years
- Chlamydia/Gonorrhea: Yearly through age 24 for sexually active women
- Cervical Cancer Screening: Pap only every 3 years for age 21-29, Pap test with HPV screening every 5 years from ages 30-65
- Mammogram: Optional yearly
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 analysis. Options for breast cancer screening should be discussed with your provider yearly.
The United State Preventive Services Task Force (USPSTF) recommends against routine screening mammography in women age 40–49. The decision to start regular screening mammography before age 50 should be an individual one and take patient context into account, including the patient’s values regarding specific benefits and harms.
Last reviewed: January 2016
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How to calculate your BMI:
> Underweight: Below 18.5
> Normal: 18.6 - 24.9
> Overweight: 25.0 - 29.9
> Obesity: 30.0 and Above
BMI = (Weight (pounds) divided by Height (inches)2) x 703
Weight Management Information & Calculator (MyLifeStages.org, opens to new window)