Health Maintenance Guidelines
Ages 40 to 49
Wellness CheckCheck blood pressure, weight and height to calculate body mass index (BMI) and health risks.
- Hep C: Screening for those born between 1945-1965
- 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.
- Assessment of Risk for TB: To determine risk factors
- HIV: Routine discussion
- Alcohol Misuse: 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 10 years
- Pap Test: Every 3 years from age 21 (between ages 21-30, may be more often). At age 30, may switch to every 5 years with HPV screening.
- Folic Acid: All women planning or capable of pregnancy take a daily supplement containing 0.4-0.8mg of folic acid.
- Mammogram: Optional 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 on and take patient context into account, including the patient’s values regarding specific benefits and harms.
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)
Last reviewed: January 2014