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
• Diabetes Screening - 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.

Men's Health
Lipid Testing - At age 35

Women's Health
Pap Test - Every 3 years
Mammogram [+] - Optional annually
Lipid Testing - Optional beginning at age 45

IMMUNIZATIONS
Tdap/Td - Every 10 years
Influenza - Yearly

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[+] 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 yearly.

The United States Preventive Services Task Force (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 vary for patients on chronic medications or for patients with personal or family health risks.

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