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HealthSheets™

Prevention Guidelines, Men Ages 65 and Older

Screening tests and vaccines are an important part of managing your health.A screening test is done to find possible disorders or diseases in people who don't have any symptoms. The goal is to find a disease early so lifestyle changes can be made and you can be watched more closely to reduce the risk of disease, or to detect it early enough to treat it most effectively. Screening tests are not considered diagnostic, but are used to determine if more testing is needed.  Health counseling is essential, too. Below are guidelines for these, for men ages 65 and older. Talk with your healthcare provider to make sure you’re up-to-date on what you need.

Screening

Who needs it

How often

Abdominal aortic aneurysm

Men ages 65 to 75 who have ever smoked

1 ultrasound

Alcohol misuse

All men in this age group

At routine exams

Blood pressure

All men in this age group

Yearly checkup if your blood pressure is normal

Normal blood pressure is less than 120/80 mm Hg

If your blood pressure reading is higher than normal, follow the advice of your healthcare provider

Colorectal cancer

All men in this age group

Flexible sigmoidoscopy every 5 years, or colonoscopy every 10 years, or double-contrast barium enema every 5 years; yearly fecal occult blood test or fecal immunochemical test; or a stool DNA test as often as your healthcare provider advises; talk with your healthcare provider about which tests are best for you and when you no longer need colonoscopies (generally after age 75)

Depression

All men in this age group

At routine exams

Type 2 diabetes or prediabetes

All men beginning at age 45 and men without symptoms at any age who are overweight or obese and have 1 or more other risk factors for diabetes

At least every 3 years (yearly if your blood sugar has already begun to rise)

Type 2 diabetes

All men with prediabetes

Every year

Hepatitis C

Men at increased risk for infection – talk with your healthcare provider

At routine exams

High cholesterol or triglycerides

All men in this age group

At least every 5 years

HIV

Men at increased risk for infection – talk with your healthcare provider

At routine exams

Lung cancer

Adults ages 55 to 80 who have smoked

Yearly screening in smokers with 30 pack-year history of smoking or who quit within 15 years

Obesity

All men in this age group

At routine exams

Prostate cancer

All men in this age group, talk to healthcare provider about risks and benefits of digital rectal exam (DRE) and prostate-specific antigen (PSA) screening1

At routine exams

Syphilis

Men at increased risk for infection – talk with your healthcare provider

At routine exams

Tuberculosis

Men at increased risk for infection – talk with your healthcare provider

Ask your healthcare provider

Vision

All men in this age group

Every 1 to 2 years; if you have a chronic health condition, ask your healthcare provider if you needs exams more often

Vaccine

Who needs it

How often

Chickenpox (varicella)

All men in this age group who have no record of this infection or vaccine

2 doses; second dose should be given at least 4 weeks after the first dose

Hepatitis A

Men at increased risk for infection – talk with your healthcare provider

2 doses given at least 6 months apart

Hepatitis B

Men at increased risk for infection – talk with your healthcare provider

3 doses over 6 months; second dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose and at least 4 months after the first dose

Haemophilus influenzae Type B (HIB)

Men at increased risk for infection – talk with your healthcare provider

1 to 3 doses

Influenza (flu)

All men in this age group 

Once a year

Meningococcal

Men at increased risk for infection – talk with your healthcare provider

1 or more doses

Pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharide vaccine (PPSV23)

All men in this age group

1 dose of each vaccine

Tetanus/diphtheria/
pertussis (Td/Tdap) booster

All men in this age group

Td every 10 years, or Tdap if you will have contact with a child younger than 12 months old

Zoster

All men in this age group

1 dose

Counseling

Who needs it

How often

Diet and exercise

Men who are overweight or obese

When diagnosed, and then at routine exams

Fall prevention (exercise, vitamin D supplements)

All men in this age group

At routine exams

Sexually transmitted infection

Men at increased risk for infection – talk with your healthcare provider

At routine exams

Use of daily aspirin

Men ages 45 to 79 at risk for cardiovascular health problems

At routine exams

Use of tobacco and the health effects it can cause

All men in this age group

Every visit

1National Comprehensive Cancer Network 

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