wellness — By tina sindwani, md and louis depalo, md of the health center at hudson yards
Please note: These checklists are for guidance and not comprehensive of all situations and needs. It’s important to speak with your provider about your family history and specific health concerns.
Tests, Vaccines, and Tips for Adult Men of All Ages
For Men’s Health month in June, we published an article on men dispelling fear and developing interest in their health. Unlike women, men are less likely to visit their physician for routine exams and preventive consultations, leaving many men without a trusted doctor to consult with when health concerns arise.
For adult men of all ages, it is very important to develop a relationship with a primary care provider. They can educate and steer you down the best path for optimal health as well as serve as a reliable source for keeping you on top of your health as you age. Decisions you make in early adulthood impact the longevity of your health, therefore, the sooner you get attuned to your body, family history, and health goals, the better your outcomes.
This checklist is meant to help guide you on the vaccines, screenings and other health risks to be aware of as you age.
Young adulthood: 20-40 years
Considered the honeymoon of health, this is a time when you are achieving physical and mental prowess.
Facing health concerns or discussing them with your physician can feel uncomfortable, but it is important to address concerns when they arise. You never want to ignore symptoms. For example, if you discover a lump or have pain in a testicle, it’s important to tell your doctor. Testicular cancer is the most common cancer among men ages 15 to 34.
Developing healthy exercise, eating, and self care habits at this stage of life is crucial for sustaining long term well-being. Consult with your doctor on diet, exercise, sleep, smoking, STI screening and prevention, and alcohol consumption. These years can bring added stress with balancing careers and building a family. The USPSTF also recommends screening for depression in the general adult population. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up. The coping mechanisms you develop at this stage will help you to endure through difficult periods later in life as well.
Middle years: 40-60 years
Combination of lifestyle choices we made when we were younger mixed with genetic risk factors from our parents.
Heart health, high blood pressure and weight gain are all areas to watch during these years of life. Metabolism naturally slows with age, so maintaining an active lifestyle and healthy dietary habits will help to offset this. Adults should get 30 minutes of aerobic exercise per day, five days a week and two days per week of strength training. The Mediterranean diet has been studied as one of the best diets to follow to promote longevity and to reduce the risk of coronary artery disease and cancer. And remember to take care of your skin, your largest and most visible organ! Talk with your healthcare provider if you notice any skin changes, unusual moles, or if you have a family history of skin cancer. Additionally, talk with your doctor about your personal risk profile for prostate cancer.
Later years: 60+ years
A time when you need to be regularly on top of your health.
Grieving is more prevalent in these years, experiencing the loss of a partner, family, or friends. Staying socially involved and physically active are important for your mental health. You also want to engage in activities that stimulate your brain and cognition. Continue 30 minutes of aerobic exercise per day five days a week and two days per week of strength training.
Schedule routine consultations with your doctor to stay on top of any changes in health.
Flu shot every year
Tetanus booster every 10 years
Whooping cough vaccine (Tdap booster) once in adulthood (unless you had one as a preteen or teenager)
Human papillomavirus (HPV) vaccine: If you’re 26 or younger and haven’t received it yet (catch up vaccination is now approved for adults up until the age of 45): 3 doses
Shingles vaccine at age 50: 2 doses
Two pneumonia vaccines starting at 65
|Type 2 Diabetes||Prostate Cancer|
|Hepatitis C||Colon Cancer|
|Sexually Transmitted Disease||Lung Cancer|
Starting at age 20, have your cholesterol tested every four to six years. You may need to test more often if you have heart disease or a family history of heart disease, diabetes, or other cardiac risk factors.
Starting at age 20, have your blood pressure checked at least once every two years. If your blood pressure is higher than normal (120/80), you may have it checked more often.
Type 2 Diabetes
Screenings usually start at age 45 and are done every 3 years. If you’re overweight and have one or more other risk factors, such as a family history of diabetes or high blood pressure or cholesterol, you may start screening at a younger age or more frequently.
The USPSTF recommends screening for hepatitis C virus (HCV) infection in adults aged 18 to 79 years.
Sexually Transmitted Disease
If you’re sexually active with more than one partner, get screened at least once a year or more often if applicable.
All men between the ages of 15 and 65 should be screened at least once. Talk with your provider about how often you should be tested after the initial screening. Learn more about HIV from our interview with Dr. Michael Mullen, a pioneer in HIV treatment, Director for the Institute of Advanced Medicine and a Professor of Medicine and Infectious Diseases at Mount Sinai Hospital in New York.
Annual exams are recommended for individuals with existing vision correction prescriptions.
At age 40, all adults should receive an eye evaluation.
Men 65 and over with no risk factors should be examined every 1 to 2 years. This should include having your eyes checked for signs of cataracts, age-related macular degeneration, and glaucoma.
Talk with your provider about a hearing test if you are having any issues with your hearing.
At age 45, be sure to talk to your doctor about the risks and benefits of testing for prostate cancer. Prostate cancer affects 3 million men in the United States, claiming roughly 30,000 lives each year, but if detected early, is curable. See our interview with Ash Tewari, MD, urologist and prostate cancer specialist at the Icahn School of Medicine at Mount Sinai to learn more about screening for prostate cancer.
At age 50, talk to your doctor about having either a colonoscopy every 10 years, or other colon cancer screening options are available. Screenings should take place until 75 years of age. If you have a family history of certain genetic conditions or one or more first degree relatives with colon cancer or colon polyps, then you may need to have a colonoscopy earlier. Also, there are some alternatives for colon cancer screening also available including FIT testing and Cologuard. Talk to your doctor to learn more about the options.
The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery.
At age 70, have a bone density test and be screened again every two to three years. You may want to talk to your doctor about screening earlier if you have certain risk factors, such as family history, low body weight, smoking, thyroid disease, certain medical conditions, a history of taking prednisone, or a history of fractures.
About the Providers
Tina Sindwai, MD
Premier Physician for The Health Center at Hudson Yards
Tina Sindwani, MD is one of the pioneers of concierge health, having worked at one of the first concierge primary care practices in an academic setting at the University of California San Francisco. Over the course of 10 years, her role evolved from Associate Medical Director to Medical Director and the practice grew from 150 to 1,100 patients. She was integral in creating a future-forward lifestyle management program including preventative genomic testing. She has recently relocated to New York, and in addition to her role at The Health Center at Hudson Yards, she is an Assistant Clinical Professor of Medicine at the Icahn School of Medicine at Mount Sinai.
Louis DePalo, MD, FCCP
Medical Director for The Health Center at Hudson Yards
Dr. DePalo, who is routinely listed among the top doctors in America and the New York Metro Area, most recently served as the System and Site Clinical Director of the Respiratory Institute, Mount Sinai Health System and Professor of Pulmonary, Critical Care and Sleep Medicine and Adjunct Professor of Infectious Disease, Icahn School of Medicine. He was a UNOS certified physician with clinical interest in advanced lung diseases including ILD, hypersensitivity pneumonitis, vasculitis, sarcoidosis, bronchiectasis, refractory asthma, and lung cancer. Dr. DePalo also served as primary care provider for complex patients coordinating multidisciplinary care teams to provide optimum care. He is a graduate of Georgetown University and New York Medical College and has a graduate degree in Human Physiology. He has extensive research experience in cell and molecular biology.