Routine Health Maintenance for Men

Some say men take better care of their cars than they do themselves. But at least a car comes with an owner's manual telling you when scheduled service is due.

Few health maintenance issues are as predictable as tire rotations and oil changes. But attention to just a few basic health issues can go a long way. Since you can't trade yourself in, it's well worth it to leaf through WebMD's health maintenance and checkup tips for men.

1. Know Your Cholesterol Levels

The No. 1 killer of men today is cardiovascular disease, mostly heart attacks and strokes. Although the last few decades have seen the rate of death from cardiovascular disease fall, it's still men's top health threat. And high cholesterol is a major preventable risk factor.

The American Heart Association recommends you get your cholesterol checked beginning at age 20, then every four to six years. Everyone with high cholesterol needs treatment, although for many that will mean diet and exercise.

2. Check Your Blood Pressure

Don't expect to feel symptoms of high blood pressure. Until hypertension's daily pounding of your arteries has damaged your body, you won't notice a thing. Normal blood pressure is less than 120/80, and medicines are prescribed for pressures of 130/80 and higher.

Why care? High blood pressure causes or makes worse a long list of health problems: heart attacks, strokes, erectile dysfunction, and kidney disease, to name a few. Most cases can be prevented, and controlling your blood pressure is an easy place to start.

First, though, you've got to know your numbers. Call your primary care doctor, or just walk in to your neighborhood fire station -- no appointment necessary.

3. Refresh Your Refrigerator

It's not coincidence that both the American Heart Association and the American Cancer Society continually advise, "eat your vegetables (and fruits, too)."

Cancer, cardiovascular disease, Alzheimer's, eye disease, diabetes, and other health conditions all involve damage to cells. It's thought that a diet rich in fruits and vegetables -- the best source of antioxidants -- may prevent some cases of these illnesses.

Also, the more plant-based foods you're eating, the less saturated fat and total calories you'll be taking in. Over time, less fat means a healthier weight, improved cholesterol, and better health.

Current guidelines recommend far more daily fruits and vegetables than most Americans eat. Ideally, you should eat mostly plant-based food for most meals, and enjoy meat as a small side dish.

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4. Step on the Scale

Three out of four of Americans are overweight or obese. Is fat the new normal? There's an ongoing debate as to just how bad being overweight or obese is for our health. But it's clear that obesity is linked to higher rates of diabetes, heart disease, stroke, and many kinds of cancer.

While the experts debate, start losing weight. "Move more, eat less" is your mantra. You don't need a gym membership to reach your goal of 30 minutes of daily physical activity. Park the car far from the store, take the stairs at work, and walk the dog around the block, and you're almost there.

Almost any diet can work in the short run, but long-term weight loss requires a permanent lifestyle change for most people. Make small changes that you can sustain over time and build on your successes.

5. Get Screened for Colorectal Cancer

Unlike many other forms of cancer, colorectal cancer typically grows for years before spreading. If caught early, it can be cured.

A colonoscopy is a somewhat awkward and slightly embarrassing. It is, though, a highly effective method of finding colon cancer. Often, polyps that may turn into cancer can be removed during the colonoscopy. Other methods of screening that don't require colonoscopy are also available. Screening begins at age 50, sometimes earlier if you have a family member who had colon cancer.

Unfortunately, 50% to 75% of people don't get a colonoscopy and benefit from their advantage over colorectal cancer. The National Cancer Institute estimated that in 2016, about 135,000 new cases would be diagnosed and 49,000 deaths will occur from colorectal cancer. Don't be a statistic.

6. Learn About Prostate Cancer Screening

Prostate cancer screening is controversial. Using the notorious gloved finger (digital rectal exam), a blood test (prostate specific antigen or PSA), and biopsies if necessary, doctors can detect abnormal growths in the prostate gland early in many men. Sometimes, screening catches prostate cancers, saving men's lives.

But surprisingly, screening hasn't been proven overall to help men survive prostate cancer. That's because screening detects many cancers that, if left alone, would never cause problems. These cancers are nevertheless removed surgically -- leaving some men who might never have died from prostate cancer with side effects such as impotence or incontinence.

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The American Cancer Society says men, starting at age 50, should talk to their doctors about the benefits, risks, and limitations of prostate cancer screening before deciding whether to be tested. The group's guidelines make it clear that prostate-specific antigen (PSA) blood testing should not occur unless this discussion happens.

The American Urological Association recommends that men ages 55 to 69 who are considering screening should talk with their doctors about the risks and benefits of testing and proceed based on their personal values and preferences. The group also adds:

  • PSA screening in men under age 40 years is not recommended.
  • Routine screening in men between ages 40 to 54 years at average risk is not recommended.
  • To reduce the harms of screening, a routine screening interval of two years or more may be preferred over annual screening in those men who have decided on screening after a discussion with their doctor. As compared to annual screening, it is expected that screening intervals of two years preserve the majority of the benefits and reduce over diagnosis and false positives.
  • Routine PSA screening is not recommended in men over age 70 or any man with less than a 10-15 year life expectancy.

The U.S. Preventive Services Task Force, however, doesn't recommend routine PSA screening for men in the general population, regardless of age. They say the tests may find cancers that are so slow-growing that medical treatments -- which can have serious side effects -- would offer no benefit.

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7. Get a Flu Shot and Other Recommended Immunizations

Influenza is still one of the leading preventable causes of death in the U.S. The flu doesn't usually cause major problems in men who are otherwise healthy. But for men who are elderly or who have other health conditions, influenza can be life-threatening.

No matter how healthy you are, the flu can lay you out for days, causing misery and missed work. You also might pass it on to someone more vulnerable than you. The flu shot isn't a guarantee you won't get the flu, but it slashes your chances by 50% to 90%.

The CDC recommends that people over 50 or those who have chronic medical problems like asthma, diabetes, or lung disease get the flu shot every year.

Other immunizations the CDC recommends for older adults include:

  • The shingles vaccine for people ages 60 and older (even those who've already had shingles)
  • The two-dose pneumococcal vaccine for people ages 65 and older to help prevent pneumonia

 

 

8. Get to Know Your Doctor

Men are less likely to go to the doctor than women. Men's health conditions are often more serious when they do finally seek help. Men lead women in 14 of the top 15 causes of death in the U.S. See a pattern developing here?

Experts disagree as to whether healthy men need yearly checkups. But if you have a health condition, you should be in your doctor's office often enough to notice the magazines change.

Visiting the doctor may sometimes feel like an unproductive, stressful hassle. But routine doctor appointments may also save your life down the road. Is your health worth it?

WebMD Medical Reference Reviewed by Minesh Khatri, MD on October 20, 2016

Sources

SOURCES:

American Cancer Society web site: "Detailed Guide: Prostate Cancer."

American Heart Association web site: "Cholesterol," "High Blood Pressure."

National Cancer Institute web site: "Colorectal Cancer Screening: Questions and Answers" and "SEER Stat Fact Sheets: Colon and Rectum Cancer."

World Health Organization web site: "Obesity and Overweight."

Fiore, A. MMWR Recommendations and Reports, 2007.

Robertson, L. BMC Health Services Research, 2008.

Thompson, W. The Journal of the American Medical Association, 2003.

U.S. Preventive Services Task Force.

CDC.gov: "2016 Recommended Immunizations for Adults: By Age."

 

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