Physicians can provide checklists that inform male patients of important health screenings for their 40s, 50s, and beyond. These checklists make for a good start, but age is only one factor physicians consider. According to Col. John Barrett, the Army senior service leader and associate professor at the Uniformed Services University of the Health Sciences in Bethesda, Md., primary care providers review literature around a variety of conditions and apply evidence-based protocols specific to each patient.
Health care providers consult the U.S. Preventive Services Task Force, an independent panel of volunteer experts in disease prevention and evidence-based medicine. “The USPSTF serves as the standard for clinical preventive services recommendations,” said Barrett. “This group is at the forefront of recommending evidence-based screenings that encompass conditions and risk factors for those conditions.” Medical societies generally follow USPSTF guidelines, and the Military Health System is one of many federal partners.
One of the recommended screenings is a colorectal cancer screening. According to Navy Cmdr. David You, this is important because men have a higher incidence of colon cancer and are more likely to develop colon polyps that can later turn into colon cancer, if not removed. You is the Navy’s gastroenterology specialty leader and a gastroenterologist at Lovell Federal Health Care Center in North Chicago, Ill. “If you are a 50-year-old male with no family history or risk factors, that’s the recommended age to get your first colonoscopy,” You said.
Critical risk factors include family history – if a parent or sibling has been diagnosed with colon cancer. For men with a a parent diagnosed with the disease, screenings usually begin at age 40, sometimes earlier if the family member was diagnosed before age 60, explained You. Furthermore, “Due to colon cancer diagnoses increasing in young men over the last 10 years, some medical specialty groups’ advocate beginning screenings at age 45, in particular for African-Americans, since they have higher rates of colon cancer,” You said.
Less-invasive tests are available, including a yearly test called FIT (fecal immunochemical test) that looks for hidden blood in the stool. “The good news is that if your colonoscopy results are normal, your next test will be in 10 years if you have no family history or other risk factors,” he said.
You explained that good health habits lower the risk of developing colon polyps. “Eat more fruits and vegetables, especially berries and leafy greens, keep your weight down and exercise, even one hour per week,” he suggested, adding that fiber is a key dietary addition. “Aim for 30 grams of fiber per day,” he said. “An apple has four and a bowl of bran cereal has 15, so getting to 30 grams isn’t as difficult as it may sound.”