Jerusalem Post
ByDORON KUPERSTEIN
At 40, the body sends subtle signals, hidden chronic diseases can appear, and nutrition and fitness habits become crucial. Here’s how to stay healthy for years.
Age 40 is not just a round number – it’s a true medical turning point. This is the stage when the body begins to change pace, hidden diseases may appear without early signs, and the feeling of “I feel great” can actually be misleading.
Dr. Daria Tumpovsky, a family medicine specialist in the Northern District of Meuhedet Health Services, explains that the key to maintaining optimal health is preventive medicine – not reactive medicine.
“Many people tend to see a doctor only when they are sick. But at age 40 and above, what saves lives is precisely the check-up done when everything seems fine,” she emphasizes.
Tests You Must Do After Age 40
Blood Pressure: A Small Measurement That Prevents a Major Disaster
“High blood pressure is a major factor in heart and vascular diseases,” says Dr. Tumpovsky.Recommendation: Measure at least once a year from age 40. It’s a simple test that can reveal a hidden problem.
A routine test every five years (starting at age 35) allows early detection of excess cholesterol or triglycerides – preventing artery blockages and high blood pressure.
Blood Sugar
Especially for those who are overweight or have a family history of diabetes – it is recommended to perform a fasting blood sugar test or HbA1c at least every three years.
Fecal Occult Blood Test
From age 50 and above, an annual test is recommended for early detection of colorectal cancer – one of the leading preventable causes of death.
ECG
A simple test that should be done at least once after age 40 to establish a baseline for future comparisons.
Indicators Predicting Future Health
“Body mass index (BMI), waist circumference, and weight are basic but critical data,” emphasizes Dr. Tumpovsky. “They predict the risk of heart disease, diabetes, and obesity even before symptoms appear.”
Who Needs Closer Monitoring
People with a family history of cancer or heart disease
Past or current smokers
Patients with high blood pressure, diabetes, or high lipid levels
Those with physical inactivity and obesity
Additionally, any unexplained weight loss, unusual fatigue, shortness of breath, chest pain, or abnormal bleeding requires consulting a doctor.
Special Tests for Women
Mammography: From age 50, every two years (earlier if there is a family or genetic risk).
Cervical screening (PAP or HPV): From age 25 to 65, every three years.
Bone Density: From age 65 and above, or earlier for women at risk of osteoporosis.
Tests People Delay – and Pay the Price For
“Women tend to postpone mammography, and men ignore colonoscopy,” says Dr. Tumpovsky.
But these are simple tests that can detect cancer at an early stage – before the disease breaks out.
Colonoscopy: Recommended from age 50 to 74, once every ten years.
Aortic Ultrasound: For men aged 65–74 who smoked in the past – to detect aneurysms that could cause life-threatening bleeding.
Health Doesn’t Start in the Lab – It Starts at Home
“The tests are just a snapshot,” emphasizes Dr. Tumpovsky. “What really matters is how we live between the tests.”
Nutrition
A balanced plate including vegetables, fruits, quality proteins, and whole grains is the best daily medicine. Reducing sugar, saturated fat, and processed foods improves cholesterol, blood sugar, and blood pressure within weeks.
Physical Activity
No need for a marathon – 150 minutes per week of brisk walking, swimming, or cycling, plus two light strength workouts, is enough. This stabilizes blood pressure, strengthens bones, and reduces the risk of heart disease.
Sleep
7–8 hours of quality sleep per night are essential. Lack of sleep directly affects blood pressure, blood sugar levels, and chronic fatigue.
In conclusion, age 40 is the time to start regular medical monitoring and build a health foundation for the coming decades. Periodic tests, proper nutrition, physical activity, and good sleep are not general recommendations – they are the cornerstones of a long and healthy life.
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