Men’s Health Series: What Should I Worry About When I’m In My…40s?

Creating A Life Plan, Improving Poor Health Choices Could Help Keep The Pill Bottles Away In Years To Come

Terry Rascoe, MD

Second of three articles in a series about what to expect at different stages of manhood.

As a man passes over the 40-year mark and falls head-first into “middle-age,” he can begin to experience changes in his physical and mental status that he hadn’t previously experienced in his younger years. Although these changes can be scary, Scott & White family physician Terry G. Rascoe, MD, said if you have a plan, there’s nothing to be afraid of.

“From 40 to 50-years-old is when we start to pay for the ‘sins of our youth,’” said Terry G. Rascoe, MD. “Poor lifestyle choices will often start manifesting as illnesses and ailments.”

Those ailments could be anything from chronic back pain to diabetes and hypertension.

Click here (pdf) to see if you are at risk of developing diabetes, which could lead to other illnesses like heart disease.

Even though youthful indiscretions could affect their health in the middle years, Dr. Rasoce said men can still avoid being that senior citizen who is on multiple drugs with chronic health problems if they re-focus on wellness and do the following:

  • Keep Body Mass Index (BMI) below 25
  • Limit high fat meals containing trans-fats and saturated fats
  • Get 20 minutes of exercise a day
  • Get adequate sleep (about 7 to 9 hours)
  • Maintain positive relationships
  • Avoid tobacco use
  • Address medical problems early
  • Get your immunizations (TDap, Hep B)
  • Ask your doctor about health screenings (cholesterol, blood sugar)

Another issue after 40, that can affect a man’s well-being, is his satisfaction with his career and himself.

“This is a time when many reflect on what they had dreamed in their life could be and how it actually turned out,” Dr. Rascoe said. “The thought here is to have a life ‘plan’ or vision and to try to follow that path, so you don’t go mid-life crazy and run away with your secretary in your new sports car.”

Organizations have mission and vision statements, the doctor said, and so should people.

“It doesn’t take formal training to get this done, just commitment to put it down on paper and share it with our close family members,” he said. “We ask kids what they want to do when they ‘grow up,’ but we stop asking after a while and assume we have either ‘arrived’ or have not choices after a certain point.”

The family physician suggests a questionnaire from that will help you get the most out of life.

1. Who do I love, and what am I doing about it?

If you aren’t spending time with the people you love, change that. If you are holding a grudge against a family member, let it go and reconcile.

2. Am I pursuing my dream, or is fear stopping me?

What have you always wanted to do? And what would be the worst that could happen if you overcame those fears and pursued your dream?

3. Am I doing something that matters?

Distinguish between trivial busy-work that takes up your time but won’t matter in a few years and projects and goals with high impact that will make a difference.

4. What am I doing to help others?

If you’re not doing anything to help others, this is a good time to figure out one thing you can do for someone, and put it into action

5. Am I as good a person as I want to be?

It’s not easy to be a good person, at least not all the time. It’s easier to be selfish, without thinking about it. But is that how you want to be remembered?

6. What am I doing to live life with passion, health and energy?

If you let your health go, you will have little energy and you will waste the minutes you have left on illness. Instead, learn to live a healthy life, with good foods and exercise. This will lead to more energy in your life.

Reaching that halfway-point of life can be a jolt to your health and your psyche, but Dr. Rascoe said if you can focus on living life to the fullest, you won’t even notice the years ticking away.

How are you combating a “mid-life” crisis? What advice can you give to other men who are entering the middle years?