Best of
Best Preventive Screening and Imaging by Decade
Last updated 2026-07-02· Last reviewed 2026-07-02· 1 min read
Reviewed by the Ultimate Longevity Bible editorial team. Educational reference — not medical advice. See disclaimer.
In your 30s
- Skin check — annual after significant sun exposure history.
- Baseline blood work: apoB, HbA1c, fasting insulin, hs-CRP, vitamin D.
- Cervical cancer screening per guidelines.
- BP monitoring.
- Consider baseline dental panoramic.
In your 40s
- CAC score once at 40–50 — profoundly risk-stratifies.
- DEXA scan — body composition + bone baseline.
- [Colonoscopy or FIT] starting 45 (US) or 50 (UK).
- Mammography starting 40–50 per guideline (individualised).
- Lp(a) once in a lifetime.
- AAA screening if smoking history (65+ for men in most guidelines).
In your 50s
- Carotid ultrasound if any elevated CV risk.
- Prostate cancer screening shared decision-making (men).
- Skin check — annual.
- Repeat CAC every 5 years if initially zero.
- Baseline audiogram.
In your 60s
- Osteoporosis screening — women; men with risk factors.
- Colonoscopy repeat per guideline.
- Cognitive baseline — MoCA or equivalent.
- Frailty phenotype assessment.
In your 70s and beyond
- Continue what's still yielding outcome benefits given life expectancy.
- De-emphasize screening whose lead time exceeds remaining life expectancy.
- Emphasize fall-risk assessment, cognitive assessment, hearing / vision correction.
Related entries
High-leverage tests, Longevity in your 40s, Longevity in your 50s, Longevity in your 60s, Longevity in your 70s and beyond.