There's more to just that tab for WSUS maintenance - Microsoft's official documentation's here: https://learn.microsoft.com/en-US/troubleshoot/mem/configmgr/wsus-maintenance-guide
As for how often - WSUS Automated Maintenance (WAM) does a lot more, and has a daily, monthly, and quarterly setup that's all automated by the scheduled run.
https://www.ajtek.ca/blog/how-to-clean-up-wsus-database/
You may also want to review the section: https://www.ajtek.ca/wsus/wsus-system-requirements-what-should-i-plan-for/
Specifically the processor & application pool memory sections.