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Osteoporosis in men.

Jant M Campion1, Michael J Maricic

  • 1Department of Medicine, University of Arizona Health Sciences Center, Tucson, Arizona 85724-5069, USA.

American Family Physician
|May 2, 2003
PubMed
Summary
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Osteoporosis affects 1 in 8 men over 50, causing fractures with higher mortality than in women. Early diagnosis and treatment of male osteoporosis are crucial for reducing severe health outcomes.

Area of Science:

  • Endocrinology
  • Geriatrics
  • Public Health

Background:

  • Osteoporosis is an emerging public health concern in men.
  • Men experience osteoporotic fractures approximately 10 years later than women due to higher peak bone mass.
  • Hip fractures in men carry a significantly higher one-year mortality rate (31%) compared to women (17%).

Purpose of the Study:

  • To highlight the significance of osteoporosis in men.
  • To identify major risk factors for male osteoporosis.
  • To emphasize the need for increased physician awareness, early diagnosis, and prompt treatment.

Main Methods:

  • Review of current literature on male osteoporosis.
  • Identification of key risk factors.
  • Discussion of approved treatment options.

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Main Results:

  • Major risk factors include long-term glucocorticoid use, osteopenia, prior nontraumatic fractures, hypogonadism, and advanced age.
  • Bisphosphonates and teriparatide are approved treatments for men.
  • Supplemental calcium and vitamin D are recommended.

Conclusions:

  • Male osteoporosis is a critical issue requiring greater clinical attention.
  • Early detection and management are essential to mitigate the severe consequences of osteoporotic fractures in men.