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Osteoporosis in men.

Vonda J Wright1

  • 1Sports Medicine and Shoulder Services, Hospital for Special Surgery, 535 E. 70th Street, New York, NY 10021, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|June 8, 2006
PubMed
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Osteoporosis poses a significant risk to aging men, with higher fracture mortality rates. Early detection and management, including lifestyle changes and medications, are crucial for preventing fractures in men.

Area of Science:

  • Gerontology
  • Orthopedics
  • Endocrinology

Background:

  • Osteoporosis is a major health concern for aging men, leading to a higher mortality rate after hip fractures compared to women.
  • Despite its prevalence, osteoporosis in men is frequently underdiagnosed and undertreated.
  • Key risk factors include advanced age, low body mass index, significant weight loss, smoking, and physical inactivity.

Purpose of the Study:

  • To highlight the underrecognized threat of osteoporosis in men.
  • To identify prevalent risk factors and etiological patterns of male osteoporosis.
  • To emphasize the importance of early detection and effective management strategies.

Main Methods:

  • Review of current literature on male osteoporosis.
  • Identification of demographic, lifestyle, and clinical factors associated with osteoporosis in men.

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  • Analysis of treatment options and the role of healthcare providers in fracture prevention.
  • Main Results:

    • Thirty percent of hip fractures occur in men, with a doubled mortality rate in the first year post-fracture.
    • Osteoporosis in men is often secondary to other diseases or idiopathic, with distinct age distributions for each.
    • Effective management options include calcium, vitamin D, bisphosphonates, and human parathyroid hormone.

    Conclusions:

    • Male osteoporosis requires greater clinical attention due to significant morbidity and mortality.
    • Orthopaedic surgeons play a vital role in identifying at-risk patients and initiating preventive measures.
    • A combination of lifestyle modifications and pharmacological interventions can effectively manage osteoporosis in men.