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[Bone and Men's Health. Androgen replacement therapy and bone metabolism]
1Department of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo.
Abstract:
During aging process in men, decline of androgen level is involved in symptoms of hypogonadism, and recent findings suggest that sex hormones are crucial for skeletal development and maintenance of bone mineral properties. In practice, androgen replacement therapy has not been established for bone-related symptoms in late onset hypogonadisim or male osteoporosis. Whereas recent evidences suggest that bone mineral properties are improved by androgen replacement therapy in aging male, further studies including large clinical trials are necessary to assess long-term benefits and risks by the therapy.
Insights
Androgen decline in aging men contributes to hypogonadism and affects bone health. Androgen replacement therapy may improve bone mineral properties, but more research is needed to confirm long-term safety and efficacy.
Area of Science:
- Endocrinology
- Gerontology
- Bone Biology
Context:
- Aging men experience declining androgen levels, leading to hypogonadism.
- Sex hormones play a vital role in skeletal development and bone mineral maintenance.
- Current treatments for hypogonadism-related bone issues are limited.
Purpose:
- To review the role of androgens in male skeletal health.
- To evaluate the potential of androgen replacement therapy (ART) for bone-related symptoms in aging men.
- To highlight the need for further clinical trials on ART for male osteoporosis.
Summary:
- Declining androgen levels in aging men are linked to hypogonadism and impact bone health.
- Evidence suggests ART can improve bone mineral properties in aging males.
- Large-scale clinical trials are required to establish the long-term benefits and risks of ART for bone health.
Impact:
- Provides a concise overview of androgens' role in male bone health.
- Highlights the therapeutic potential of ART for aging men with bone issues.
- Emphasizes the need for evidence-based guidelines for ART in male osteoporosis.
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