Osteoporosis is not a women's disease. Yes, men can have it too. There are cases of osteoporosis-related
hip fractures in men over the age of 50. So, if you are a man nearing or over 50 years old, what should you know about this condition?
Throughout your lifetime, your bones are constantly changing. Old bone is being removed and new bone is being added. When you are young, your bones grow stronger because you are building bone. Sometime around your late twenties to early thirties, this changes, and you begin to lose bone faster than it is added.
Osteoporosis occurs when your bones become weak and brittle and therefore break easily. The
are the most common locations of osteoporosis-related fractures. Fractures are a major threat to people’s mobility and independence—and they can be deadly. There is the possibility of death due to complications in the first year after a hip fracture.
Everyone is susceptible to osteoporosis, but the following factors increase the risk in men of developing it:
Since women are at higher risk of developing osteoporosis, the media and the healthcare industry usually focus on osteoporosis in women. Because of this emphasis on women, men may not even be aware that they are also at risk. It is true that men do not experience rapid bone loss in their 50s like women do. But by age 65 or 70, men and women are losing bone mass at the same rate. As men get older, their risk of developing osteoporosis increases substantially.
Many cases of osteoporosis in men are due to age-related bone loss, but at least half of the cases are due to some secondary cause. Some secondary causes are:
Glucocorticoid medication—used to treat diseases such as
- Hypogonadism—low levels of testosterone, which can occur naturally or be caused by medications, cancer treatments, or many other factors
- Cancer therapies—such as androgen blockade for prostate cancer
- Alcohol abuse
- Gastrointestinal disease—which may impair the absorption of bone-building nutrients
- Hypercalciuria (too much calcium lost in the urine)
- Immobilization (prolonged bedrest)
To help preserve your bone health:
- Avoid smoking.
- Reduce alcohol intake.
- Lift weights.—Resistance training exercises have been shown to increase bone mass and strength.
weight-bearing exercises—Examples include walking, jogging, racquet sports, or stair climbing.
vitamin D—The National Osteoporosis Foundation recommends 1,200 mg of calcium and 800-1,000 IU of vitamin D daily in men over 50 years old.
- Discuss medications that might affect bone loss with your doctor.
One of the most important things you can do to protect your bones is detect osteoporosis before a fracture occurs. Since most physicians do not commonly screen men for osteoporosis, you should alert your doctor if you are at increased risk for developing this condition. Also, discuss the option of screening with your doctor if you have experienced loss in height, change in posture, fracture, or sudden back pain.
To diagnose osteoporosis, your doctor will get your complete medical history. They will also get a
bone density test, which can detect low bone density, predict your risk for fractures, diagnose osteoporosis, and monitor the effectiveness of treatments.
If you are diagnosed with osteoporosis, it is important that it be treated. Your doctor may prescribe a prescription medication that has been approved to treat osteoporosis in men. You will probably also be placed on a nutrition, exercise, and lifestyle regimen for preventing future bone loss.
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Sharma S, Fraser M, Lovell F, Reece A, McLellan ARJ. Characteristics of males over 50 years who present with a fracture: epidemiology and underlying risk factors.
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The man's guide to osteoporosis. National Osteoporosis Foundation website. Available at: . Accessed April 2, 2013.
Last reviewed April 2013 by Brian Randall, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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