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Osteoporosis - The Silent Epidemic Article Index

Osteoporosis In Males

One fifth of hip fractures occur in men. The exponential increase in hip fractures with age is seen in both genders, but the rise occurs about 10 years later in men than in women. Males lose bone density with aging, but because males begin with a higher bone density, they reach osteoporotic levels at an older age than females. Also, men do not undergo the rapid bone loss associated with menopause. By the age of 90, about 17% of males have had a hip fracture, compared to 32% of females. Also to note when men do suffer a hip fracture mortality is higher then for females.

Hypogonadism is an important cause of osteoporosis in men. One study of men referred to a clinic for non-traumatic fractures documented Hypogonadism in 15% of the cases. Men whom have underwent chemical castration for prostate cancers are at very high risk to develop osteoporosis and should be evaluated for low bone density and followed up closely due to rapid bone loss.

Abstracts:

Osteoporosis in men.Radiography 2001 May;7(2):119-123

Guidelines for treatment of osteoporosis in men Aust Fam Physician 2001 Aug;30(8):787-91

Metabolic bone disease induced by prostate cancer: rationale for the use of bisphosphonates. J Urol 2001 Dec;166(6):2023-31

Skeletal fracture associated with androgen suppression induced osteoporosis: the clinical incidence and risk factors for patients with prostate cancer. J Urol 2001 Nov;166(5):1724-8



GENDER
  • American Caucasian Women Have The Highest Incidence Of Hip Factures

  • American Blacks Both Male & Female Have Lower Fracture Rates Then Caucasian Due To Higher Bone Mineral Density

  • Hispanic Women Had Approximately Half As Many Fractures As Caucasian Women, But This Is Not Explained By Any Difference In Bone Density

  • Asian Women Have Lower Bone Mass Than Caucasian Women, but The Rate Of Hip Fractures Is Not Proportionally Higher
Hip fracture incidence

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