Journal article

Publication year: 2013

Pages: 267-270

Journal: Osteology

Volume number: 22

Issue number: 4

ISSN: 1019-1291

Publisher: Schattauer

Abstract: 
Osteoporosis affects approximately 6% of men aged >= 50 years in Germany. A broad spectrum of antiosteoporotic agents is available for the treatment of male osteoporosis, and osteoporotic fractures have a higher mortality in men than in women. Nevertheless men receive less treatment than women. Two out of three women receive osteoporosis specific treatment following a hip fracture, in men it is only one out of two. In men secondary causes are found in 50-60% of the osteoporosis cases, whereas in post-menopausal women risk factors are found in approximately 30% of the patients. The most frequent risk factors in male osteoporosis are tobacco consumption, systemic glucocorticoids, alcohol consumption, chronic obstructive airway disease and hypogonadism. Therefore, screening for risk factors is mandatory in men followed by a systematic osteologic workup including bone densitometry, radiologic imaging of the spine and, laboratory testing in positive cases. Prevention of osteoporosis has to start in early childhood prepubertally. Physical activity, a protein- and calcium-rich diet combined with adequate supplementation of vitamin D is necessary. With the diagnosis of any bone density affecting disease a full osteologic workup has to be initiated to prevent further bone loss and damage to bone microarchitecture and development of fractures.

Harvard Citation style: Farahmand, P., Ringe, J., Feustel, A. and Weimer, R. (2013) Early diagnosis and prevention of male osteoporosis, Osteology, 22(4), pp. 267-270

APA Citation style: Farahmand, P., Ringe, J., Feustel, A., & Weimer, R. (2013). Early diagnosis and prevention of male osteoporosis. Osteology. 22(4), 267-270.