Management of Male Osteoporosis
After middle age, osteoporosis-related fractures are more common in women than in men. As a result, fracture prevention has been most extensively studied in postmenopausal women. However, between 30% and 40% of fractures due to osteoporosis occur in men, and the lifetime risk of fracture for men aged 50 or older is between 13% and 30%. During aging, fracture risk rises exponentially in both sexes, but the increase occurs about a decade later in men than in women. The mortality rate of patients with hip fractures older than 70 years is two to three times higher in men than in women. In contrast to the risk of a first fracture after the age of 50 years, which is higher in women than in men, the risk of a subsequent fracture after a first fracture is the same for both sexes. Therefore, men older than 50 years deserve attention for fracture risk evaluation and fracture prevention in high-risk patients.
KeywordsMale osteoporosis Fracture prevention DXA Clinical case finding FRAX Risk evaluation
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