Updates on Osteoporosis in Men

Dima L Diab; Nelson B Watts

doi:10.1016/j.ecl.2021.03.001

Updates on Osteoporosis in Men

Endocrinol Metab Clin North Am. 2021 Jun;50(2):239-249. doi: 10.1016/j.ecl.2021.03.001.

Authors

Dima L Diab¹, Nelson B Watts²

Affiliations

¹ Division of Endocrinology/Metabolism, Department of Internal Medicine, Cincinnati VA Medical Center, University of Cincinnati Bone Health and Osteoporosis, 231 Albert Sabin Way, MSB 7th Floor, Cincinnati, OH 45267, USA. Electronic address: [email protected].
² Mercy Health Osteoporosis and Bone Health Services, 4760 E. Galbraith Road, Suite 212, Cincinnati, OH 45236, USA.

PMID: 34023041
DOI: 10.1016/j.ecl.2021.03.001

Abstract

Osteoporosis is less common in men than women; however, the mortality rate associated with major fragility fractures is higher in men. The diagnosis of osteoporosis is established by measurement of bone mineral density or by the presence of a fragility fracture, especially spine or hip fracture. However, many men at high risk of fracture will not meet the T-score criteria for osteoporosis, so fracture risk calculation, with a tool such as FRAX, should be performed. Bone-active agents should be prescribed for men at high risk of fracture to decrease fracture risk, and therapy must be individualized.

Keywords: Diagnosis; Evaluation; Fractures; Men; Osteoporosis; Treatment; Updates.

Publication types

Review

MeSH terms

Bone Density
Bone and Bones
Female
Hip Fractures* / complications
Humans
Male
Osteoporosis* / diagnosis
Osteoporosis* / etiology
Osteoporosis* / therapy
Osteoporotic Fractures* / epidemiology
Osteoporotic Fractures* / etiology
Osteoporotic Fractures* / prevention & control
Risk Assessment
Risk Factors