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February 8, 2012
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Osteoporosis in Men

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Osteoporosis in Men Introduction

Osteoporosis (or porous bone) is a disease in which bones become weak and are more likely to break. Without prevention or treatment, osteoporosis can progress without pain or symptoms until a bone breaks (fractures). Fractures commonly occur in the hip, spine, and wrist. Osteoporosis is the underlying cause of more than 1.5 million fractures annually (300,000 hip fractures, approximately 700,000 vertebral fractures, 250,000 wrist fractures, and more than 300,000 fractures in other areas). The estimated national cost (hospitals and nursing homes) for osteoporosis and related injuries is $14 billion each year in the United States. 
 
Although women are more likely to get osteoporosis, it is not just a disease of elderly women. Osteoporosis is more common in white or Asian women older than 50 years, but osteoporosis can occur in almost any person at any age. In fact, more than 2 million American men have osteoporosis and 3 million are at risk. Many people who have osteoporosis and risk factors for osteoporosis often do not know they have thin or weak bones. This is because osteoporosis has no symptoms, so many people do not know they have weak bones until they have an unexpected fracture. For example, a simple everyday movement such as picking up a grocery bag causes a broken bone or a slip and fall in a parking lot causes a broken hip, and that is the first “symptom.” 
 
Osteoporosis is often not recognized in men. There are many reasons for underdiagnosis in men. Identifying risk factors is important because osteoporosis is more or less preventable for most people. Identifying men with osteoporosis is also important because, while there is no cure for osteoporosis, there are treatments.


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Osteoporosis in Men

What Is Osteoporosis?

Osteoporosis is a disease characterized by low bone mass and loss of bone tissue that leads to weak and fragile bones.

What Causes Osteoporosis?

Osteoporosis occurs when the body fails to form enough new bone, when too much old bone is reabsorbed by the body, or both. Women are at a greater risk than men, especially women who are elderly, thin, or small. Other risk factors include the following:

  • Inadequate calcium and vitamin D ingestion

  • Lack of weight-bearing exercises

  • Excessive corticosteroid (for example, prednisone [Deltasone, Meticorten]) use

  • Thyroid problems

  • Bone cancer

  • Postmenopause

  • Whit...

Read the Osteoporosis Medications article »


Read What Your Physician is Reading on Medscape

Osteoporosis »

Osteoporosis is a systemic skeletal disorder characterized by decreased bone mass and deterioration of bony microarchitecture.

Read More on Medscape Reference »

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