Osteoporosis in Men: More Common Than You May Think
Osteoporosis is not a women's disease. Yes, men can have it too. There are cases of osteoporosis-related hip fractures in men over the age of 50. So, if you are a man nearing or over 50 years old, what should you know about this condition?
OsteoporosisThroughout your lifetime, your bones are constantly changing. Old bone is being removed and new bone is being added. When you are young, your bones grow stronger because you are building bone. Sometime around your late twenties to early thirties, this changes, and you begin to lose bone faster than it is added. Osteoporosis occurs when your bones become weak and brittle and therefore break easily. The hip, spine, and wrist are the most common locations of osteoporosis-related fractures. Fractures are a major threat to people’s mobility and independence—and they can be deadly. There is the possibility of death due to complications in the first year after a hip fracture. Everyone is susceptible to osteoporosis, but the following factors increase the risk in men of developing it:
- Increasing age
- Family history of osteoporosis
- Body mass index less than 21 kg/m² (kilograms per meters squared)
- Drinking too much alcohol
- Cigarette smoking
Osteoporosis in MenSince women are at higher risk of developing osteoporosis, the media and the healthcare industry usually focus on osteoporosis in women. Because of this emphasis on women, men may not even be aware that they are also at risk. It is true that men do not experience rapid bone loss in their 50s like women do. But by age 65 or 70, men and women are losing bone mass at the same rate. As men get older, their risk of developing osteoporosis increases substantially. Many cases of osteoporosis in men are due to age-related bone loss, but at least half of the cases are due to some secondary cause. Some secondary causes are:
- Glucocorticoid medication—used to treat diseases such as asthma and rheumatoid arthritis
- Hyperthyroidism or hyperparathyroidism
- Hypogonadism—low levels of testosterone, which can occur naturally or be caused by medications, cancer treatments, or many other factors
- Cancer therapies—such as androgen blockade for prostate cancer
- Alcohol abuse
- Gastrointestinal disease—which may impair the absorption of bone-building nutrients
- Hypercalciuria (too much calcium lost in the urine)
- Immobilization (prolonged bedrest)
How You Can Protect Your BonesTo help preserve your bone health:
- Avoid smoking.
- Reduce alcohol intake.
- Lift weights.—Resistance training exercises have been shown to increase bone mass and strength.
- Engage in weight-bearing exercises—Examples include walking, jogging, racquet sports, or stair climbing.
- Get sufficient calcium and vitamin D—The National Osteoporosis Foundation recommends 1,200 mg of calcium and 800-1,000 IU of vitamin D daily in men over 50 years old.
- Discuss medications that might affect bone loss with your doctor.
National Osteoporosis Foundation
Osteoporosis and Related Bone Diseases-National Resource Center
Canadian Orthopaedic Association
Kids and their bones: a guide for parents. National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at: http://www.niams.nih.gov/hi/topics/osteoporosis/kidbones.htm. Updated July 2012. Accessed April 2, 2013.
Osteoporosis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated March 26, 2013. Accessed April 2, 2013.
Osteoporosis in men. Osteoporosis and Related Bone Diseases-National Resource Center website. Available at: http://www.niams.nih.gov/Health%5FInfo/Bone/Osteoporosis/men.asp. Accessed April 2, 2013.
Osteoporosis in men. Osteoporosis and Related Bone Diseases National Resource Center, National Institutes of Health website. Available at: http://www.niams.nih.gov/Health%5FInfo/Bone/Osteoporosis/men.asp. Updated January 2012. Accessed April 2, 2013.
Sharma S, Fraser M, Lovell F, Reece A, McLellan ARJ. Characteristics of males over 50 years who present with a fracture: epidemiology and underlying risk factors.Bone Joint Surg Br. 2008 Jan;90(1):72-77.
The man's guide to osteoporosis. National Osteoporosis Foundation website. Available at: http://nof.org/files/nof/public/content/file/252/upload/85.pdf. Accessed April 2, 2013.
- Reviewer: Brian Randall, MD
- Review Date: 04/2013
- Update Date: 04/02/2013