When people think of osteoporosis, they usually associate it with older women. However, men can also develop this bone disease, although it tends to be overlooked.

This neglect is due partly to the perception that osteoporosis is a woman’s disease and the lack of knowledge about the prevalence and risk factors of osteoporosis in men. In this article, we will explore why osteoporosis in men is often neglected and the consequences of this neglect. We will also discuss the risk factors, symptoms, and management of osteoporosis in men.

Prevalence of Osteoporosis in Men

Osteoporosis is a disease in which the bones gradually become weaker and more prone to fractures due to the decreased production of bone tissue.

While osteoporosis is more common in women, it is a significant health problem for men, affecting approximately 2.5 million American men aged 50 years and above. Moreover, as the population ages, the number of men with osteoporosis is expected to increase in the coming years. Although it is less prevalent in men, osteoporosis in men often goes unrecognized and underdiagnosed compared to women.

Risk Factors for Osteoporosis in Men

Several factors increase the risk of developing osteoporosis in men. They include:.

Age: The risk of developing osteoporosis increases with age, with older adults being at a higher risk compared to younger adults.
Low testosterone levels: A low level of testosterone can lead to decreased bone mass and an increased risk of developing osteoporosis.
Family history: Men with a family history of osteoporosis are more likely to develop the condition.
Smoking: Smoking increases the risk of osteoporosis in both men and women.
Excessive alcohol intake: Heavy alcohol intake can decrease bone density and increase the risk of fractures in men with osteoporosis.
Low calcium intake: Calcium is essential for bone health. Men who do not consume enough calcium in their diets are at risk of developing osteoporosis.
Sedentary lifestyle: Lack of exercise or physical activity can increase the risk of osteoporosis in men.

Symptoms of Osteoporosis in Men

Unlike women, men with osteoporosis may not show noticeable symptoms until they suffer a fracture. However, some of the common symptoms of osteoporosis in men include:.

Back pain
Fractures in the wrist, hip, or spine
Loss of height
Stooped posture
Weak grip strength

Management of Osteoporosis in Men

The management of osteoporosis in men involves a combination of lifestyle changes, medications, and supplements. Here are some tips for managing osteoporosis in men:.

Exercise regularly: Weight-bearing exercises such as walking and strength training can help improve bone density and reduce the risk of falls and fractures.
Quit smoking: Smoking can increase the risk of osteoporosis and fractures. Quitting smoking can help improve bone health.
Reduce alcohol intake: Men with osteoporosis should avoid excessive alcohol intake, which can weaken bones and increase the risk of fractures.
Ensure adequate calcium and vitamin D intake: Calcium and vitamin D are essential for bone health. Men should aim to consume 1200-1500 mg of calcium and 800-1000 IU of vitamin D daily.
Consider medication: In some cases, medications such as bisphosphonates, hormone therapy, or calcitonin may be prescribed to help improve bone density and reduce the risk of fractures in men with osteoporosis.

The Neglect of Osteoporosis in Men

Despite the high prevalence of osteoporosis in men, it is often overlooked and underdiagnosed. One reason for this neglect is the perception that osteoporosis is a woman’s disease.

Men are less likely to be screened or treated for osteoporosis than women, even though the consequences of osteoporosis-related fractures are more severe in men than women. Men with osteoporosis-related fractures are also less likely to receive appropriate follow-up care and treatment.

Another reason why osteoporosis in men is neglected is the lack of knowledge about the risk factors and symptoms of osteoporosis in men.

Many men and even healthcare professionals are unaware of the prevalence of osteoporosis in men and may not consider osteoporosis as the cause of fractures or other symptoms in men. Because of this neglect, many men with osteoporosis remain undiagnosed and untreated, leading to significant health problems and increased healthcare costs.

The Consequences of Neglected Osteoporosis in Men

The consequences of neglected osteoporosis in men can be severe. Fractures, particularly hip fractures, can be debilitating, resulting in reduced mobility, independence, and quality of life.

The risk of death is also increased after a hip fracture, with up to 20% of men dying within six months of a hip fracture.

Moreover, osteoporotic fractures in men are associated with higher healthcare costs than in women, mainly due to longer hospital stays, increased use of rehabilitation services, and long-term disability.

Neglected osteoporosis in men, therefore, not only affects the individual’s health but also has significant economic consequences.

Conclusion

Osteoporosis in men is a significant health problem that is often neglected and underdiagnosed. Men with osteoporosis are at higher risk of fractures, which can have severe consequences.

To address this neglect, increased awareness and education regarding osteoporosis in men are needed among healthcare professionals, men, and the general public. Men should also be encouraged to receive regular screening for osteoporosis and receive appropriate treatment to prevent fractures and other complications related to osteoporosis.

With better education and awareness, osteoporosis in men can be detected early, managed effectively, and prevented from causing severe health consequences.