Osteoporosis and MenOsteoporosis and Men

Prof. Ahmed K. MortagyProf. Ahmed K. Mortagy

Professor and Head of Geriatric Professor and Head of Geriatric MedicineMedicine

Ain Shams Faculty of MedicineAin Shams Faculty of Medicine

Osteoporosis in men has received much Osteoporosis in men has received much less attention; however, it is increasingly less attention; however, it is increasingly recognized as a problem in clinical medicinerecognized as a problem in clinical medicine

EpidemiologyEpidemiology

- -1/51/5 of hip fractures occur in menof hip fractures occur in men.. - -The increase in hip fracture with age is The increase in hip fracture with age is

seen in both genders, but the rise occurs seen in both genders, but the rise occurs about 10 years later in men than womenabout 10 years later in men than women..

- - By the age of 90, about 17% of males have By the age of 90, about 17% of males have had a hip fracture compared by 32% of had a hip fracture compared by 32% of womenwomen..

- -Meta analysis shows that men and women Meta analysis shows that men and women will experience the same risk of hip will experience the same risk of hip fracture if they have the same age and fracture if they have the same age and bone densitybone density..

Risk factorsRisk factors

High- risk causesHigh- risk causes::11 - -History of nontraumatic fracture 2- Osteopenia seen on plain History of nontraumatic fracture 2- Osteopenia seen on plain

radiographradiograph33 - -Glucocorticoid use. 4- Hypogonadism Glucocorticoid use. 4- Hypogonadism

5- Hyperparathyroidism 5- Hyperparathyroidism

Medium- risk causesMedium- risk causes::11 - -Anticonvulsant use 2- Excess alcoholAnticonvulsant use 2- Excess alcohol

33 - -Tobacco use 4- Rheumatoid or other Tobacco use 4- Rheumatoid or other inflamatory arthritisinflamatory arthritis

55 - -Multiple myeloma or lymphoma 6- Hypo or hyper thyroidismMultiple myeloma or lymphoma 6- Hypo or hyper thyroidism

Infrequent causesInfrequent causes11 - -Cushing’s disease 2- Chronic liver and kidney Cushing’s disease 2- Chronic liver and kidney

diseasedisease33 - -Low body mass index 4- Gastric resectionLow body mass index 4- Gastric resection