Osteoporosis Is Not Just a "Women's Problem".

 

There is a good reason why consideration of osteoporosis usually focuses on women. Nearly all women experience declining levels of bone-protecting estrogen during menopause, leading to a significant decrease in bone density. In men, bone loss occurs much more slowly and much later in life. Because of this, about 80% of Americans with osteoporosis are women. But there are about 2 million American men with the condition and at least another 12 million who are at increased risk for it.

Doctors routinely test womens' bone mineral density starting at about age 65 but the same testing is rarely done on men, even though the mortality rate for men in the first six months after a hip fracture is about double that for women. Even after suffering a hip fracture, men are unlikely to be tested for osteoporosis. 

According to the International Osteoporosis Foundation men should consider a bone mineral density test starting in their early 60s if they have any of the following heightened risk factors.

Regular us of medication that depletes bone density. Some prescription drugs can deplete bone density over time. These include PPIs used for heartburn, SSRI anti-depressants, antacids, blood thinners and diuretics. Note that this include OTC medications as well as prescriptions.

Low testosterone. Low testosterone is often accompanied by low levels of the hormone estradiol, which functions in a similar way as estrogen to protect your bones.

High cholesterol. While the reason is unclear, a 2019 study identified a strong link between high cholesterol and low bone mineral density.

Low Vitamin D level. About 85% of older adults have a low vitamin D blood level. This is strongly associated with lower bone mineral density and fracture risk.

Family history. A family history of low bone mineral density or fracture, whether in male or female ancestors, increases your risk.

There are things that you can do to reduce your risk, including supplementation with calcium and vitamin D. A good place to begin is with 1,200mg of calcium and 2,000IU of vitamin D daily. But in every case, it is best to consult your doctor to determine the optimum does for you. Weight bearing exercise for 30 minutes several days a week will also help.

And perhaps consider adding a bone mineral density test if you are in your 60s. Forewarned is forearmed.