New Guidelines for Osteoporosis in Men
American College of Physicians Urges Periodic Screening for Older Men
May 8, 2008 -- The American College of Physicians has issued new guidelines
to bring awareness to osteoporosis screening in older men.
"Osteoporosis is not just a women's disease," says Amir Qaseem, MD,
PhD, MHA, of the American College of Physicians, in a news release. "Not
enough older men are being screened."
Osteoporosis is a condition in which bones become less dense, more porous,
and more susceptible to fractures. It is commonly thought of as a problem for
postmenopausal women, but it can also occur in men.
The American College of Physicians reports that the prevalence of
osteoporosis is estimated to be 7% of white men, 5% of African-American men,
and 3% of Hispanic men in the U.S. But the group says those figures are
expected to grow as the population ages within the next 15 years.
Among the new guidelines:
- Clinicians should periodically assess older men for risk factors of
- Clinicians should obtain DXA tests for men who are at increased risk for
osteoporosis and candidates for medication treatment. The DXA test (dual-energy
X-ray absorptiometry) measures bone density.
- More research is recommended to assess screening tests for osteoporosis in
Here are some of the main risk factors of osteoporosis for men:
- Age over 70
- Low body weight
- Recent weight loss of more than 10%
- Lack of physical exercise
- Use of some medications such as corticosteroids
The new guidelines are published in the May 6 issue of Annals of Internal