Risk Factors for Osteoporosis and Fractures in Men
Even though bone loss in men usually occurs later in life compared with women, men can still be at high risk for osteoporosis. By age 65, men catch up to women and lose bone mass at the same rate. Additional risk factors such as a small body frame, long-term use of corticosteroids (medications prescribed for a wide range of diseases, including arthritis, asthma, Crohn disease, lupus, and other diseases), or low testosterone (or sex hormone) levels can increase the risk of osteoporosis in men.
It is estimated that by 2025, the total number of hip fractures in men will be similar to the current number reported in women. Perhaps because men are generally older than women are when they have a fracture, men are often more severely disabled. As with women, the hips, spine, and wrists are the most common sites of fracture. The complications and death caused by hip fractures is 3 times higher in men than women.
Osteoporosis is often called the "silent disease," because most of the time, bone loss occurs without any symptoms at all. But when osteoporosis becomes severe, it can lead to fractures and a condition called kyphosis. Kyphosis is a deformity resulting from spinal compression fractures, sometimes described as the "dowager's hump." Both fractures and kyphosis can be very painful. This pain is usually more severe than the typical "aches and pains" many people feel as they get older.