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Osteoporosis is a disease that affects your bones. It means you have bones that are thin and brittle, with lots of holes inside them like a sponge. This makes them easy to break. Osteoporosis can lead to broken bones (fractures) in the hip, spine, and wrist.
Osteoporosis is caused by a lack of bone strength or bone density. As you age, your bones get thinner naturally. But some things can make you more likely to have the severe bone thinning of osteoporosis. These things are called risk factors. Some risk factors you can change. Others you can't change.
Risk factors you can't change include:
Risk factors you can change include:
Experts suggest that older men talk to their doctors about osteoporosis and have bone density tests done if they are at risk.footnote 2
Diagnosis is based on your medical history and a physical exam. Bone density testing measures the density of your bones using a special X-ray. From this information, your doctor can estimate the strength of your bones. Your doctor may also do blood and urine tests to rule out other problems that may cause bone loss. Blood tests can also tell if low levels of testosterone or estrogen in your body are causing bone loss.
Talk to your doctor about your risk factors and whether bone density screening is right for you. Experts disagree about whether to screen men for osteoporosis and which men are more likely to benefit.
The National Osteoporosis Foundation (NOF) recommends that all men age 70 and older routinely have a bone density test to screen for osteoporosis. The NOF also recommends that you and your doctor check your fracture risk using a tool such as FRAX (Fracture Risk Assessment) starting at age 50 to help you decide whether to be screened for osteoporosis.footnote 3
The U.S. Preventive Services Task Force (USPSTF) says there isn't enough scientific evidence to decide if screening men is helpful.footnote 1
Ultrasound is sometimes offered at events such as health fairs as a quick screening for osteoporosis. Ultrasound by itself isn't a reliable test for diagnosing osteoporosis. But if results of an ultrasound screening find low bone density, your doctor can help you decide whether you should have a bone density test.
Treatment for osteoporosis may include adopting healthy habits and taking medicine to reduce bone loss and to build bone thickness. Medicine can also give you relief from pain caused by fractures or other changes to your bones.
Medicines used to prevent or treat osteoporosis include:
If you have low testosterone levels, your doctor may give you hormone therapy (shots, gels, or patches) to prevent osteoporosis. But hormone therapy to treat osteoporosis has not been approved by the FDA. If testosterone therapy is recommended, discuss the risks and benefits with your doctor.
You can slow osteoporosis with new, healthy habits.
Making even small changes in how you eat and exercise, along with taking medicine, can help prevent a broken bone.
Citations U.S. Preventive Services Task Force, et al. (2018). Screening for osteoporosis to prevent fractures: U.S. Preventive Services Task Force recommendation statement. JAMA, 319(24): 2521–2531. DOI: 10.1001/jama.2018.7498. Accessed October 29, 2018.Qaseem A, et al. (2008). Screening for osteoporosis in men: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 148(9): 680–684. Also available online: http://www.acponline.org/clinical_information/guidelines/guidelines.National Osteoporosis Foundation (2014). Clinician's guide to prevention and treatment of osteoporosis. National Osteoporosis Foundation. http://nof.org/hcp/clinicians-guide. Accessed October 22, 2014.Other Works ConsultedNational Osteoporosis Foundation (2014). Clinician's guide to prevention and treatment of osteoporosis. National Osteoporosis Foundation. http://nof.org/hcp/clinicians-guide. Accessed October 22, 2014.
Current as ofNovember 7, 2018
Author: Healthwise StaffMedical Review: Kathleen Romito MD - Family MedicineMartin J. Gabica MD - Family MedicineCarla J. Herman MD, MPH - Geriatric Medicine
Current as of: November 7, 2018
Author: Healthwise Staff
Medical Review:Kathleen Romito MD - Family Medicine & Martin J. Gabica MD - Family Medicine & Carla J. Herman MD, MPH - Geriatric Medicine
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