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Osteoporosis in Men

  • About 20-25% of hip fractures related to Osteoporosis occur in men.

  • The overall mortality is about 20% in the first 12 months after hip fracture and is higher in men than women (13,14)

  • It is estimated that the residual lifetime risk of experiencing an osteoporotic fracture in men over the age of 50 is up to 27%, higher than the lifetime risk of developing prostate cancer of 11.3% ( 255,15).

  • Vertebral fractures may cause equal morbidity in men and women. Hip fractures in men cause significant morbidity and loss of normal functioning (16).

  • Although the overall prevalence of fragility fractures is higher in women, men generally have higher rates of fracture related mortality (14,17).

  • As in women, the mortality rate in men after hip fracture increases with age and is highest in the year after a fracture (18,19). Over the first 6 months, the mortality rate in men approximately doubled that in similarly aged women (18).

  • Forearm fracture is an early and sensitive marker of male skeletal fragility. In aging men, wrist fractures carry a higher absolute risk for hip fracture than spinal fractures in comparison to women (20).

  • In Sweden, osteoporotic fractures in men account for more hospital bed days than those due to prostate cancer (21).

  • In 2025, the estimated number of hip fractures occurring worldwide in men will be similar to that observed in women in 1990 (244).

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