Osteoporosis is not just a woman's disease - worldwide approximately one in five men aged 50 years or over will break a bone due to osteoporosis.
One-third of all hip fractures worldwide occur in men.
Men aged 50 years or over are more likely to break a bone due to osteoporosis than to develop prostate cancer.
Worldwide in the year 2000, the prevelance of fragility fractures (broken bones) in men was estimated at:
490,000 hip fractures (30.1% of all vertebrae cases)
554,000 vertebral fractures (39.1% of all vertebral cases)
3.5 million fragility fractures in total (38.7% of all fragility cases)
Men are twice as likely to die when compared to women further to a hip fracture, with a mortality rate as high as 37% in the first year following a fracture.
Mortality is increased after most fragility fractures in men, not only following hip fractures.
There is a growing concern that poor lifestyle habits in boys and teens - low level vitamin D and calcium intake as well as increasingly sedentary lifestyles - will impact on the aquisition of peak bone mass and affect their future risk of osteoporosis.
Excessive alcohol consumption (more than two units of alcohol per day) is associated with a 38% increase risk of suffering any fragility fracture and a 68% increased risk of hip fracture.
Current smoking is associated with a significantly increased risk of suffering broken bones: 29% increased risk of any fragility fracture; 68% increased risk of hip fracture.
An Australian study of older adults showed that 22.5% of women versus 9% of men had undergone bone testing, and 26.8% versus 8% had received osteoporosis treatment.
A clear sign of osteoporosis in adults is a previous fragility fracture - yet fewer than 20% of men who have already broken a bone are assessed and treated.
Despite their highrisk, men taking ADT for prostate cancer are often not being adequately tested and treated.
Adequate dietary calcium intake should be ensured. Recommended daily intake for men aged 19+ is 1,000mg per day and men aged 70+ is 1,300mgper day.
Men should get enough vitamin D through safe exposure to sunlight.
Men should partake in weight-bearing exercise about three sessions of 30 minutes per week.
Alcohol consumption should be limited (more than 2 units per day raises fracture risk) and men should quit smoking.