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 World Osteoporosis Day 20th October 2014

  • 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 more likely than women to be disabled or die from osteoporosis
  • 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.

Poor lifestyle in boys and men impact their future risk of osteoporosis

  • 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.

Men are not being diagnosed and treated for osteoporosis

  • 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.

Men can take steps to build strong bones and prevent fractures

  • 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.

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Reference: http://worldosteoporosisday.org/resources/fact-sheets
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