Strategies for Osteoporosis Care-Osteoporosis in Men

Video Transcription

Video Summary

The talk reviewed osteoporosis in men, emphasizing that although men generally achieve higher peak bone mass and develop fractures about 10 years later than women, they experience worse outcomes after fractures, including higher mortality and poorer recovery. A major care gap exists: most U.S. men are not routinely screened with DEXA, and many fragility fractures are not recognized or treated as osteoporosis. The speaker explained that current T-score and FRAX thresholds are still based largely on female data, partly because male-specific fracture studies are limited. However, recent evidence from VA and Kaiser Permanente systems shows that targeted screening improves diagnosis, treatment, adherence, and bone density, and that therapies such as bisphosphonates reduce fracture risk in men similarly to women. Vertebral fractures are common, may occur even with normal BMD, and are strongly linked to frailty and falls. The presentation concluded with a case showing successful off-label treatment and recovery.

Meta Tag

Concept Osteoporosis

Concept Fracture Risk

Concept Men

Concept Peak Bone Mass

Concept Fragility Fracture

Keywords

osteoporosis in men

DEXA screening

fragility fractures

FRAX thresholds

bisphosphonates

vertebral fractures

Osteoporosis

Fracture Risk

Men

Peak Bone Mass

Fragility Fracture