Can Osteoporosis Affect Men?

Osteoporosis is a condition where bones become weak and brittle, increasing the risk of fractures, especially in the spine, hips, and wrists. It results from a loss of bone density over time, often progressing silently until a fracture occurs. Contrary to common belief, osteoporosis does not just affect women. While it's true that women are at higher risk, osteoporosis in men is a serious and underrecognized health issue. Roughly 1 in 4 men over the age of 50 will experience an osteoporosis-related fracture in their lifetime. 

Can men be at risk? 

While men generally have larger and denser bones than women, they are not immune to bone loss. Key risk factors include: 

• Age (50+)  

• Low testosterone levels 

• Smoking and excessive alcohol use 

• Chronic diseases (e.g., diabetes, rheumatoid arthritis) 

• Long-term steroid use 

• Poor diet and sedentary lifestyle 

• Family history of osteoporosis 

Prevention and Treatment 

Osteoporosis is preventable and manageable. For starters, a diagnosis of osteoporosis is typically made using a bone density scan (DEXA scan). DEXA scans are recommended for men, particularly those at increased risk of osteoporosis, and are the gold standard for diagnosing osteoporosis. The Endocrine Society recommends bone density testing in men 70 and older, and in men 50-69 with risk factors. The American Academy of Family Physicians recommends DEXA for men at increased risk who are candidates for drug therapy.  

Once diagnosed here are some things to keep in mind to help manage the disease and live a healthy life: 

• Nutrition: Ensure adequate intake of calcium and Vitamin D. 

• Exercise: Weight-bearing and resistance exercises strengthen bones. 

• Lifestyle: Quit smoking, limit alcohol, and maintain a healthy weight. 

• Medication: For those at high risk, medications like bisphosphonates may be prescribed. 

Osteoporosis in men is often overlooked, leading to delayed diagnosis and higher risk of serious fractures. Regular screening, especially for men over 50 with risk factors, is essential. Prevention starts early—with good nutrition, an active lifestyle, and regular health check-ups. 

Let’s change the perception that osteoporosis is just a "women’s disease." Bone health matters for men too. For more information and to schedule a screening appointment for bone health, call (203) 758-1004