
Osteoporosis Shows Similarities in Men And Women
WESTPORT, CT (Reuters Health) Oct 26 - While osteoporosis in men has
received much less attention than in women, male osteoporosis is
becoming recognized as an important public health problem, according to
researchers in Europe and the United States, and the condition in men
shows certain important similarities to that in women.
In the October issue of the Annals of the Rheumatic Diseases,
Dr. J. Y. Reginster of the Policlinique Universitaire L. Brull, Liege,
Belgium, and colleagues in the Group for the Respect of Ethics and
Excellence in Science, review the state of knowledge on male
osteoporosis as background to anticipated studies of the treatment of
the condition.
They note that following a search of the literature, they found that
there is "at least twofold higher incidence of osteoporotic
fractures in women than in men." Nevertheless, the data show
"important points of concordance between both sexes for the
relation between BMD and fracture risk in untreated populations."
The researchers explain that the gender variance in fracture risk
appears to be due to quantitative differences in shared risk factors.
For example, differences such as higher bone mineral density (BMD),
higher body mass index, and lower rates of falls may play a part.
Another factor is shorter life expectancy in men.
Age-related changes in BMD are similar in elderly men and women, Dr.
Reginster and colleagues say. However, there is a "lack of data on
the effect of changes in BMD and bone turnover resulting from
pharmacological intervention on fracture rates in men." It remains
to be seen whether "a drug having shown an antifracture efficacy in
women might also reduce fracture risk in men."
Ann Rheum Dis 2000;59:765-772.
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