, Volume 75, Issue 2, pp 90-99
Date: 27 May 2004

Epidemiology of Osteoporosis and Fracture in Men

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Osteoporosis and its clinical sequelae are increasingly recognized as a major health care problem, but attention has focused particularly on postmenopausal osteoporosis in women [1]. Women have a lower bone mineral density than men, live longer, and have the more rapid rates of bone loss—at least in their 50s and 60s due to the estrogen deficiency that characterizes menopause. Osteoporosis in men is not, however, a rare occurrence. For example, the hospital bed days accounted for by osteoporotic fracture in men exceed those due to prostatic cancer. Moreover, life expectancy is improving in both sexes, but at a greater rate in men compared with women. This means that the importance of osteoporotic fracture is set to increase, a phenomenon that will be more marked in men than in women.

This article reviews briefly the epidemiology of osteoporosis in men. Data from women are inevitably used as a comparator. The review focuses on epidemiological information available from Sweden. The streng ...