Osteoporosis in Elderly Men | Chapter 4 | Current Overview on Disease and Health Research Vol. 3

 Background: Osteoporosis (OP) is still underdiagnosed and undervalued in older men. Despite all difficulties, a man is less likely to receive evaluation and treatment after a low trauma fracture.

In this study, our primary goals were to ascertain the prevalence and specificity of OP in older Tunisian males, and our secondary goals were to identify the specificity of risk factors for male OP, its consequences, and therapy.

The records of male patients over the age of 65 who visited our rheumatology department over a 14-year period were examined in this retrospective analysis. All patients had their bone mass at the femoral and vertebral locations evaluated along with bone mineral density (BMD) measurements.

Results: There were 59 patients total, with an average age of 71. 19 patients (32%) had osteopenia and 27 individuals (46%) had OP. Patients with osteoporosis were 72.2 years old on average. 54 percent of our patients smoked, and 88 percent of them had bone loss. There were three patients (3%) with osteoporosis and a low body mass index (19 kg/m2). In 28 cases (47%), OP was related to a recognised potentially OP-induced disease. In 21 patients (36%), an iatrogenic cause of OP was identified, primarily due to corticosteroids. 39 low energy fractures of the bones were identified, including 25 (64%) vertebral fractures and 8 (20%) fractures of the upper femur. Twenty-one fractures (54%) were connected to OP, including 16 vertebral fractures.

Following a fracture of the top end of the femur, only one death was regretted. Vitamin D and calcium supplements were given to all of our osteoporotic patients as well as 17 (90%) osteopenic patients. 27 individuals (46%) had had bisphosphonate therapy without mentioning any negative side effects. In conclusion, OP was substantially more prevalent in older males but mostly secondary, as in all published studies. At the vertebral location, low energy fractures were also prevalent.

Author(s) Details:

Saoussen Miladi,
Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.

Meriem Sellami,
Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.

Alia Fazaa,
Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.

Saloua Belhadj,
Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.

Kawther Ben Abdelghani,
Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.

Ahmed Laatar,
Rheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.

Please see the link here: https://stm.bookpi.org/CODHR-V3/article/view/7892