The osteoporotic male: Overlooked and undermanaged?

Bruno Madeo, Lucia Zirilli, Giovanni Caffagni, Chiara Diazzi, Alessia Sanguanini, Elisa Pignatti, Cesare Carani, Vincenzo RochiraDepartment of Medicine, Endocrinology and Metabolism, and Geriatrics, University of Modena and Reggio Emilia, Ospedale S.Agostino – Estense di Baggiovara, Modena...

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Autores principales:	Bruno Madeo, Lucia Zirilli, Giovanni Caffagni, Chiara Diazzi, Alessia Sanguanini, et al
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2007
Materias:	Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/b232d4474e714d87b44947c11145f760
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spelling	oai:doaj.org-article:b232d4474e714d87b44947c11145f7602021-12-02T04:07:20ZThe osteoporotic male: Overlooked and undermanaged?1178-1998https://doaj.org/article/b232d4474e714d87b44947c11145f7602007-10-01T00:00:00Zhttps://www.dovepress.com/the-osteoporotic-male-overlooked-and-undermanaged-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Bruno Madeo, Lucia Zirilli, Giovanni Caffagni, Chiara Diazzi, Alessia Sanguanini, Elisa Pignatti, Cesare Carani, Vincenzo RochiraDepartment of Medicine, Endocrinology and Metabolism, and Geriatrics, University of Modena and Reggio Emilia, Ospedale S.Agostino – Estense di Baggiovara, Modena, ItalyAbstract: Age-related bone loss in men is a poorly understood phenomenon, although increasing data on the pathophysiology of bone in men is becoming available. Most of what we know on bone pathophysiology derives from studies on women. The well-known association between menopause and osteoporosis is far from been disproven. However, male osteoporosis is a relatively new phenomenon. Its novelty is in part compensated for by the number of studies on female osteoporosis and bone pathophysiology. On the other hand, the deeper understanding of female osteoporosis could lead to an underestimation of this condition in the male counterpart. The longer life-span exposes a number of men to the risk of mild-to-severe hypogonadism which in turn we know to be one of the pathogenetic steps toward the loss of bone mineral content in men and in women. Hypogonadism might therefore be one among many corrigible risk factors such as cigarette smoking and alcohol abuse against which clinicians should act in order to prevent osteoporosis and its complications. Treatments with calcium plus vitamin D and bisphophonates are widely used in men, when osteoporosis is documented and hypogonadism has been excluded. The poor knowledge on male osteoporosis accounts for the lack of well shared protocols for the clinical management of the disease. This review focuses on the clinical approach and treatment strategy for osteoporosis in men with particular attention to its relationship with male hypogonadism.Keywords: bone loss, BMD, age-related hypogonadism, sex steroidsBruno MadeoLucia ZirilliGiovanni CaffagniChiara DiazziAlessia Sanguaniniet alDove Medical PressarticleGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 2, Pp 305-312 (2007)
institution	DOAJ
collection	DOAJ
language	EN
topic	Geriatrics RC952-954.6
spellingShingle	Geriatrics RC952-954.6 Bruno Madeo Lucia Zirilli Giovanni Caffagni Chiara Diazzi Alessia Sanguanini et al The osteoporotic male: Overlooked and undermanaged?
description	Bruno Madeo, Lucia Zirilli, Giovanni Caffagni, Chiara Diazzi, Alessia Sanguanini, Elisa Pignatti, Cesare Carani, Vincenzo RochiraDepartment of Medicine, Endocrinology and Metabolism, and Geriatrics, University of Modena and Reggio Emilia, Ospedale S.Agostino – Estense di Baggiovara, Modena, ItalyAbstract: Age-related bone loss in men is a poorly understood phenomenon, although increasing data on the pathophysiology of bone in men is becoming available. Most of what we know on bone pathophysiology derives from studies on women. The well-known association between menopause and osteoporosis is far from been disproven. However, male osteoporosis is a relatively new phenomenon. Its novelty is in part compensated for by the number of studies on female osteoporosis and bone pathophysiology. On the other hand, the deeper understanding of female osteoporosis could lead to an underestimation of this condition in the male counterpart. The longer life-span exposes a number of men to the risk of mild-to-severe hypogonadism which in turn we know to be one of the pathogenetic steps toward the loss of bone mineral content in men and in women. Hypogonadism might therefore be one among many corrigible risk factors such as cigarette smoking and alcohol abuse against which clinicians should act in order to prevent osteoporosis and its complications. Treatments with calcium plus vitamin D and bisphophonates are widely used in men, when osteoporosis is documented and hypogonadism has been excluded. The poor knowledge on male osteoporosis accounts for the lack of well shared protocols for the clinical management of the disease. This review focuses on the clinical approach and treatment strategy for osteoporosis in men with particular attention to its relationship with male hypogonadism.Keywords: bone loss, BMD, age-related hypogonadism, sex steroids
format	article
author	Bruno Madeo Lucia Zirilli Giovanni Caffagni Chiara Diazzi Alessia Sanguanini et al
author_facet	Bruno Madeo Lucia Zirilli Giovanni Caffagni Chiara Diazzi Alessia Sanguanini et al
author_sort	Bruno Madeo
title	The osteoporotic male: Overlooked and undermanaged?
title_short	The osteoporotic male: Overlooked and undermanaged?
title_full	The osteoporotic male: Overlooked and undermanaged?
title_fullStr	The osteoporotic male: Overlooked and undermanaged?
title_full_unstemmed	The osteoporotic male: Overlooked and undermanaged?
title_sort	osteoporotic male: overlooked and undermanaged?
publisher	Dove Medical Press
publishDate	2007
url	https://doaj.org/article/b232d4474e714d87b44947c11145f760
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The osteoporotic male: Overlooked and undermanaged?

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