Back

I've heard that men can get osteoporosis (not just women). How can I tell if my husband has this?

The best way to test for osteoporosis is a special test called dual-energy X-ray absorptiometry (DEXA). This test measures bone mineral density (bone mass). Computer software can use the T-score generated by the DEXA and calculate a person's fracture risk in seconds. The physician uses this information to counsel patients and advise when to take osteoporosis medication. Osteoporosis is a fairly silent disease. It may not be evident until a fracture occurs. In some cases, loss of height or forward curvature of the spine is a sign of decreased bone density. However, it is possible to look at risk factors and predict fracture risk and even risk for osteoporosis. Anyone at risk should have a baseline study done. This will help him or her see any changes that might occur in the future and seek treatment sooner than later. Some of the nonmodifiable risks (things you can't change) include age, ethnicity (Caucasians and Asians have a higher risk), family history of osteoporosis, and menopause. Long periods of inactivity or immobilization can also result in loss of bone density. Modifiable risk factors include excess intake of alcohol, tobacco, or caffeine. Certain drugs such as blood thinners, antiinflammatories, and antiseizure meds are risk factors. Diet and nutrition is a leading cause of calcium and magnesium deficiency leading to osteoporosis. For men around age 50, a review of risks and DEXA testing is a good idea. This should be updated at an annual medical exam.

« Back