Osteoporosis is one of the leading causes of morbidity and mortality in elderly people. Although less buy lasix generic frequently in men than women, about 1. 5 million people over the age of 65 years in the United States have osteoporosis and another 3. 5 million people are at risk [
]. The death rate associated with hip fractures [
], and the spine and other major fractures [
] higher in men than in women. In addition, men are even less likely than women to assess and take antiresorptive therapy after hip fracture (4. 5 in comparison with 49. 5 percent, respectively) [
]. Treatment of osteoporosis in men includes lifestyle measures and drug or hormone therapy. Review approach to treatment of osteoporosis in men will be presented here. Diagnosis, assessment and epidemiology of osteoporosis in men are discussed separately. (See
s).
In general, lifestyle changes should be encouraged for all people suffering from osteoporosis. Bearing exercise regime can be effective in view of the association decreased physical activity on bone loss and fractures in older men and the positive effects of exercise in women with osteoporosis. (See
s). In addition, smoking and excessive alcohol consumption should be avoided. Typically, men with osteoporosis should receive adequate amounts of calcium (1000 mg / day in young men from 1200 to 1500 mg per day in older men) and vitamin D (from 400 to 800 ext. Unit / day) supplements. Some meta-analysis, calcium and vitamin D, has been shown to reduce the risk of fractures in men and women. (See), but in most cases, but pharmacological or hormonal therapy is needed to treat osteoporosis in men [
]. If the cause of osteoporosis is determined, it should be treated accordingly. As an example of potential offenders agents (eg, glucocorticoids, alcohol, tobacco, etc.) should be eliminated wherever possible. Hypogonadism can be treated with testosterone replacement therapy. .
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