Department of Medicine, Division of Endocrinology, College of Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Endocrinol Metab Clin North Am. 2012 Sep;41(3):629-41. doi: 10.1016/j.ecl.2012.05.001. Epub 2012 Jun 17.
Osteoporosis is now recognized as a major threat to health in aging men. Morbidity and mortality, particularly following hip fracture, are substantial. Although trabecular bone loss starts in early adulthood, loss of cortical bone only seems to occur from midlife onwards. Declining bioavailable estradiol levels plays an integral role in male age-associated bone loss. Both pharmacologic and supportive care interventions are important for optimal care in men at an increased fracture risk.
骨质疏松症现在被认为是老年男性健康的主要威胁。发病率和死亡率,特别是髋部骨折后,相当高。尽管小梁骨丢失始于成年早期,但皮质骨丢失似乎只发生在中年以后。生物利用度雌二醇水平的下降在男性与年龄相关的骨丢失中起着重要作用。对于骨折风险增加的男性,药物和支持性护理干预都是优化护理的重要措施。