Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Arch Osteoporos. 2018 Aug 20;13(1):88. doi: 10.1007/s11657-018-0506-9.
Osteoporosis has become an important health concern even in men. We aimed to analyze its prevalence and associated factors in Korean men. Low socioeconomic status, unhealthy lifestyle, and chronic kidney disease increased the risk. High-risk men even at young age need to evaluate bone mineral density, and proper interventions should be reinforced.
Owing to an increase in the elderly population, osteoporosis and consequent fractures have become important health concerns even in men. We aimed to analyze the prevalence of osteoporosis in Korean men and identify risk factors associated with male osteoporosis.
The study included 6104 men aged ≥ 30 years and who underwent dual-energy X-ray absorptiometry between 2008 and 2011 in Korean National Health and Nutrition Survey. Sociodemographic status, lifestyle factors, and body composition were measured. We defined osteoporosis according to the WHO criteria using a T score of - 2.5 or less in men aged ≥ 50 years and a Z score of - 2.0 or less in men aged < 50 years. We analyzed the prevalence of osteoporosis and conducted multivariate logistic regression to evaluate the associated risk factors.
Overall, 5.0% of all participants and 17.7% of participants aged ≥ 70 years had osteoporosis and showed rapid progression from the age of 60 years. Risk factors for osteoporosis in Korean men were old age, lower education status, lower household income, lack of physical activity, insufficient calcium intake, chronic kidney disease, underweight, insufficient nutrition, and sarcopenia. Additionally, young men aged 30-49 years with a history of cancer were at an increased risk of osteoporosis.
Low socioeconomic status, unhealthy lifestyle, insufficient nutrition, and chronic kidney disease increased the risk of osteoporosis in Korean men. Men who have the abovementioned risk factors even at a young age need to undergo bone mineral density evaluation, and proper interventions should be reinforced to prevent and manage osteoporosis.
随着老年人口的增加，骨质疏松症及其相关骨折已成为男性关注的重要健康问题。本研究旨在分析韩国男性骨质疏松症的患病率，并确定与男性骨质疏松症相关的危险因素。
本研究纳入了 2008 年至 2011 年期间在韩国国家健康和营养调查中接受双能 X 线吸收法检测的 6104 名年龄≥30 岁的男性。测量了社会人口统计学状况、生活方式因素和身体成分。我们根据世界卫生组织（WHO）标准，将 T 评分≤-2.5 定义为年龄≥50 岁男性的骨质疏松症，Z 评分≤-2.0 定义为年龄<50 岁男性的骨质疏松症。我们分析了骨质疏松症的患病率，并进行了多变量 logistic 回归分析，以评估相关的危险因素。
总体而言，所有参与者中有 5.0%，≥70 岁的参与者中有 17.7%患有骨质疏松症，且从 60 岁开始迅速增加。韩国男性骨质疏松症的危险因素包括年龄较大、教育程度较低、家庭收入较低、缺乏体力活动、钙摄入不足、慢性肾脏病、体重过轻、营养不足和肌肉减少症。此外，30-49 岁有癌症病史的年轻男性患骨质疏松症的风险增加。
低社会经济地位、不健康的生活方式、营养不足和慢性肾脏病增加了韩国男性患骨质疏松症的风险。即使在年轻时具有上述危险因素的男性也需要进行骨密度评估，并应加强适当的干预措施，以预防和管理骨质疏松症。
