OSTEOPOROSIS IN MEN
Autori:
DARKO KAŠTELAN, ZLATKO GILJEVIĆ, IZET AGANOVIĆ, MIRKO KORŠIĆ
Sažetak
Osteoporoza u muškaraca važan je javnozdravstveni problem. Prema podacima s trećeg NHANES-a (National Health and Nutrition Examination Survey), 7% muškaraca bijele rase, starijih od 50 godina, ima osteoporozu. Svaki treći prijelom kuka događa se u muškaraca, a smrti ishod kao rezultat ovog prijeloma dvostruko je češći nego u žena. Najčešći uzroci osteoporoze u muškaraca su hipogonadizam, uzimanje alkohola i primjena glukokortikoida, dok u 30–50% slučajeva uzrok ostaje nepoznat pa govorimo o idiopatskoj osteoporozi. U članku se raspravlja o etiologiji, epidemiološkim obilježjima, dijagnostičkim postupcima i liječenju osteoporoze u muškaraca.
Summary
Summary. Male osteoporosis represents an important public health problem. According to NHANES III (National Health and Nutrition Examination Survey), 7% of white men aged 50 years and over have osteoporosis. One-third of all hip fractures occurred in men and prevalence of death after hip fracture is twice as high as in women. Hypogonadism, alcohol abuse and glucocorticoid excess are the most frequent causes of secondary osteoporosis in men, while in 30–50% of cases osteoporosis is idiopathic. In the article we discuss etiology, epidemiology, diagnostic procedure and treatment of osteoporosis in men.
