The aim was to formulate practice guidelines for management of osteoporosis in men.
Osteoporosis in men causes significant morbidity and mortality.
We recommend testing higher risk men [aged ≥70 and men aged 50–69 who have risk factors (e.g. low body weight, prior fracture as an adult, smoking, etc.)] using central dual-energy x-ray absorptiometry.
Laboratory testing should be done to detect contributing causes.
Adequate calcium and vitamin D and weight-bearing exercise should be encouraged; smoking and excessive alcohol should be avoided.
Pharmacological treatment is recommended for men aged 50 or older who have had spine or hip fractures, those with T-scores of −2.5 or below, and men at high risk of fracture based on low bone mineral density and/or clinical risk factors.
Treatment should be monitored with serial dual-energy x-ray absorptiometry testing.