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Erick S. Mendoza,Amy A. Lopez,Valerie Ann U. Valdez,Leilani B. Mercado-Asis 대한내분비학회 2016 Endocrinology and metabolism Vol.31 No.3
Background: Osteoporosis in men is markedly underdiagnosed and undertreated despite higher morbidity and mortality associatedwith fractures. This study aimed to characterize adult Filipino men with osteopenia, osteoporosis and prevalent fractures. Methods: A cross-sectional study of 184 Filipino men ≥50 years screened for bone mineral density was performed. Age, weight,body mass index (BMI), Osteoporosis Self-Assessment Tool for Asians (OSTA) score, smoking status, family history of fracture,diabetes mellitus, physical inactivity, and T-score were considered. Results: Of the 184 patients, 40.2% and 29.9% have osteopenia and osteoporosis. Sixteen (21.6%) and 18 (32.1%) osteopenicand osteoporotic men have fragility hip, spine, or forearm fractures. Men aged 50 to 69 years have the same risk of osteoporosisand fractures as those ≥70 years. While hip fractures are higher in osteoporotic men, vertebral fractures are increased in both osteopenicand osteoporotic men. Mere osteopenia predicts the presence of prevalent fractures. A high risk OSTA score can predictfracture. A BMI <21 kg/m2 (P<0.05) and current smoking are associated with osteoporosis. Conclusion: A significant fraction of Filipino men with osteopenia and osteoporosis have prevalent fractures. Our data suggestthat fractures occur in men <70 years even before osteoporosis sets in. Low BMI, high OSTA score, and smoking are significantrisk factors of osteoporosis.
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