Screening for Osteoporosis in Men: A Systematic Review for an American College of Physicians Guideline

Liu, Hau; Paige, Neil M.; Goldzweig, Caroline; Wong, Ella Lai‐Ming; Zhou, Annie Jie; Suttorp, Marika J; Munjas, Brett; Orwoll, Eric S.; Shekelle, Paul G

doi:10.7326/0003-4819-148-9-200805060-00009

Cited by 124 publications

(72 citation statements)

References 131 publications

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“…All of the patients were diagnosed with osteoporosis based on BMD values of the lumbar spine (L1 -L4) as measured using the WHO criteria (T-score ≤ -2.5 SD) (5). Their ages ranged from 30 years to 77 years (mean age 55.2 years ± 11.07 years).…”

Section: Methodsmentioning

confidence: 99%

The mandibular angle in osteoporotic men

Çakur

Dağistan²,

Harorlı³

et al. 2011

Med Oral

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Objectives: Osteoporosis induces the reduction of bone mass and screening for low bone mineral density (BMD) by dual-energy x-ray absorptiometry (DXA) has been the current gold standard test to determine osteoporosis. Panoramic radiography is widely used in dentistry for routine examination of jaws. The objective of this study was to determine the relationship between the mandibular angle (MA) values and the vertebral bone mineral density (v-BMD) in 20 osteoporotic men. Study design: In panoramic radiograms of osteoporotic men, the means were calculated for the mandibular angle values measured in the right and left mandible. v-BMD values were also calculated by manual analysis of DXA scans. The correlation between these variables was assessed. Results: A negatively significant correlation was found between the MA and v-BMD. Conclusions: The size of the mandibular angle decreases when osteoporosis increases. It is suggested that the mandibular angle may be useful in clinical dental practice to identify osteoporotic men with previously undetected low bone mineral density.

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Section: Methodsmentioning

confidence: 99%

The mandibular angle in osteoporotic men

Çakur

Dağistan²,

Harorlı³

et al. 2011

Med Oral

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“…Furthermore, there are both internal and external risk factors that have shown to impact bone mass. Internal factors like old age, female sex and parental hip fracture cannot be modified [5][6]. However, external factors like nutrition, physical inactivity and smoking can be modified [5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Association between Self-Perceived Health, Physical Activity, and BMD in Aging Men and Women

Tervo¹

2011

TOBONEJ

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Abstract:The association between general health and bone mineral density (BMD, g/cm 2 ) is not well studied. The purpose of this study was therefore to examine the relationships between BMD, self-perceived health, and lifestyle factors in a well-defined cohort of middle-aged men and women. The cohort studied consisted of 1595 women and men with a mean age of 57 years at baseline (range 30-74 yr), who completed a comprehensive health survey within the Västerbotten Intervention Project. BMD was measured at the femoral neck and lumbar spine a mean of 5 years later using Dual Energy X-ray absorptiometry. After adjusting for age, weight, sex, and follow-up time, self-perceived health (Beta = 0.08, p<0.001), training (Beta = 0.11, p<0.001), snow shoveling (Beta = 0.07, p=0.001), and smoking more than 15 cigarettes per day (Beta = -0.05, p=0.04) were found to be related to femoral neck BMD. Only self-perceived health, age, and weight were found to be related to spine BMD. Self-perceived health was also found to be related to some of the lifestyle factors that were significantly related to BMD, such as training (r = 0.14, p<0.001) and snow shoveling (Beta = 0.15, p<0.001). In summary, several lifestyle factors related to self-perceived health were also found to be related to bone mineral density in a well-defined cohort of middle-aged men and women.

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“…The most important risk factors for low bone mineral density (BMD) mediated osteoporotic fracture in men without a known diagnosis of osteoporosis or fracture are increase age (> 70years) and low body weight (body mass in- dex < 20 to 25kg/m2).Other risk factors include weight loss, physical inactivity, corticosteroid use, previous osteoporotic fracture and androgen deprivation therapy [33].…”

Section: Musculoskeletalmentioning

confidence: 99%

Side Effects and Complications of Androgen Deprivation in Prostate Cancer Patients

Fernandez-Castro¹

2010

TOPCANJ

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Androgen deprivation therapy has been used for years and its use has increased recently in the treatment of locally advanced and metastatic prostate cancer patients.Frequent side effects of androgen deprivation therapy are hot flashes, neuropsychological, sexual dysfunction, anemia and physical and metabolic changes. The most concerning ones are an increase risk of diabetes, cardiovascular disease, fractures and in some cases a possibly increase in mortality.Since not every patient with prostate cancer will die due to their disease the benefit and risk of androgen deprivation therapy should be discussed.We encourage in these patients to have routine surveillance and control of their glucose, modification of cardiac risk factors and to have preventive measures and treatment of osteoporosis.

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Screening for Osteoporosis in Men: A Systematic Review for an American College of Physicians Guideline

Cited by 124 publications

References 131 publications

The mandibular angle in osteoporotic men

The mandibular angle in osteoporotic men

Association between Self-Perceived Health, Physical Activity, and BMD in Aging Men and Women

Side Effects and Complications of Androgen Deprivation in Prostate Cancer Patients

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