Male osteoporosis – the problem statement among South India men
Two points worth noting about osteoporosis in India - high incidence
among men and lower age of peak incidence compared to Western countries. 1 out of
8 males and 1 out of 3 females in India suffers from osteoporosis. The incidence
of hip fracture is 1 woman to 1 man. In Western countries, the peak incidence of
osteoporosis occurs at 70-80 years of age, in India it afflicts at age 50-60. But
there is a worrying trend of increasing prevalence of osteoporosis among the younger
men in India that has been under studied. This cross-sectional study was conducted
in a tertiary care centre. With informed consent, male subjects were evaluated clinically
including anthropometry and history, biochemically with 25-OH Vitamin D and radiologically
with DEXA scan. Calculation of T score and categorization as osteoporosis, osteopenia,
and normal BMD was done as per WHO classification and data was analyzed. The male
population having decreased bone mass was more than expected. Osteoporosis and osteopenia
are prevalent in younger male population too contrary to the popular belief. A significantly
large proportion of south Indian men had osteoporosis and vitamin D deficiency.
Further interventional studies are needed to look at reduction in end points like
fractures and morbidity in these subjects.
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