Prevalence of osteoporosis in elderly men and associated risk factors

Nguyen Tuan Anh, Nguyen Tran Trung, Tran Nam Chung, Nguyen Thi Tuoi

Main Article Content

Abstract

This study aimed to describe the prevalence of osteoporosis and to analyze risk factors associated with osteoporosis in men aged 50 years and older who underwent bone mineral density (BMD) measurement using dual-energy X-ray absorptiometry (DEXA) at E Hospital in 2025. A cross-sectional descriptive study was conducted on a convenient sample of 200 male patients aged ≥ 50 years who attended the Musculoskeletal Department and had BMD measured at the lumbar spine and femoral neck using DEXA between January and October 2025. Risk factors assessed included age, body mass index (BMI), occupation, living area, smoking, alcohol consumption, history of fractures, physical exercise and long-term corticosteroid use. Data were analyzed using SPSS 23.0. The prevalence of osteoporosis in the study population was 18.5%, while osteopenia accounted for 52.5%. Osteoporosis was more common in patients aged ≥ 70 years old. Low BMI, smoking, previous fractures, lack of regular exercise and prolonged corticosteroid use were significantly associated with an increased risk of osteoporosis. Osteoporosis in men over 50 years of age is relatively common and is influenced by several modifiable risk factors. Screening, lifestyle modification and preventive strategies should be strengthened in this population.

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References

1. Trần Văn Minh. Đặc điểm loãng xương ở người cao tuổi. Tạp chí Y học TP Hồ Chí Minh. 2018;22(Suppl 4):123-129.
2. Đinh Thị Việt. Khảo sát tình trạng loãng xương ở nam giới tại Khoa Nội Cơ Xương Khớp Bệnh viện Thống Nhất. Tạp chí Y học TP Hồ Chí Minh. 2016;20(6).
3. Lê Thị Ngọc Kiều. Đặc điểm loãng xương ở bệnh nhân đái tháo đường típ 2 và một số yếu tố liên quan. Tạp chí Y học Thực hành. 2024;(77):184-190.
4. Nguyễn Thị Hoa. Xác định các yếu tố nguy cơ loãng xương ở nam. Tạp chí Y học Việt Nam. 2024;535(1).
5. Izumotani K, Hagiwara S, Izumotani T, et al. Risk factors for osteoporosis in men. J Bone Miner Metab. 2003;21(2):86-90.
6. Yoo JE, Park HS. Prevalence and associated risk factors for osteoporosis in Korean men. Arch Osteoporos. 2018;13(1):88.
7. Kanis JA, Johnell O, Oden A, et al. A meta-analysis of previous fracture and subsequent fracture risk. Osteoporos Int. 2004;15(3):175-82.
8. Vilaca T, Eastell R, Schini M. Osteoporosis in men. Lancet Diabetes Endocrinol. 2022 Apr;10(4):273-283.doi: 10.1016/S2213-8587(22)00012-2. Epub 2022 Mar 2. PMID: 35247315.