Although 25% of men over the age of 60 will sustain osteoporotic fractures during their lifetime,
data suggest that male osteoporosis is underdiganosed and undertreated. In order to help inform
decisions about whether the Veterans Health Administration should develop screening guidelines
for male osteoporosis, the following Key Questions were analysed in this report:
What are the prevalence of and risk factors for osteopenia, osteoporosis and
osteoporotic fractures among men in general and among male Veterans specifically?
Are there any validated tools (outside of central bone density) to screen for osteoporosis in men?
What values of bone mineral density (BMD) determined by Dual energy X-ray Absorptiometry (DXA)
(and by different DXA techniques) have been used to diagnose osteopenia and osteoporosis; and
what is the evidence regarding the relationship between differing definitions and the development
of osteoporotic fractures?