Aims: Evaluating the characteristics of male osteoporosis cases followed up in outpatient clinic. Material and Methods: The age, education status, alcohol, cigarette and coffee consumption, and nutritive habits of the male cases followed up in outpatient clinic between 2004-2005 were evaluated. Usage of toxic drugs and low energy fracture presence in the patient and his family were recorded. Sexual function was evaluated. Total blood count, comprehensive biochemical analyses, and bone mineral density (BMD) measurement (DXA Hologic) were applied. Results: The mean age of the 55 study subjects was 61.7 ± 14.69 (age range: 22-85). 49.09% of the cases graduated from university, 29.09% high school, and 21.81% primary school. 78.2% of the cases were not using alcohol at all, 5.5% of them drinks alcohol one glass a day, and 3.6% of them have a few glasses a week. The nonsmokers were 89%, the ones that smokes up to 5 cigarettes a day were 7.3%, and the ones who smokes more than 5 cigarettes a day were 3.7%. The percentage of cases that drinks more than 3 cups of coffee a day were 3.6%, the people who receive calcium-rich food were 69.1%, and the regularly exercising people were 49%. 40% of the cases manifested sexual dysfunction. Secondary diseases were determined in 67.3% of cases and 29.1% of them had a history of toxic drug usage. The percentages of having fracture history in patients and their families were, respectively, 16.4% and 10.9%. Mean total hip densitometry value T-score was -2.19 ± 0.89, and Lumbar 1-4 T-score was -2.63 ± 0.80. Conclusion: We can affirm about osteoporosis that it should be considered in men at advanced ages, secondary diseases and sexual hormones play significant roles as etiologic causes, and it effects especially lumbar region. (Osteoporoz Dünyasindan 2006;12:84-6)Key words: Osteoporosis, men
Aims: Evaluating the characteristics of male osteoporosis cases followed up in outpatient clinic. Material and Methods: The age, education status, alcohol, cigarette and coffee consumption, and nutritive habits of the male cases followed up in outpatient clinic between 2004-2005 were evaluated. Usage of toxic drugs and low energy fracture presence in the patient and his family were recorded. Sexual function was evaluated. Total blood count, comprehensive biochemical analyses, and bone mineral density (BMD) measurement (DXA Hologic) were applied. Results: The mean age of the 55 study subjects was 61.7 ± 14.69 (age range: 22-85). 49.09% of the cases graduated from university, 29.09% high school, and 21.81% primary school. 78.2% of the cases were not using alcohol at all, 5.5% of them drinks alcohol one glass a day, and 3.6% of them have a few glasses a week. The nonsmokers were 89%, the ones that smokes up to 5 cigarettes a day were 7.3%, and the ones who smokes more than 5 cigarettes a day were 3.7%. The percentage of cases that drinks more than 3 cups of coffee a day were 3.6%, the people who receive calcium-rich food were 69.1%, and the regularly exercising people were 49%. 40% of the cases manifested sexual dysfunction. Secondary diseases were determined in 67.3% of cases and 29.1% of them had a history of toxic drug usage. The percentages of having fracture history in patients and their families were, respectively, 16.4% and 10.9%. Mean total hip densitometry value T-score was -2.19 ± 0.89, and Lumbar 1-4 T-score was -2.63 ± 0.80. Conclusion: We can affirm about osteoporosis that it should be considered in men at advanced ages, secondary diseases and sexual hormones play significant roles as etiologic causes, and it effects especially lumbar region. (Osteoporoz Dünyasindan 2006;12:84-6)Key words: Osteoporosis, men
Article in Turkish(Use the link for full-text in Turkish)
Osteoporozun daha çok kadinlarda görülen bir hastalik olarak düsünülmesi nedeniyle erkek osteoporozu hakkindaki bilgiler sinirli kalmistir. Osteoporoz erkeklerde ihmal edilen ve gözden kaçan bir saglik problemidir (1). Kadinlarda oldugu gibi erkeklerde de önemli bir toplumsal saglik problemi haline gelmesinin nedeni kirikla sonuçlamasi, buna bagli morbidite ve mortalitede artis ve tedavi maliyetleridir (2). Yasa bagli kalça kirigi ve vertebral kirik prevalanslari kadinlarin en az yarisi kadardir (3). Yas faktörü yaninda erkek hastalarda sekonder nedenler etyolojide önemli rol oynar (4). Erkeklerde osteoporoz ve kirik risk faktörleri arasinda daha önceki kirik, aile hikayesi, hipogonadizm, vücut kütle indeksinin düsük olmasi, sigara, alkol aliskanligi, düsük kalsiyum içerikli diyet, kortizon kullanimi, fiziksel aktivitenin az olmasi, hipertroidi, hiperparatiroidi, hiperkalsiüri ve kronik enflamatuar hastaliklar sayilabilir (5). Bizim bu çalismayi yapmaktaki amacimiz osteoporoz poliklinigimize basvuran erkek hastalarin özelliklerini irdeleyerek erkek osteoporozunun etyopatogenezinde rol oynayan faktörleri belirlemekti.
