Perhaps because such fractures often occur ...

Bone is constantly changing - that is, old bone is removed and replaced with new bone. In childhood, more bone is produced than removed, so the skeleton grows in size and strength. For most people, peak bone mass during the third decade of life. In this age men are typically accumulated more bone mass than women. Since then, the number of bones in the skeleton typically begins to decline slowly as removal of old bone exceeds formation of new bone. Men in the 50's do not feel fast bone loss that women in the coming years. At the age of 65 or 70, however, men and women lose bone mass at the same rate, and absorption of essential nutrients for bone health throughout life, decreases in both sexes. Excessive bone loss causes bones become fragile and more prone to fractures. Fractures resulting most often in the hip, spine and wrist, and can be completely disabled. Hip fractures are especially dangerous. Perhaps because such fractures often occur in old age in men than in women, men who support hip fractures more often than women die from complications. There are 2 main types of osteoporosis: primary and secondary. In the case of primary osteoporosis, due to age or state of bone loss (sometimes called senile osteoporosis) or for unknown reasons (idiopathic osteoporosis). The term idiopathic

used only for men less than 70 years, older men, age bone loss is the cause. Most men with osteoporosis, at least one (sometimes several) secondary cause. In cases, loss of bone mass caused by certain lifestyle behaviors, diseases, or medications. The most frequent causes of secondary osteoporosis in men include the effect of glucocorticoid medications, hypogonadism (low

), alcohol abuse, smoking, gastro-intestinal tract, hypercalciuria, and immobilization. glucocorticoids and drugs: Glucocorticoids steroid drugs used to treat diseases such as asthma and rheumatoid. Loss of bone mass is a very common side effect of these drugs. Loss of bone mass of these drugs cause may be due to their direct effect on bone, muscle weakness or real estate, reduced intestinal absorption of calcium, decreased testosterone levels, or, more likely, a combination of these factors. When glucocorticoids are used drugs on a regular basis, bone mass often decreases quickly and continuously, with most of bone loss in ribs and vertebrae. Therefore, people taking these drugs should talk to your doctor about bone mineral density (BMD) test. Men should also be tested to monitor testosterone levels, as glucocorticoids often reduce testosterone levels. The plan of treatment to minimize bone loss during prolonged glucocorticoid therapy may include the use of minimum effective dose and removal of the drug or enter the skin if possible. Adequate calcium consumption and

important because these nutrients help reduce the impact of glucocorticoids on bone. Other possible treatments include

replacement and osteoporosis drugs. Alendronate and ryzedronat two drugs

approved by Food and Drug Administration (FDA) for use of men and women with glucocorticoid induced osteoporosis. Hypogonadism: hypogonadism refers to abnormally low floor. It is well known that the loss >> << causes in women. In men, lower levels of sex hormones may also lead to osteoporosis. Although it is only natural testosterone decreases with age, there should be a sharp drop in the

, that can be compared to falling estrogen levels experienced by women during menopause. However, medications like glucocorticoids (see above)

treatment (especially), and many other factors can affect testosterone levels. Testosterone replacement therapy may be useful to prevent or slow bone loss. Its success depends on factors such as age and how much testosterone were reduced. In addition, it is not clear how long the positive substitution effect >> << last. Thus, doctors usually treat osteoporosis directly, by means of drugs approved for this purpose. Recent studies show that estrogen deficiency may also cause osteoporosis in men. For example, low estrogen levels in men with hypogonadism and may play a role in bone loss. Osteoporosis was found in some men with rare violations involving estrogen. Thus, the role of >> << men is under active investigation. Alcohol abuse: There is plenty of evidence that alcohol abuse can decrease bone density and leads to an increase in fractures. Low bone mass is common in men who seek treatment for alcohol abuse. In cases where bone loss is associated with alcohol abuse, the first goal of treatment is to help the patient stop - or at least reduce - his consumption of alcohol. More research is needed to determine the bone lost Alcohol Abuse will resume once the drinking stops, or even if further damage is prevented. Clearly, however, that alcohol abuse leads to many other health and social problems, so throw is ideal. Treatment plan may also include a balanced diet with plenty of calcium and vitamin D-rich foods, exercise program, as well as non-smoking. Cigarette smoking: Loss of bone mass faster and the pace of hip and vertebral fractures is higher among men who smoke, although more research is needed to determine how smoking damages bone. Tobacco and other substances contained in cigarettes can be directly toxic to bone, or they may interfere with absorption of calcium and other nutrients necessary for healthy bones. Exodus is an ideal approach, as smoking is harmful in many ways. Like alcohol, it is not known whether Quitting smoking reduces the rate of bone loss or gain in bone mass. Gastrointestinal disorders: Some nutrients - including amino acids, magnesium, phosphorus, vitamins D and K - essential for bone health. Diseases of the stomach and intestines can cause >> << when they impair absorption of nutrients. In such cases, to treat bone loss may include taking supplements to replenish these nutrients. Hypercalciuria: hypercalciuria is a disease that causes too much calcium lasix 20 mg daily to be lost in the urine, making available calcium for building bones. Patients with hypercalciuria should talk to your doctor about testing ON, and if bone density is low, discuss treatment options. Immobilization: weight-bearing exercise needed to maintain healthy bones. Without it, bone density can decline rapidly. Prolonged bed rest (after fractures, operations, spinal cord injury, or illness) or immobilization of some parts of the body often leads to significant bone loss. It is important to restore the weightbearing exercises (such as walking, running, dancing, and weight lifting) as soon as possible after a period of prolonged bed rest. If not, you should work with your doctor to minimize other risk factors. Osteoporosis can be effectively treated if detected before significant bone loss has occurred. Medical examination for the diagnosis of osteoporosis will include a complete medical history, X-rays, and urine and blood. The doctor may also order a BMD (bone mineral density test). This test can identify osteoporosis, determine the risk of fractures (broken bones), and measure your response to the treatment of osteoporosis. The most widely recognized bone mineral density test is called the X-ray dualenergy absorbtsiometrii or DXA test. It is painless: a bit like the X-ray, but much less. It can measure bone density at the hip and spine. Increasingly common in women diagnosed with low bone mass or by trial defense, often in adulthood, when doctors begin to monitor signs of bone loss. In men, however, diagnosis is often not made until a fracture occurs or a man complains >> << and sees his doctor. This makes it especially important for men to inform physicians about the risk factors of osteoporosis, height loss or change of posture, fracture, or sudden back pain. Risk factors for men? Chronic diseases that affect the kidneys, lungs, stomach and intestine or changes in hormone levels

Regular use of certain drugs such as glucocorticoids

unhealthy lifestyle habits: smoking, excessive alcohol consumption, low calcium intake, and inadequate exercise

century. What you are older, the more your risk. Race. Caucasian men seem particularly high risk, but all people can develop the disease. Some doctors may be unsure how to interpret test results ABOUT men, so it is not known whether the World Health Organization guidelines used to diagnose osteoporosis or low bone mass in women is also suitable for men. Although arguably, the International Society for Clinical densitometry recommends specific guidelines for interpreting test results of the IPC in men. .