By Evans Matthews
Osteoporosis is often labeled a “women’s disease,” but medical data paints a different picture. Millions of men across the world gradually lose bone strength as they age, and most don’t know it until a fracture occurs. Contrary to popular belief, men are not naturally protected from weak bones, and in many cases, their complications after fractures are even worse.
“One in five men over 50 will experience an osteoporosis-related fracture,” says Dr. Helen Brewster of the International Osteoporosis Foundation. “The tragedy is that most of these fractures could be prevented with early screening and lifestyle adjustment.”
Although women lose bone rapidly after menopause, men begin gradual bone loss as early as their mid-30s. By the age of 50, fracture risks begin to rise steadily. Hip and spinal fractures in men are associated with higher disability and mortality rates, yet the condition remains largely misunderstood and under diagnosed.
The Misconception That Puts Men at Risk
Osteoporosis in men is often ignored due to cultural perceptions of masculinity. Many assume weak bones affect only women, making men less likely to seek screening or discuss symptoms.
“Men tend to associate physical strength with identity,” explains Dr. Musa Adeyemi, an endocrinologist at University College Hospital, Ibadan. “They don’t imagine their bones could become brittle until a minor fall leads to a major fracture.”
Adding to this, osteoporosis is a silent condition. A man can feel perfectly fine for years while his bone density slowly declines. The first warning sign is often a broken wrist, spine, or hip after what should have been a harmless fall.
Understanding the Causes
Several factors increase men’s risk of bone loss:
· Low testosterone, whether due to aging, lifestyle, or chronic illness.
· Excessive alcohol consumption and smoking, which directly weaken bone formation.
· Long-term steroid use, common in men with asthma or autoimmune conditions.
· Poor diets low in calcium and vitamin D.
· Chronic diseases, such as diabetes, kidney disease, and gastrointestinal disorders.
“Testosterone plays a crucial role in bone strength,” says Dr. Brewster. “When levels drop, bone density drops with it.”
Prevention Starts Early
The encouraging news is that osteoporosis in men is largely preventable. Health professionals recommend that all men over 70 receive a DEXA bone density scan, and younger men with risk factors begin testing earlier.
Lifestyle remains one of the strongest shields. Weight-bearing exercises — jogging, brisk walking, strength training, or even stair climbing — stimulate bone growth. Calcium-rich foods such as milk, yoghurt, sardines, and leafy vegetables strengthen the bone matrix, while vitamin D from sunlight or supplements improves absorption.
“Just 20 minutes of sunlight and consistent physical activity can significantly reduce bone loss,” says Dr. Adeyemi. “Small daily habits add up to lifelong protection.”
Treatment Works — If Men Act Early
Where necessary, doctors may prescribe medications that build bone or slow bone breakdown. Men with low testosterone may benefit from hormone therapy under medical supervision. Early diagnosis remains the most powerful factor in preventing fractures and long-term disability.
Male osteoporosis is not a sign of weakness, it is a medical condition. The sooner men acknowledge this, the better their outcomes.
Strong bones are the foundation of independence, mobility, and vitality. Protect them now, and they will protect you for life.
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