Análise densitométrica da região femoral de homens acima de 50 anos oriundos de um ambulatório de urologia

Abstract

Introduction: Men osteoporosis remains poorly diagnosed. The objective of this study was to measure bone mineral density (BMD) and the prevalence of osteoporosis in a group of men. Patients and methods: 151 men (ages 50-93 years) in good health, from an outpatient clinic for routine urologic evaluation performed the measurement of bone density of lumbar spine and femoral regions. Results: Age had a negative influence on femoral neck BMD and T-Score (rs = 0.49 and 0.73, respectively, P ≤ 0.0001) using the Spearman's rank correlation coefficient. Femoral neck osteoporosis was detected in 25.16% (n = 38). Most of the osteoporotic patients (81.56%) were over 70 years old, and 47.37% of them were very old (aged 80 years or more). Beside age, hypogonadism induced by GnRH analogues and cyproterone acetate for treatment of prostate cancer, anticoagulants, coronary revascularization history and alcohol were risk factors identified in about 18% of the osteoporotic group. Conclusion: All men over 70 years old and younger men with risk factors for osteoporosis should be submitted to a bone densitometry.