Men at Risk of Hip Fracture
Sun, May 7, 2006 at 05:13AM One assumes that men don‘t need estrogen, any more than women need androgens (testosterone), but this is would be wrong. In a study of almost 800 men hormone levels were measured in 1981-1983, and then they were followed for 17 years to see if they had hip fractures. (This was because low estrogen levels had previously been reported to be linked to reduced bone density in elderly men.)
There were 39 hip fractures among the men in the study. Those with low estrogen levels had 3 times the risk of a hip fracture compared with men with high estrogen levels. Those with low testosterone levels alone had no increase in fracture rate. But in those who had both a low estrogen and a low testosterone level had 6.5 times the risk of hip fracture compared to men with both hormones in the high or normal range.
Hip fractures in old age are a serious matter. A third of elderly men with a hip fracture will die within a year. So anything that can be done to reduce the risk is important. As routine estrogen testing in men is not usually done, maybe we should concentrate on the avoidance of falls by the elderly – something that is not always taken seriously enough.
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