Asia-Pacific consensus for the management of osteoporosis in men.
Journal
Osteoporosis international
Series/Report No.
Osteoporosis International
Journal Volume
36
Journal Issue
7
Start Page
1105
End Page
1114
ISSN
1433-2965
Date Issued
2025-07
Author(s)
Huang, Chun-Feng
Ho, Cheng-Jung
Lin, Sung-Yen
Hwang, Jawl-Shan
Tai, Ta-Wei
Chen, Jung-Fu
Tu, Shih-Te
Chen, Hsuan-Yu
Cheng, Tien-Tsai
Chen, Fang-Ping
Hung, Wei-Chieh
Chang, Yin-Fan
Chandran, Manju
Bin, Ang Seng
Lee, Joon Kiong
Yeap, Swan Sim
Chung, Yoon-Sok
Kim, Kwang-Kyoun
Ebeling, Peter
Jaisamrarn, Unnop
Pandey, Dipendra
Ferrari, Serge
McCloskey, Eugene
Charatcharoenwitthaya, Natthinee
Taguchi, Akira
Lekamwasam, Sarath
Van Nguyen, Tuan
Lewiecki, E Michael
Saag, Kenneth G
Tsai, Ching-Chou
Marín, Fernando
Mori, Satoshi
Hwang, Kyu Ri
Li-Yu, Julie
Carey, John J
Kendler, David
Cheung, Ching Lung
Huang, Huei-Kai
Kuptniratsaikul, Vilai
Chan, Wing P
Chan, Siew Pheng
Ho-Pham, Lan T
Hew, Fen Lee
Shi, Huipeng
Reid, Ian
Kanis, John A
Chen, Chung-Hwan
Wu, Chih-Hsing
Abstract
Summary: Osteoporosis in men is an underdiagnosed and undertreated condition that leads to significant morbidity and mortality, particularly in the aging population. This consensus report provides tailored guidelines for diagnosing, preventing, and treating male osteoporosis in the Asia–Pacific region by integrating global best practices with regional adaptations. Purpose: To establish evidence-based, region-specific guidelines for the management of male osteoporosis in the Asia–Pacific region, addressing demographic and lifestyle factors. Methods: Expert feedback was gathered through premeeting reviews, consensus conferences, and collaborative discussions. A life-course approach was employed to align international best practices with Asia–Pacific-specific needs, emphasizing continuous monitoring and intervention from middle age onward. Results: The 12 consensus strategies systematically approach male osteoporosis management, addressing screening, diagnosis, treatment, and long-term follow-up. Recommendations include the assessment of fracture risk for men aged 50 years and above, use of dual-energy X-ray absorptiometry (DXA) testing for men aged 70 years and above, lifestyle modifications, and pharmacological interventions such as bisphosphonates, denosumab, and anabolic agents for high-risk patients. Secondary causes of osteoporosis were highlighted, along with the establishment of fracture liaison services (FLSs) to improve long-term care. A life-course approach was proposed to optimize bone health throughout men’s lives. Conclusion: This consensus provides a comprehensive framework tailored to the Asia–Pacific region for diagnosing, preventing, and managing osteoporosis in men. By addressing region-specific challenges and promoting evidence-based interventions, the latest guidelines incorporating the consensus may depict the conceptual direction in reducing fracture risk and improving long-term bone health outcomes for osteoporosis in men.
Subjects
Asia–Pacific region
Men
consensus
fractures
osteoporosis
Publisher
Springer Science and Business Media Deutschland GmbH
Type
journal article