According to osteoporosis screening guidelines for men, which statement is true?

According to osteoporosis screening guidelines for men, which statement is true?

• A. Screen all men aged 50+
• B. Screen all men aged 70+
• C. Screen only with hypogonadism
• D. Do not screen men

Answer: (B)

Screening for osteoporosis in men is age-based, with a emphasis on identifying risk before fractures occur. Starting universal screening at age 70 captures most men at risk due to age-related bone loss, allowing early detection with a DEXA scan and timely treatment or lifestyle changes to reduce fracture risk. While younger men are not universally screened, testing is considered earlier if there are risk factors such as hypogonadism, long-term glucocorticoid use, androgen deprivation therapy, or a history of fragility fracture. This makes screening all men at 70 or older the best-supported approach, whereas screening all men starting at 50, or not screening men at all, would either miss many cases or ignore a potentially preventable risk.

Screening for osteoporosis in men is age-based, with a emphasis on identifying risk before fractures occur. Starting universal screening at age 70 captures most men at risk due to age-related bone loss, allowing early detection with a DEXA scan and timely treatment or lifestyle changes to reduce fracture risk. While younger men are not universally screened, testing is considered earlier if there are risk factors such as hypogonadism, long-term glucocorticoid use, androgen deprivation therapy, or a history of fragility fracture. This makes screening all men at 70 or older the best-supported approach, whereas screening all men starting at 50, or not screening men at all, would either miss many cases or ignore a potentially preventable risk.