A Silent Epidemic? The Alarming Rise of Osteoporosis Among American Men

Osteoporosis, traditionally considered a condition that primarily affects postmenopausal women, is now emerging as a significant concern for men as well. A recent study led by Professor Hong Xue of George Mason University analyzed data collected over more than 15 years, revealing a notable increase in osteoporosis prevalence among adults in the United States—with particularly late detection in men.

Published in Osteoporosis International, the study highlights that from 2005 to 2018, there has been a significant rise in the number of people living with osteoporosis in the U.S. Although non-Hispanic white women still have the highest rate of diagnosis, nearly 70% of total cases remain undiagnosed—affecting primarily men, Mexican Americans, and individuals aged 50 to 59.

Contributing Factors and Diagnostic Challenges

An aging population is a key driver behind the rise in chronic diseases such as osteoporosis. However, the lack of awareness about the risks in men, combined with the absence of noticeable symptoms until a fracture occurs, makes early detection difficult. Additionally, men are generally less likely to seek preventive healthcare, which exacerbates the underdiagnosis and underestimation of the disease in this group.

Global Context and Comparisons

These findings align with global trends. The World Report on Ageing and Health by the World Health Organization had already warned about the growing burden of chronic illnesses in aging populations, emphasizing the need for public health strategies tailored to this demographic reality.

Raising Awareness and Prevention

It is crucial for healthcare systems to acknowledge the increasing prevalence of osteoporosis in men and to adopt proactive measures. This includes awareness campaigns targeting male populations, promotion of bone-healthy lifestyles, and the implementation of early detection programs specifically designed for men at risk.

Osteoporosis should no longer be viewed as a women-only disease. The growing number of cases among American men calls for a reevaluation of prevention, diagnosis, and treatment strategies—with an inclusive approach that addresses the needs of all affected by this condition.