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The Endocrine Society recommends initial bone-mineral density (BMD) screening in all older men (age, ≥70), but offers no guidance on repeat testing in men who don't receive osteoporosis treatment (J Clin Endocrinol Metab 2012; 97:1802). Studies in women suggest that repeat measurements do not improve fracture-prediction risk meaningfully, but the value of repeat testing in men is unclear.
In this study, researchers reviewed data from 3650 community-dwelling older men (age, ≥65; mean age, 72) who underwent BMD testing at baseline and 7 years later; participants were followed for an average 15 years. At the initial screening, most men had normal bone density. Almost 20% of men had initial T-scores lower than −1.5, but only 2% of participants w…