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Osteoporosis is a well-recognized problem in older women. However, there has been insufficient awareness among both the public and the medical profession that osteoporosis is also a common problem in older men. It is estimated that one in five 50-year-old men will sustain a fragility fracture during the remainder of his life. Although treatments that increase bone density are available, few men receive treatment. Until recently, treatment decisions in osteoporosis have been based almost entirely on bone density measurements. Recently, tools have been developed that enable a more precise assessment of absolute fracture risk, which is expected to significantly facilitate treatment decisions. It is hoped that a greater awareness of the problem of osteoporosis in men will lead to better treatment, and ultimately to a decrease in fractures and their associated morbidity and mortality. [ABSTRACT FROM AUTHOR]