From the aforementioned conference, it seems that several mutual etiological pathways and risk factors for ED and low BMD in depressive men exist. Therefore, we arrived at a proposed model that suggests a 2-way, holistic relation between ED and BMD in depressive men (Figure).
Figure 1. Proposed model of the negative association between ED and BMD in depression. This schematic diagram shows a 2-way, holistic relation between ED and BMD among depressive men. This was based on the observations that these two illnesses share common etiological and risk factors, i.e., comorbidities, biological factors, behavioral factors and medications.
LIMITATIONS
Current study has several limitations. First, dietary habits, which may vary in the recruited depression patients, were not assessed. Therefore, remaining confounding possibly subsists, since insufficient nutrition may affect BMD and ED as well [ref]. Second, owing to the cross-sectional design, one cannot conclude a causal relationship between ED and low BMD in depressive men, however, only association can be identified. Finally, the relatively small sample size, therefore, results obtained cannot be generalized.
CONCLUSION …show more content…
Conversely, a depressive man with ED should be evaluated for osteoporosis. Lastly, and of specific relevance to the current discussion, clinicians involved in the management of depressive men should pay heed to the probable comorbidity of ED, as well as the potentially increased risk for osteoporosis in these