Osteoporosis & bone health

Fracture risks in patients with arginine vasopressin deficiency: a nationwide matched cohort study

Osteoporos IntPublished Retrospective cohort study

Main finding · Hip fractures, womenResult — go to the resultHazard ratio 1.83 95% CI 1.06–3.17

Authors' conclusion

Compared with controls, only female patients with AVP-D demonstrated a significantly increased risk of HFs.

Study context

Population
Patients aged ≥ 50 years with arginine vasopressin deficiency, Korea National Health Insurance Service database (2003–2020)3,497 arginine vasopressin deficiency (AVP-D) (2,111 men, 1,386 women)
Exposure
AVP-D vs matched controls
  • AVP-Dn = 3,497
Outcome
Risk of major osteoporotic fractures, vertebral fractures, non-vertebral fractures and hip fractures
Methodological detailsnationwide, 1:1 matched on age, sex, index year and key comorbidities, Cox proportional hazards models
  • Nationwide
  • 1:1 matched on age, sex, index year and key comorbidities
  • Cox proportional hazards models

Main finding

Hip fractures, women

Hazard ratio

1.83

95% CI 1.06–3.17

AVP-Dvs Controls
HR 1.83 (95% CI 1.06–3.17)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Risk factors for fracture in AVP-D

Age, female, previous history of fracture and steroid use contributed to high fracture risk

Original publication

Fracture risks in patients with arginine vasopressin deficiency: a nationwide matched cohort study. Osteoporos Int. Published 28 January 2026. doi:10.1007/s00198-026-07849-2

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