Osteoporosis & bone health

Incidence of hip fractures in persons with and without Parkinson’s disease in Finland: a 15-year longitudinal study

Osteoporos IntPublished Longitudinal matched cohort study

Main finding · Incident hip fractureResult — go to the resultHazard ratio 1.82 95% CI 1.47–2.26

Authors' conclusion

As the risk of hip fracture is elevated already years before the diagnosis of PD, it is important to manage fall risks concomitantly while applying the diagnostic procedures for PD.

Study context

Population
Persons diagnosed with Parkinson's disease (PD) 2000–2009 in Finland and 1:2 matched persons without PD; follow-up from 5 years before to 10 years after PD diagnosis
Participants
33,153 eligible persons
Exposure
Persons with PD vs matched persons without PD
Outcome
Incident hip fracture
Follow-up
5 years before to 10 years after PD diagnosis
Methodological details1:2 matched comparison cohort, nationwide (Finland)
  • 1:2 matched comparison cohort
  • Nationwide (Finland)

Main finding

As reported in the abstract

Hazard ratio

1.82

95% CI 1.47–2.26

By group

With PDvs Without PD
HR 1.82 (95% CI 1.47–2.26)

Observational data: associations, not effects.

Further findings

Annual incidence rate of hip fracture · 3 years before diagnosis

Annual incidence rate of hip fracture · up to 10 years after diagnosis

  • Annual incidence rate of hip fracture: higher annual incidence rates in PD starting from 3 years before diagnosis

Medications at hip fracture

Prevalence of fall-risk-increasing medications but not anti-osteoporosis medications was higher at hip fractures in PD than without PD

Original publication

Incidence of hip fractures in persons with and without Parkinson’s disease in Finland: a 15-year longitudinal study. Osteoporos Int. Published 29 July 2025. doi:10.1007/s00198-025-07632-9

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