Intellectual disabilities and risk of fractures: A population-based cohort study
Authors' conclusion
Individuals with ID are at an increased risk of any fractures, vertebral fractures, and hip fractures compared to those without ID.
Study context
- Population
- Individuals who underwent Korean national health examinations in 2009 (Korean National Disability Registry and National Health Insurance Service data), followed until 2020mean follow-up 10.0 years
- Participants
- 3,815,545 individuals
- Exposure
- Intellectual disabilities vs no intellectual disabilities
- Intellectual disabilities (ID)n = 3,582
- Outcome
- Any fractures, vertebral fractures and hip fractures
Methodological detailspopulation-based, multivariable-adjusted Cox proportional hazards
- Population-based
- Multivariable-adjusted Cox proportional hazards
Main finding
As reported in the abstract
mean follow-up 10.0 years
ID vs Without IDEstimate (95% CI)
207 cases among ID
aHR (any fractures) 1.69(1.47–1.94)
47 cases among ID
aHR (vertebral fractures) 2.07(1.55–2.75)
27 cases among ID
aHR (hip fractures) 3.01(2.07–4.39)
Observational data: associations, not effects.
Further findings
Fracture risk by age (subgroup)
- ID aged 20-39 years had higher risk of fractures than older age groups
Original publication
Intellectual disabilities and risk of fractures: A population-based cohort study. Osteoporos Int. Published 13 May 2025. doi:10. 1007/ s00198-025-07519-9
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