Osteoporosis & bone health

Proton pump inhibitors, bone and phosphocalcic metabolism

Joint Bone SpinePublished Systematic review

Authors' conclusion

Despite growing evidence of PPI-related risks, further research is essential to better understand the complex mechanisms, as most data are from observational studies and do not establish a causal relationship.

Study context

Outcome
Effects of proton pump inhibitors (PPIs) on bone health and phosphocalcic and magnesium metabolism

Pooled result

As reported in the abstract

  • Effect of PPI use on BMD: mixed results
  • Observational studies: increased risk of fractures, particularly vertebral fractures, with PPI use
  • Recent meta-analyses: association between PPI use and hip fractures, dose-dependent
  • PPI-induced hypomagnesemia (PPIH) well established; hypocalcemia secondary to severe hypomagnesemia described
  • Most data are from observational studies and do not establish a causal relationship

Original publication

Proton pump inhibitors, bone and phosphocalcic metabolism. Joint Bone Spine. Published 6 March 2024. doi:10.1016/j.jbspin.2024.105714

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