Osteoporosis & bone health

Urinary pentosidine level is associated with the risk of fracture in community-dwelling older adults: a prospective observational study

Osteoporos IntPublished Prospective cohort study

Authors' conclusion

High urine pentosidine levels and a history of fracture in adulthood are independent risk factors for fracture occurrence in community-dwelling older adults.

Study context

Population
Community-dwelling older adults, participants of the Good Aging and Intervention Against Nursing Care and Activity Decline study in 2016182 analysed
Participants
254 adults
Exposure
Fracture vs fracture during follow-up
Outcome
Factors associated with fragility fracture occurrence
Follow-up
5-year follow-up
Methodological detailsprospective observational, 5-year follow-up, multivariate analysis
  • Prospective observational
  • 5-year follow-up
  • Multivariate analysis

Main finding

As reported in the abstract

Factors independently associated with fracture occurrence (multivariate analysis)
  • History of fracture in adulthood independently and significantly associated with fracture occurrence
  • Urinary pentosidine levels independently and significantly associated with fracture occurrence
  • 23 patients experienced 24 new fractures

Observational data: associations, not effects.

Further findings

Univariate analysis: factors differing between fracture (+) and fracture (-)

Sex, height, weight, history of fracture in adulthood, baseline grip strength, muscle mass, bone density, urinary pentosidine and IGF-1 significantly different

Original publication

Urinary pentosidine level is associated with the risk of fracture in community-dwelling older adults: a prospective observational study. Osteoporos Int. Published 8 June 2023. doi:10.1007/s00198-023-06816-5

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