Osteoporosis, bone & mineral

Birth weight and birth length affect future fracture risk differently in men and women

Osteoporos IntPublished Cohort study

Authors' conclusion

In this study, being born shorter and lighter was associated with a lower risk for fractures ≥ 50 years in women.

Study context

Population
Participants born 1921–1950 with registry-based data on birth anthropometry and adult fractures (≥ 50 years)mean follow-up 26 years
Participants
4,635 participants
Exposure
Birth anthropometry and developmental mismatch vs adult fracture risk
  • Womenn = 476
  • Menn = 4,159
Outcome
Adult fracture (≥ 50 years)
Methodological detailshospital and national registry-based data, Cox proportional hazards regression
  • Hospital and national registry-based data
  • Cox proportional hazards regression

Main finding

As reported in the abstract

Adult fracture risk by birth anthropometry
WomenEstimate (95% CI)
Not significant after adjustment
HR per kg birth weight (unadjusted) 1.42(1.10–1.84)
Adult fracture risk by birth anthropometry
HR per cm birth length (unadjusted) 1.10(1.05–1.17)
Adult fracture risk by birth anthropometry
HR per cm birth length (adjusted for year of birth and gestational age) 1.10(1.04–1.17)
≥ 1 fracture, overall
1215 (26%)

Observational data: associations, not effects.

Further findings

Born tall and staying tall vs born short and remaining short

HR (95% CI)
WomenTall-tallvs short-short2.09 (1.18–3.68)
MenTall-tallvs short-short1.55 (1.19–2.03)

Developmental mismatch (lower birth weight followed by higher adult weight)

No association with adult fracture risk

Original publication

Birth weight and birth length affect future fracture risk differently in men and women. Osteoporos Int. Published 5 July 2024. doi:10.1007/s00198-024-07172-8

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