Osteoporosis, bone & mineral

Four-year trajectories of depressive symptoms and subsequent risk of hip fracture: evidence from China Health and Retirement Longitudinal Study

Osteoporos IntPublished Prospective cohort study

Authors' conclusion

A high-increasing depressive symptom trajectory was significantly associated with an increased risk of hip fracture, particularly among females.

Study context

Population
Individuals aged 45 and older from China Health and Retirement Longitudinal Study (CHARLS)CHARLS
Participants
8,942 individuals
Exposure
Depressive symptom trajectories (2011-2015): moderate-stable and high-increasing vs low-stable
Outcome
Hip fracture risk over the subsequent 5 years, and whether the association differs by gender
Follow-up
5 years
Methodological detailslongitudinal, nationally representative, group-based trajectory modeling, Cox proportional hazards models
  • Longitudinal
  • Nationally representative
  • Group-based trajectory modeling
  • Cox proportional hazards models

Main finding

As reported in the abstract

Hip fracture in females
Females
Each group vs low-stableHazard ratio (95% CI)P value
High-increasing
2.37(1.29–4.35)
P < 0.01
Moderate-stable
1.05(0.63–1.73)
P > 0.05

Observational data: associations, not effects.

Further findings

Sensitivity analyses supported these findings

Original publication

Four-year trajectories of depressive symptoms and subsequent risk of hip fracture: evidence from China Health and Retirement Longitudinal Study. Osteoporos Int. Published 23 June 2025. doi:10.1007/s00198-025-07573-3

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.