Osteoporosis, bone & mineral

Low Circulating Valine Associate With High Risk of Hip Fractures

J Clin Endocrinol MetabPublished Prospective cohort study with case-control replication

Authors' conclusion

Low circulating valine is a robust predictor of incident hip fractures. We propose that circulating valine may add information for hip fracture prediction. Future studies are warranted to determine whether low valine is causally associated with hip fractures.

Study context

Population
UK Biobank participants (discovery); Umeå Fracture and Osteoporosis (UFO) hip fracture cases and controls (replication); MrOS Sweden subsample for bone microstructureUK Biobank
Participants
111,257 participants
Comparison
Circulating valine per SD increase
Outcome
Incident hip fracture
Methodological detailsdiscovery cohort (UK Biobank), replication in UFO hip fracture study, meta-analysis of discovery and replication
  • Discovery cohort (UK Biobank)
  • Replication in UFO hip fracture study
  • Meta-analysis of discovery and replication

Main finding

As reported in the abstract

Hip fracture per SD increase in circulating valine

HR per SD increase, UK Biobank

0.79

95% CI 0.73–0.84

OR per SD increase, combined meta-analysis, 3126 incident hip fracture cases

0.84

95% CI 0.80–0.88

Observational data: associations, not effects.

Further findings

Bone microstructure (MrOS Sweden subsample, n = 449)

High circulating valine associated with high cortical bone area and trabecular thickness

Original publication

Low Circulating Valine Associate With High Risk of Hip Fractures. J Clin Endocrinol Metab. Published 13 May 2023. doi:10.1210/clinem/dgad268

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