Osteoporosis, bone & mineral

Paternal age is associated with offspring bone health—but not soft tissue composition or fracture: the Vitamin D in Pregnancy Study

Osteoporos IntPublished Prospective cohort study

Authors' conclusion

Advanced paternal age may affect offspring musculoskeletal outcomes in childhood. This warrants further investigation in larger cohorts.

Study context

Population
Offspring of mother-child pairs in the Vitamin D in Pregnancy study, southeastern Australia; born 2002–200489 analysed for DXA, 173 for fracture
Participants
402 offspring
Exposure
Paternal age at childbirth
Outcome
Offspring bone and soft tissue composition (DXA: lean, fat, bone mass of spine and total body less head) and radiologically confirmed fractures
Follow-up
Age 11 years (DXA); fractures until July 19, 2019
Methodological detailsVitamin D in Pregnancy study
  • Vitamin D in Pregnancy study

Main finding

As reported in the abstract

Offspring bone measures per paternal age (adjusted) · age 11 years

Total body less head BMD, β (SE 0.001; p = 0.046)

- 0.002 g/cm²

Total body less head bone mineral content, β (SE 2.692; p = 0.033)

- 5.830 g

Spine bone mineral content, β (SE 0.0921; p = 0.023)

- 0.213 g

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Fracture occurrence per paternal age · 16 years of ageNot associated0.98 (0.93–1.04)P = 0.51

Original publication

Paternal age is associated with offspring bone health—but not soft tissue composition or fracture: the Vitamin D in Pregnancy Study. Osteoporos Int. Published 26 January 2026. doi:10.1007/s00198-026-07859-0

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