Evidence map›Paper›PMID 40677783›Full record

ArticleOsteoporosis and sarcopenia2025

Fracture risk in Korean postmenopausal women: The influence of BMI, age, and bone density.

Junghwa Shin, Kwang Yoon Kim, Joo-Hyun Park, Sangmi Lee, O Kyu Noh, Yong Jun Choi, Yoon-Sok Chung, Bom-Taeck Kim

Abstract read
In one paragraph

Article in Osteoporosis and sarcopenia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Junghwa ShinDepartment of Family Medicine, Korea University College of Medicine, Ansan, South Korea.
Kwang Yoon KimDepartment of Family Practice and Community Health, Ajou University School of Medicine, Suwon, South Korea.
Joo-Hyun ParkDepartment of Family Medicine, Korea University College of Medicine, Ansan, South Korea.
Sangmi LeePyeongtaek St. Mary's Hospital, Pyeongtaek, South Korea.
O Kyu NohDepartment of Radiation Oncology, Ajou University School of Medicine, Suwon, South Korea.
Yong Jun ChoiDepartment of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, South Korea.
Yoon-Sok ChungDepartment of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, South Korea.
Bom-Taeck KimDepartment of Family Practice and Community Health, Ajou University School of Medicine, Suwon, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Fracture risk in postmenopausal women is influenced by bone mineral density (BMD), age, and body mass index (BMI). However, fracture prevention strategies primarily focus on low BMD, often overlooking other key factors. Methods: This retrospective cohort study analyzed 18,151 Korean postmenopausal women aged 50 or older who underwent dual-energy X-ray absorptiometry (DXA) at Ajou University Hospital from years of 2006-2014. Fracture risk was assessed using multivariable Cox proportional hazard models, adjusted for BMI, BMD, and age. Results: The median age of the cohort was 59.1 years, and the overall fracture incidence was 2.3 per 1,000 person-years. Fracture risk significantly increased with age, with hazard ratios (HRs) of 1.36 (95% CI: 1.08-1.70) for women aged 60-69 and 2.10% (95% CI: 1.62-2.73) for those aged 70 or older, compared to the reference group (50-59 years). Underweight women exhibited the highest fracture cumulative incidence (3.3%), though their risk increase was not statistically significant. Overweight and obese women demonstrated higher BMD but did not show significant fracture risk reductions. Conclusions: These findings highlight age as a dominant predictor of fracture risk, while BMI plays a complex, less pronounced role. The discrepancy between osteoporosis prevalence and actual fracture risk, particularly in obese elderly women, suggests limitations in BMD-focused assessments. Simple, measurable parameters like age and BMI should complement BMD in fracture risk evaluation to better target high-risk populations and enhance preventive strategies in clinical practice.

Indexed as

Body mass indexBone mineral densityFracture rateObesityOsteoporosis prevalence

Identifiers

PMID40677783
PMCPMC12266163

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.