Evidence map›Paper›PMID 40893950›Full record

ArticleJournal of the Endocrine Society2025

Dietary Habits and Osteoporotic Fracture Risk: Retrospective Cohort Study Using Large-Scale Claims Data.

Hiroki Nakajima, Yuichi Nishioka, Yuko Tamaki, Fumika Kamitani, Yukako Kurematsu, Sadanori Okada, Tomoya Myojin, Tatsuya Noda, Tomoaki Imamura, Yutaka Takahashi

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Claims-based frailty index and risk of hospitalisation for hip fracture among adults aged 60-74 years in Tokyo, Japan.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hiroki NakajimaDepartment of Diabetes and Endocrinology, Nara Medical University, Nara 634-8521, Japan.ORCID https://orcid.org/0000-0002-5899-0903
Yuichi NishiokaDepartment of Diabetes and Endocrinology, Nara Medical University, Nara 634-8521, Japan.ORCID https://orcid.org/0000-0002-1956-3925
Yuko TamakiDepartment of Diabetes and Endocrinology, Nara Medical University, Nara 634-8521, Japan.
Fumika KamitaniDepartment of Diabetes and Endocrinology, Nara Medical University, Nara 634-8521, Japan.ORCID https://orcid.org/0000-0002-2838-7986
Yukako KurematsuDepartment of Diabetes and Endocrinology, Nara Medical University, Nara 634-8521, Japan.
Sadanori OkadaDepartment of Diabetes and Endocrinology, Nara Medical University, Nara 634-8521, Japan.ORCID https://orcid.org/0000-0002-3097-8152
Tomoya MyojinDepartment of Public Health, Health Management and Policy, Nara Medical University, Nara 634-8521, Japan.ORCID https://orcid.org/0000-0002-3820-6157
Tatsuya NodaDepartment of Public Health, Health Management and Policy, Nara Medical University, Nara 634-8521, Japan.ORCID https://orcid.org/0000-0002-3652-7547
Tomoaki ImamuraDepartment of Public Health, Health Management and Policy, Nara Medical University, Nara 634-8521, Japan.ORCID https://orcid.org/0000-0003-1981-9959
Yutaka TakahashiDepartment of Diabetes and Endocrinology, Nara Medical University, Nara 634-8521, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: Lifestyle habits, such as exercise, alcohol consumption, and smoking, are known to be closely associated with the risk of osteoporotic fracture. However, little is known regarding the association between osteoporotic fracture and dietary habits such as skipping breakfast and having a late dinner. Objective: This study aimed to examine the association between lifestyle habits, including diet, and the risk of osteoporotic fracture. Methods: Individuals aged 20 years or older were enrolled using the results of lifestyle questionnaires in health checkup data and the DeSC database, a Japanese claims database. Outcome was defined as the diagnosis of osteoporotic fracture (hip, distal forearm, vertebral, and humeral fractures). A Cox proportional-hazards model was used to calculate the association between osteoporotic fracture risk and lifestyle, adjusting for conventional risk factors. In the lifestyle questionnaires, those who answered "yes" to each question were compared to those who answered "no." Results: Altogether, 927 130 participants were included, with a median follow-up duration of 2.6 years. The adjusted hazard ratios (95% CI) for lifestyle factors of smoking, daily alcohol consumption, exercise habits, fast gait speed, enough sleep, skipping breakfast, and late dinner were 1.11 (1.06-1.17), 0.91 (0.88-0.95), 0.99 (0.97-1.02), 0.84 (0.82-0.86), 0.95 (0.93-0.98), 1.18 (1.12-1.23), and 1.08 (1.04-1.12), respectively. Conclusion: Our study is the first to demonstrate that skipping breakfast and having a late dinner are independently associated with a higher risk of osteoporotic fracture, using a large health checkup cohort.

Indexed as

dietary habitlate dinnerlifestyleosteoporotic fractureskipping breakfast

Identifiers

PMID40893950
PMCPMC12392401

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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.