Evidence map›Paper›PMID 41735671›Full record

ArticleArchives of osteoporosis2026

Sex-specific association between osteoporosis and cataracts: UK Biobank and Hong Kong Osteoporosis Study.

Xiaowen Zhang, Suhas Krishnamoorthy, Kelvin K L Chong, Jonathan K L Mak, Kathryn Choon-Beng Tan, Annie Wai-Chee Kung, Ian Chi-Kei Wong, Hou-Feng Zheng, Ching-Lung Cheung

Abstract read
In one paragraph

Article in Archives of osteoporosis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Methodological considerations on the association between osteoporosis and cataracts.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
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

9 authors.

Xiaowen ZhangDepartment of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 2/F Laboratory Block, 21 Sassoon Road, Hong Kong SAR, China.
Suhas KrishnamoorthyDepartment of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 2/F Laboratory Block, 21 Sassoon Road, Hong Kong SAR, China.
Kelvin K L ChongDepartment of Ophthalmology and Visual Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Jonathan K L MakDepartment of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 2/F Laboratory Block, 21 Sassoon Road, Hong Kong SAR, China.
Kathryn Choon-Beng TanDepartment of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Annie Wai-Chee KungDepartment of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Ian Chi-Kei WongDepartment of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 2/F Laboratory Block, 21 Sassoon Road, Hong Kong SAR, China.
Hou-Feng ZhengWestlake Laboratory of Life Sciences and Biomedicine, 18 Shilongshan Road, Xihu District, Hangzhou, 310024, Zhejiang, China.
Ching-Lung CheungDepartment of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 2/F Laboratory Block, 21 Sassoon Road, Hong Kong SAR, China. lung1212@hku.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In two large, ethnically different prospective cohorts from the UK and Hong Kong, osteoporosis was associated with a higher risk of age-related cataracts, particularly in women. Proteomic mediation analysis identified five circulating proteins (MEPE, GDF15, TCN2, CDCP1, SIGLEC1) that may link osteoporosis to cataract development, warranting future mechanistic investigation. PURPOSE: Osteoporosis and cataracts are frequently comorbid age-related conditions. This study aims to investigate the association between osteoporosis and the risk of age-related cataracts in cohorts from the United Kingdom (UK) and Hong Kong.

methodsProspective cohort studies were conducted in participants aged ≥ 40 years without cataracts at baseline, using data from the UK Biobank (UKB; n = 337,952) and the Hong Kong Osteoporosis Study (HKOS; n = 4,935), with a median follow-up of 13.5 and 18.5 years, respectively. Incident age-related cataracts were identified using International Classification of Diseases (ICD) codes in each cohort, and the associations of bone mineral density (BMD) and osteoporosis with the risk of age-related cataract were analyzed using Cox proportional hazard models, adjusted for demographics, comorbidities, medications, and blood biomarker levels. We also conducted a mediation analysis to explore potential proteins mediating the relationship.

resultsIn UKB, osteoporosis was associated with increased cataract risk (HR, 1.16; 95% CI, 1.08-1.25). In HKOS, participants with BMD T-scores between - 2.5 and - 1 (HR, 1.24; 95% CI, 1.05-1.45) and ≤  - 2.5 (HR, 1.34; 95% CI, 1.09-1.66) had higher cataract risk compared to those with T-scores ≥  - 1. Subgroup analyses suggested the relationship was female-specific in both cohorts. Mediation analysis identified five proteins that may mediate this relationship.

conclusionOur findings suggest a female-specific association between osteoporosis and incident age-related cataracts. Integrated care is crucial for patients with these conditions. Timely ophthalmic evaluation and intervention may benefit patients with low BMD.

Indexed as

CataractOsteoporosisAdultAgedAge FactorsBiomarkersCell Adhesion MoleculesCohort StudiesExtracellular Matrix ProteinsFemaleGrowth Differentiation Factor 15Hong KongHumansMaleMiddle AgedProspective StudiesBiomarkersCell Adhesion MoleculesExtracellular Matrix ProteinsGrowth Differentiation Factor 15Sialic Acid Binding Ig-like Lectin 1TranscobalaminsBone densityCataractOsteoporosis

Identifiers

PMID41735671
PMCPMC12932269

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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.