Osteoprotegerin is associated with hip fracture incidence: The Tromsø study

Lone Jørgensen, John Bjarne Hansen, Luai Ahmed, Åshild Bjørnerem, Nina Emaus, Ragnar Joakimsen, Ellisiv Mathiesen, Jan Størmer, Anders Vik, Bjarne K. Jacobsen

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


Background Osteoprotegerin (OPG) is a cytokine essential for the regulation of bone resorption, but large longitudinal studies on its relationship to fracture risk in humans are lacking. In this population-based study of 2740 men and 2857 post-menopausal women, it was examined whether serum OPG was associated with hip fracture incidence. The participants were followed for 15 years. Methods Baseline measurements included height, weight and serum OPG, and information about lifestyle, prevalent diseases and use of medication. Results Men with OPG in the highest quartile were 2.79-fold [95% confidence interval (CI) 1.34-5.82] more likely to have a hip fracture during follow-up, compared with those with OPG in the lowest quartile (P-trend over OPG quartiles ≤0.001, after adjustments for age and other confounders). In women not using post-menopausal hormone therapy (HT), the risk of hip fracture was 1.64-fold higher (95% CI 0.94-2.86) in the highest quartile compared with the lowest OPG quartile (P-trend over OPG quartiles = 0.05). No relationship was found in post-menopausal women using HT (P-trend over OPG quartiles = 0.23). Conclusions In men, OPG was positively associated with the incidence of hip fracture. In post-menopausal women not using HT a similar, but weaker, relationship was found. Published by Oxford University Press on behalf of the International Epidemiological Association.

Original languageEnglish
Article numberdys063
Pages (from-to)1033-1039
Number of pages7
JournalInternational Journal of Epidemiology
Issue number4
Publication statusPublished - Aug 2012
Externally publishedYes


  • Epidemiology
  • Hip fracture
  • Osteoprotegerin

ASJC Scopus subject areas

  • Epidemiology


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