title: Osteoprotegerin is associated with hip fracture incidence: the Tromso Study.
abstract: 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.
authors.affiliation: Department of Health and Care Sciences, University of Tromsø, Norway. lone.jorgensen@uit.no
authors.forename: Lone
authors.initials: L
authors.lastname: Jørgensen
authors.forename: John-Bjarne
authors.initials: JB
authors.lastname: Hansen
authors.forename: Luai
authors.initials: L
authors.lastname: Ahmed
authors.forename: Åshild
authors.initials: Å
authors.lastname: Bjørnerem
authors.forename: Nina
authors.initials: N
authors.lastname: Emaus
authors.forename: Ragnar
authors.initials: R
authors.lastname: Joakimsen
authors.forename: Ellisiv
authors.initials: E
authors.lastname: Mathiesen
authors.forename: Jan
authors.initials: J
authors.lastname: Størmer
authors.forename: Anders
authors.initials: A
authors.lastname: Vik
authors.forename: Bjarne K
authors.initials: BK
authors.lastname: Jacobsen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015519:Bone Density; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006306:Health Surveys; D006620:Hip Fractures / Q000097:blood* / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009664:Norway / Q000453:epidemiology; D053244:Osteoprotegerin / Q000097:blood*; D016016:Proportional Hazards Models; D012307:Risk Factors; D012737:Sex Factors
chemical_list: D053244:Osteoprotegerin