The Limited Benefit of Fish Consumption on Risk of Hip Fracture Among Men in the Community-Based Hordaland Health Study

Overview

Journal Nutrients

Date 2018 Jul 11

PMID 29986400

Citations 4

Authors

Hanne Rosendahl-Riise

Gerhard Sulo

Therese Karlsson

Christian A Drevon

Jutta Dierkes

Grethe S Tell

Affiliations

Soon will be listed here.

Abstract

Hip fractures have a high prevalence worldwide. Few studies have investigated whether fish consumption is associated with risk of hip fractures. The objective of the present study was to investigate the effect of fish intake on the subsequent risk of a hip fracture because of the low number of studies on this topic. A community-based prospective cohort study of 2865 men and women from Hordaland county in Norway, born between 1925⁻1927 and enrolled in the study in 1997⁻1999. Information on hip fracture cases was extracted from hospital records until 31 December 2009. Baseline information on the intake of fish was obtained from a semi-quantitative food frequency questionnaire. Cox proportional hazard regression models with death as a competing risk were used to evaluate the association of fish intake with risk of hip fracture. During a mean (SD) follow-up time of 9.6 (2.7) years, 226 hip fractures (72 in men, 154 in women) were observed. The mean (SD) fish intake was 48 (25) g/1000 kcal. The association between fish intake and risk of hip fracture was not linear and displayed a threshold, with low intake of fish being associated with an increased risk of hip fracture in men (HR (Hazard Ratio) = 1.84, 95% CI 1.10, 3.08). In this community-based prospective study of men and women, a low intake of fish was associated with the risk of a hip fracture in men.

Citing Articles

Recent advances in the identification of related factors and preventive strategies of hip fracture.

Yu Y, Wang Y, Hou X, Tian F Front Public Health. 2023; 11:1006527.

PMID: 36992874 PMC: 10040558. DOI: 10.3389/fpubh.2023.1006527.

Increased Dietary Intakes of Total Protein, Animal Protein and White Meat Protein Were Associated with Reduced Bone Loss-A Prospective Analysis Based on Guangzhou Health and Nutrition Cohort, South China.

Liu Z, Huang Q, Long H, Li S, Wu Y, Zhang S Nutrients. 2023; 15(6).

PMID: 36986162 PMC: 10051092. DOI: 10.3390/nu15061432.

Protein Intake, Protein Mealtime Distribution and Seafood Consumption in Elderly Norwegians: Associations with Physical Function and Strength.

Nygard L, Dahl L, Mundal I, Saltyte Benth J, Rokstad A Geriatrics (Basel). 2020; 5(4).

PMID: 33287380 PMC: 7768430. DOI: 10.3390/geriatrics5040100.

Non-Pharmacological Interventions towards Preventing the Triad Osteoporosis-Falls Risk-Hip Fracture, in Population Older than 65. Scoping Review.

Peraza-Delgado A, Sanchez-Gomez M, Gomez-Salgado J, Romero-Martin M, Novo-Munoz M, Duarte-Climents G J Clin Med. 2020; 9(8).

PMID: 32707829 PMC: 7463822. DOI: 10.3390/jcm9082329.

References

Apalset E, Gjesdal C, Eide G, Tell G . Intake of vitamin K1 and K2 and risk of hip fractures: The Hordaland Health Study. Bone. 2011; 49(5):990-5. DOI: 10.1016/j.bone.2011.07.035. View

Avenell A, Mak J, OConnell D . Vitamin D and vitamin D analogues for preventing fractures in post-menopausal women and older men. Cochrane Database Syst Rev. 2014; (4):CD000227. PMC: 7032685. DOI: 10.1002/14651858.CD000227.pub4. View

Andersen L, Solvoll K, Drevon C . Very-long-chain n-3 fatty acids as biomarkers for intake of fish and n-3 fatty acid concentrates. Am J Clin Nutr. 1996; 64(3):305-11. DOI: 10.1093/ajcn/64.3.305. View

Zeng F, Wu B, Fan F, Xie H, Xue W, Zhu H . Dietary patterns and the risk of hip fractures in elderly Chinese: a matched case-control study. J Clin Endocrinol Metab. 2013; 98(6):2347-55. DOI: 10.1210/jc.2013-1190. View

Panula J, Pihlajamaki H, Mattila V, Jaatinen P, Vahlberg T, Aarnio P . Mortality and cause of death in hip fracture patients aged 65 or older: a population-based study. BMC Musculoskelet Disord. 2011; 12:105. PMC: 3118151. DOI: 10.1186/1471-2474-12-105. View

Nurk E, Drevon C, Refsum H, Solvoll K, Vollset S, Nygard O . Cognitive performance among the elderly and dietary fish intake: the Hordaland Health Study. Am J Clin Nutr. 2007; 86(5):1470-8. DOI: 10.1093/ajcn/86.5.1470. View

Rosendahl-Riise H, Karlsson T, Drevon C, Apalset E, Nygard O, Tell G . Total and lean fish intake is positively associated with bone mineral density in older women in the community-based Hordaland Health Study. Eur J Nutr. 2018; 58(4):1403-1413. DOI: 10.1007/s00394-018-1665-6. View

Haring B, Crandall C, Wu C, LeBlanc E, Shikany J, Carbone L . Dietary Patterns and Fractures in Postmenopausal Women: Results From the Women's Health Initiative. JAMA Intern Med. 2016; 176(5):645-52. PMC: 7057761. DOI: 10.1001/jamainternmed.2016.0482. View

Cockayne S, Adamson J, Lanham-New S, Shearer M, Gilbody S, Torgerson D . Vitamin K and the prevention of fractures: systematic review and meta-analysis of randomized controlled trials. Arch Intern Med. 2006; 166(12):1256-61. DOI: 10.1001/archinte.166.12.1256. View

10.

Fujiwara S, Kasagi F, Yamada M, Kodama K . Risk factors for hip fracture in a Japanese cohort. J Bone Miner Res. 1997; 12(7):998-1004. DOI: 10.1359/jbmr.1997.12.7.998. View

11.

Kanis J, Johnell O, Oden A, Johansson H, De Laet C, Eisman J . Smoking and fracture risk: a meta-analysis. Osteoporos Int. 2004; 16(2):155-62. DOI: 10.1007/s00198-004-1640-3. View

12.

Nes M, Frost Andersen L, Solvoll K, Sandstad B, HUSTVEDT B, Lovo A . Accuracy of a quantitative food frequency questionnaire applied in elderly Norwegian women. Eur J Clin Nutr. 1992; 46(11):809-21. View

13.

Omsland T, Emaus N, Tell G, Magnus J, Ahmed L, Holvik K . Mortality following the first hip fracture in Norwegian women and men (1999-2008). A NOREPOS study. Bone. 2014; 63:81-6. DOI: 10.1016/j.bone.2014.02.016. View

14.

Feskanich D, Willett W, Colditz G . Calcium, vitamin D, milk consumption, and hip fractures: a prospective study among postmenopausal women. Am J Clin Nutr. 2003; 77(2):504-11. DOI: 10.1093/ajcn/77.2.504. View

15.

Harris T, Song X, Reinders I, Lang T, Garcia M, Siggeirsdottir K . Plasma phospholipid fatty acids and fish-oil consumption in relation to osteoporotic fracture risk in older adults: the Age, Gene/Environment Susceptibility Study. Am J Clin Nutr. 2015; 101(5):947-55. PMC: 4409686. DOI: 10.3945/ajcn.114.087502. View

16.

Benetou V, Orfanos P, Pettersson-Kymmer U, Bergstrom U, Svensson O, Johansson I . Mediterranean diet and incidence of hip fractures in a European cohort. Osteoporos Int. 2012; 24(5):1587-98. DOI: 10.1007/s00198-012-2187-3. View

17.

Orchard T, Cauley J, Frank G, Neuhouser M, Robinson J, Snetselaar L . Fatty acid consumption and risk of fracture in the Women's Health Initiative. Am J Clin Nutr. 2010; 92(6):1452-60. PMC: 2980969. DOI: 10.3945/ajcn.2010.29955. View

18.

Welch A, Lund E, Amiano P, Dorronsoro M, Brustad M, Kumle M . Variability of fish consumption within the 10 European countries participating in the European Investigation into Cancer and Nutrition (EPIC) study. Public Health Nutr. 2003; 5(6B):1273-85. DOI: 10.1079/PHN2002404. View

19.

Gjesdal C, Vollset S, Ueland P, Refsum H, Meyer H, Tell G . Plasma homocysteine, folate, and vitamin B 12 and the risk of hip fracture: the hordaland homocysteine study. J Bone Miner Res. 2007; 22(5):747-56. DOI: 10.1359/jbmr.070210. View

20.

Vinknes K, Elshorbagy A, Nurk E, Drevon C, Gjesdal C, Tell G . Plasma stearoyl-CoA desaturase indices: association with lifestyle, diet, and body composition. Obesity (Silver Spring). 2013; 21(3):E294-302. DOI: 10.1002/oby.20011. View