Mixed

Among older adults (aged 65+), higher consumption of fish or EPA+DHA is not associated with a reduced risk of hip fracture, and higher EPA+DHA intake may be associated with slightly lower femoral neck bone mineral density (BMD) in those with high linoleic acid intake.

For adults over 65, increasing fish or EPA+DHA intake is unlikely to significantly reduce the risk of hip fractures. While fish is nutritious, it should not be relied upon as a primary strategy for bone protection. Instead, focus on evidence-based interventions such as weight-bearing exercise, fall prevention, and ensuring adequate calcium and vitamin D intake, as other factors appear more critical for bone health in this age group.