Energy balance
Higher body mass index (BMI > 25 kg/m²) is associated with a protective effect against hip fracture burden, reducing DALYs by up to 24.1% for BMI > 35 kg/m² compared to a BMI of 21.5–25 kg/m².
This study suggests that higher body weight (BMI > 25) may protect against hip fractures, likely due to mechanical cushioning. However, the authors explicitly state that recommending weight gain is inappropriate due to the association with other morbidities. Focus on maintaining a healthy weight through balanced nutrition and activity rather than targeting weight loss specifically for bone health.
high BMI had a protective effect... Being overweight or obese was responsible for a reduction in DALYs that ranged from 7.2% (95% CI 4–11.2) for participants with a BMI of 25–30 kg/m², to 24.1% (14.4–32.9) for those with a BMI greater than 35 kg/m²
Why this rating
Large pooled analysis.
Source
Burden of hip fracture using disability-adjusted life-years: a pooled analysis of prospective cohorts in the CHANCES consortium
Nikos Papadimitriou et al. · The Lancet Public Health · 2017
DOI 10.1016/s2468-2667(17)30046-4
More from this paper
- Current smoking is the primary modifiable risk factor for hip fracture burden, contributing to 7.5% of disability-adjusted life-years (DALYs) lost, followed by physical inactivity (5.5%) and type 2 diabetes (2.8%).Good
- Physical inactivity (abstaining from vigorous activity) is the second largest modifiable risk factor for hip fracture burden, accounting for 5.5% of DALYs lost.Good
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