Fish Consumption, Bone Mineral Density, and Risk of Hip Fracture Among Older Adults: The Cardiovascular Health Study
2010

Fish Consumption and Bone Health in Older Adults

Sample size: 5045 publication 10 minutes Evidence: moderate

Author Information

Author(s): Jyrki K Virtanen, Dariush Mozaffarian, Jane A Cauley, Kenneth J Mukamal, John Robbins, David S Siscovick

Primary Institution: University of Eastern Finland

Hypothesis

Does fish and EPA + DHA consumption affect bone mineral density and hip fracture risk in older adults?

Conclusion

Fish consumption was associated with very small differences in bone mineral density and had no association with hip fracture risk.

Supporting Evidence

  • Fish consumption was associated with a slight decrease in femoral neck bone mineral density.
  • EPA + DHA intake was linked to lower femoral neck BMD among those with high linoleic acid intake.
  • No significant associations were found between fish consumption and hip fracture risk.

Takeaway

Eating fish might not help your bones much, and it doesn't seem to lower the chance of breaking a hip as you get older.

Methodology

The study analyzed dietary intake using food-frequency questionnaires and assessed bone mineral density and hip fracture incidence over an average follow-up of 11.1 years.

Potential Biases

Potential misclassification of dietary intake and lack of adjudicated reviews for hip fracture diagnoses.

Limitations

The study relied on a single dietary assessment at baseline, which may lead to misclassification of fish consumption.

Participant Demographics

Participants were aged 65 years and older, with a mean age of 72.8 years, and included both men and women.

Statistical Information

P-Value

p < .001

Confidence Interval

95% CI 0.83–1.84 for tuna/other fish; 95% CI 0.91–1.49 for fried fish; 95% CI 0.71–1.36 for EPA + DHA

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1002/jbmr.87

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