Biological Retinal Age Predicts Fractures - Summary - MDSpire

Biological Retinal Age Predicts Fractures

  • June 22, 2026

  • 3 min

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Objective:

To evaluate whether retinal aging could serve as a non-invasive biomarker for skeletal health.

Approach:
    Key Findings:
    • Higher RetiAGE scores were associated with lower bone mineral density (BMD) and worse T-scores in the PIONEER cohort.
    • Each standard deviation increase in RetiAGE was linked to significantly increased fracture risk metrics.
    • In the UK Biobank cohort, higher retinal biological age independently predicted incident osteoporosis over a mean follow-up of 12.2 years.
    • Participants in the highest RetiAGE quartile had a 40% higher risk of developing osteoporosis compared to those in the lowest quartile.
    Interpretation:

    Limitations:
    • The RetiAGE algorithm was trained in a Korean population, which may affect generalizability across different ethnicities.
    • The study focused on association rather than real-world screening implementation.
    Conclusion:

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