Heart Failure is an Independent Risk Factor for Incident Hip, Proximal Humerus, and Wrist Fractures in a High-Risk Older Population - Takeaways - MDSpire
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Heart Failure as a Distinct Risk Factor for New Hip, Proximal Humerus, and Wrist Fractures in Older Adults at Elevated Risk

  • By

  • Amanda J. Chang

  • Alan S. Go

  • Malini Chandra

  • Laura D. Carbone

  • Howard A. Fink

  • Susan M. Ott

  • Joan C. Lo

  • January 26, 2026

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  • 1

    Heart failure (HF) significantly increases the risk of hip, proximal humerus, and wrist fractures in older adults initiating osteoporosis therapy.

  • 2

    In a study of 60,892 older adults, those with HF had a 40-50% higher risk of non-vertebral osteoporotic fractures compared to those without HF.

  • 3

    The study found that HF remains an independent fracture risk factor even among high-risk populations receiving bisphosphonate therapy.

  • 4

    Cumulative fracture incidence was significantly higher in adults with HF across all studied fracture sites, with p-values less than 0.001.

  • 5

    Identifying HF-specific mechanisms contributing to fracture risk is crucial for improving management strategies in older adults.

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