Serum creatinine, genetic susceptibility, and the risk of osteoporosis and fracture: a prospective cohort study from the UK Biobank

Baseline serum creatinine was significantly and nonlinearly associated with incident osteoporosis (U-shaped pattern) and fractures (J-shaped pattern), with the lowest risk observed at approximately 80 μmol/L, and there was a notable sex difference (higher in males). These associations were independent of genetic susceptibility, suggesting that serum creatinine may serve as a low-cost adjunct marker for clinical risk stratification and surveillance of osteoporosis.

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Publication Details

Journal
Frontiers in Endocrinology
Published
2026-01-20
DOI
https://doi.org/10.3389/fendo.2025.1727636
Primary Topic
Bone health and osteoporosis research
Type
article
Field-Weighted Citation Impact
0.00

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Serum creatinine, genetic susceptibility, and the risk of osteoporosis and fracture: a prospective cohort study from the UK Biobank

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Serum creatinine, genetic susceptibility, and the risk of osteoporosis and fracture: a prospective cohort study from the UK Biobank

Huimou Chen, Qiongyan Liu, Ke Xu, Heng Zhang, Jiaxuan Ding, Chonghui Hu, Honglin Gu, Weijie He, Jiale Jiang
article en

Abstract

Baseline serum creatinine was significantly and nonlinearly associated with incident osteoporosis (U-shaped pattern) and fractures (J-shaped pattern), with the lowest risk observed at approximately 80 μmol/L, and there was a notable sex difference (higher in males). These associations were independent of genetic susceptibility, suggesting that serum creatinine may serve as a low-cost adjunct marker for clinical risk stratification and surveillance of osteoporosis.

Frontiers in EndocrinologyVol. 16
Guangzhou University of Chinese Medicine (CN), Sun Yat-sen University (CN), Changsha Medical University (CN), Third Affiliated Hospital of Guangzhou Medical University (CN), Sun Yat-sen Memorial Hospital (CN), Affiliated Hospital of Liaoning University of Traditional Chinese Medicine (CN), Guangdong Academy of Medical Sciences (CN), Guangdong Provincial People's Hospital (CN), Qilu Hospital of Shandong University (CN), Southern Medical University (CN), Guangzhou Medical University (CN)
Natural Science Foundation of Guangdong Province
Openalex Percentile: Top 84%
Bone health and osteoporosis research
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