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Association between Osteoporosis and Low Hemoglobin Levels: A Nested Case–Control Study Using a National Health Screening Cohort

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  • So-Young Kim

    (Department of Otorhinolaryngology-Head & Neck Surgery, CHA Bundang Medical Center, CHA University, Seongnam 13496, Korea)

  • Dae-Myoung Yoo

    (Hallym Data Science Laboratory, Hallym University College of Medicine, Anyang 14068, Korea)

  • Chanyang Min

    (Hallym Data Science Laboratory, Hallym University College of Medicine, Anyang 14068, Korea
    Graduate School of Public Health, Seoul National University, Seoul 08826, Korea)

  • Hyo-Geun Choi

    (Hallym Data Science Laboratory, Hallym University College of Medicine, Anyang 14068, Korea
    Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine, Anyang 14068, Korea)

Abstract

An association between anemia and an increased risk of osteoporosis has been suggested. The goal of this study was to estimate the association of hemoglobin (Hb) level with osteoporosis. A total of 69,760 osteoporosis patients aged ≥ 40 years old from the Korean National Health Insurance Service Health Screening Cohort were enrolled. From an identical cohort database, 69,760 comparison participants were randomly selected. Hb levels before the onset of osteoporosis were evaluated. The association of Hb level with osteoporosis was analyzed using a conditional logistic regression model adjusted for obesity, smoking status, alcohol consumption, systolic blood pressure, diastolic blood pressure, fasting blood glucose, total cholesterol, and the Charlson comorbidity index score. Fifteen percent of the osteoporosis group and 14.17% of the comparison group had anemia. The Hb level was associated with 0.98-fold lower odds for osteoporosis (95% confidence intervals = 0.97–0.99, p < 0.001). A low Hb level was associated with a high risk of osteoporosis in the adult population. There was a consistent association between a low Hb level and osteoporosis in patients with comorbidities.

Suggested Citation

  • So-Young Kim & Dae-Myoung Yoo & Chanyang Min & Hyo-Geun Choi, 2021. "Association between Osteoporosis and Low Hemoglobin Levels: A Nested Case–Control Study Using a National Health Screening Cohort," IJERPH, MDPI, vol. 18(16), pages 1-9, August.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8598-:d:614454
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    References listed on IDEAS

    as
    1. Xiaming Du & Chao Zhang & Xiangqi Zhang & Zhen Qi & Sulin Cheng & Shenglong Le, 2021. "The Impact of Nordic Walking on Bone Properties in Postmenopausal Women with Pre-Diabetes and Non-Alcohol Fatty Liver Disease," IJERPH, MDPI, vol. 18(14), pages 1-10, July.
    2. So Young Kim & Jee Hye Wee & Chanyang Min & Dae-Myoung Yoo & Hyo Geun Choi, 2020. "Relationship between Bell’s Palsy and Previous Statin Use: A Case/Non-Case Study," IJERPH, MDPI, vol. 17(22), pages 1-10, November.
    3. So Young Kim & Young Shin Song & Jee Hye Wee & Chanyang Min & Dae Myoung Yoo & Hyo Geun Choi, 2020. "Association between SSNHL and Thyroid Diseases," IJERPH, MDPI, vol. 17(22), pages 1-11, November.
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    Cited by:

    1. Pietro Ferrara & Luciana Albano, 2022. "Advances in Population-Based Healthcare Research: From Measures to Evidence," IJERPH, MDPI, vol. 19(20), pages 1-4, October.

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