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Peer-Reviewed Publication
Nat Rev Endocrinol2026July 30, 2026Journal Article

Links between bone fractures and the gut microbiota.

Claes Ohlsson1,2, Lina Lawenius1, Louise Grahnemo1, Klara Sjögren3
1Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Osteoporosis Centre, Centre for Bone and Arthritis Research at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
2Unit of Clinical Pharmacology, Department of Pharmaceuticals, Sahlgrenska University Hospital, Gothenburg, Sweden.
3Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Osteoporosis Centre, Centre for Bone and Arthritis Research at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. klara.sjogren@medic.gu.se.

Abstract

As populations age worldwide, the incidence of fractures is increasing, leading to considerable disease burden and increased health-care costs. Bone mineral density (BMD), bone quality and muscle function are major contributors to fracture risk, with muscle function having a critical role in preventing falls. The gut microbiota is well established as a regulator of these parameters in rodents, wit…

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