Use of Glucagon-Like-Peptide 1 Receptor Agonists and Risk of Fracture as Compared to Use of Other Anti-hyperglycemic Drugs

Verfasser / Beitragende:
[Johanna Driessen, Hein van Onzenoort, Jakob Starup-Linde, Ronald Henry, Andrea Burden, Cees Neef, Joop van den Bergh, Peter Vestergaard, Frank de Vries]
Ort, Verlag, Jahr:
2015
Enthalten in:
Calcified Tissue International, 97/5(2015-11-01), 506-515
Format:
Artikel (online)
ID: 605520836
LEADER caa a22 4500
001 605520836
003 CHVBK
005 20210128100737.0
007 cr unu---uuuuu
008 210128e20151101xx s 000 0 eng
024 7 0 |a 10.1007/s00223-015-0037-y  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00223-015-0037-y 
245 0 0 |a Use of Glucagon-Like-Peptide 1 Receptor Agonists and Risk of Fracture as Compared to Use of Other Anti-hyperglycemic Drugs  |h [Elektronische Daten]  |c [Johanna Driessen, Hein van Onzenoort, Jakob Starup-Linde, Ronald Henry, Andrea Burden, Cees Neef, Joop van den Bergh, Peter Vestergaard, Frank de Vries] 
520 3 |a Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are a new class of drugs that might have a potential beneficial effect on bone metabolism. Data on the effect of GLP-1 RAs and fracture risk are lacking. The aim of the present study was to investigate the association between the use of GLP-1 and the risk of fracture. A case-control study was performed using Danish National Health Service data. Cases were those who sustained a fracture and controls were those without a fracture during the study period (2007-2011), all aged 18years and above. Conditional logistic regression estimated the odds ratios (OR) of fracture with current use of DPP4-I use. Analyses were adjusted for comorbidities and recent drug use. Among cases (n=229,114), there were 6993 current non-insulin anti-diabetic drug (NIAD) users (excluding incretin users) and 255 GLP-1 RA users. Similarly, among controls (n=229,114), 7209 were NIAD users (excluding incretin users) and 220 were GLP-1 RA users. Current GLP-1 RA use was not associated with a decreased risk of fracture [adjusted (adj.) OR 1.16; 95% CI 0.83-1.63]. Osteoporotic fracture risk was also not associated with current GLP-1 RA use (adj. OR 0.78; 95% CI 0.44-1.39). In our nation-wide case-control study, we identified that the use of GLP-1 RA was not associated with fracture risk as compared to the use of other anti-hyperglycemic drugs. Additionally, current GLP-1 RA use, stratified by cumulative or average daily dose, is not associated with fracture risk. Further research should focus on long-term use of GLP-1 RA and fracture risk. 
540 |a The Author(s), 2015 
690 7 |a GLP-1 RA  |2 nationallicence 
690 7 |a Fracture  |2 nationallicence 
690 7 |a Type 2 diabetes mellitus  |2 nationallicence 
690 7 |a Case-control  |2 nationallicence 
700 1 |a Driessen  |D Johanna  |u Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands  |4 aut 
700 1 |a van Onzenoort  |D Hein  |u Department of Clinical Pharmacy and Toxicology, Maastricht University Medical Centre+, Maastricht, The Netherlands  |4 aut 
700 1 |a Starup-Linde  |D Jakob  |u Department of Clinical Medicine, Aalborg University, Aalborg, Denmark  |4 aut 
700 1 |a Henry  |D Ronald  |u Department of Medicine, Maastricht University Medical Centre+, Maastricht, The Netherlands  |4 aut 
700 1 |a Burden  |D Andrea  |u Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands  |4 aut 
700 1 |a Neef  |D Cees  |u Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands  |4 aut 
700 1 |a van den Bergh  |D Joop  |u Department of Internal Medicine, Maastricht University Medical Centre+, Maastricht, The Netherlands  |4 aut 
700 1 |a Vestergaard  |D Peter  |u Department of Clinical Medicine, Aalborg University, Aalborg, Denmark  |4 aut 
700 1 |a de Vries  |D Frank  |u Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands  |4 aut 
773 0 |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 97/5(2015-11-01), 506-515  |x 0171-967X  |q 97:5<506  |1 2015  |2 97  |o 223 
856 4 0 |u https://doi.org/10.1007/s00223-015-0037-y  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00223-015-0037-y  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Driessen  |D Johanna  |u Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a van Onzenoort  |D Hein  |u Department of Clinical Pharmacy and Toxicology, Maastricht University Medical Centre+, Maastricht, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Starup-Linde  |D Jakob  |u Department of Clinical Medicine, Aalborg University, Aalborg, Denmark  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Henry  |D Ronald  |u Department of Medicine, Maastricht University Medical Centre+, Maastricht, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Burden  |D Andrea  |u Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Neef  |D Cees  |u Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a van den Bergh  |D Joop  |u Department of Internal Medicine, Maastricht University Medical Centre+, Maastricht, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Vestergaard  |D Peter  |u Department of Clinical Medicine, Aalborg University, Aalborg, Denmark  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a de Vries  |D Frank  |u Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 97/5(2015-11-01), 506-515  |x 0171-967X  |q 97:5<506  |1 2015  |2 97  |o 223