Osteoporosis International

, Volume 29, Issue 1, pp 79–87 | Cite as

Dietary vitamin C intake and the risk of hip fracture: a dose-response meta-analysis

  • Y. Sun
  • C. Liu
  • Y. Bo
  • J. You
  • Y. Zhu
  • D. Duan
  • H. Cui
  • Q. LuEmail author
Original Article



The meta-analysis suggested that dietary vitamin C was statistically inversely associated with the risk of hip fracture (overall OR = 0.73, 95% CI = 0.55–0.97, I 2 = 69.1%) and with the increase of 50 mg/day vitamin C intake, the risk of hip fracture will reduce by 5% (OR = 0.95, 95% CI 0.91–1.00, P = 0.05).


Previous studies had inconsistent findings regarding the association between vitamin C intake and the risk of hip fracture. Therefore, we conducted a meta-analysis to evaluate the association of dietary vitamin C intake and the risk of hip fracture.


Relevant studies were identified by searching PubMed, Embase, and Web of Science up to December 2016. Additional articles were identified from reviewing the reference lists of relevant articles. The summary relative risks (RRs) or odds ratios (ORs) and 95% confidence intervals (CIs) were estimated by random effects model. Funnel plot and Egger’s test were used to test publication bias.


The total six articles containing 7908 controls and 2899 cases of hip fracture were included in this meta-analysis. By comparing the highest versus the lowest categories of vitamin C intake, we found that dietary vitamin C was statistically correlated with the risk of hip fracture [overall OR = 0.73, 95% CI = 0.55–0.97, I 2 = 69.1%]. A linear dose-response association showed that the increase with vitamin C intake of 50 mg/day statistically reduced by 5% (OR = 0.95, 95% CI 0.91–1.00, P = 0.05) the risk of hip fracture.


In conclusion, the results of current meta-analysis strongly support that increasing dietary vitamin C intake can decrease the risk of hip fracture. In order to verify the association of vitamin C intake and hip fracture risk, further well-designed largely randomized controlled trials (RCTs) are needed.


Antioxidant Dietary vitamin C Dose-response Hip fracture Meta-analysis 



We gratefully acknowledge the support of the National Natural Science of China (81372679 and 81673165).

Compliance with ethical standards

Conflicts of interest



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Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2017

Authors and Affiliations

  • Y. Sun
    • 1
  • C. Liu
    • 2
  • Y. Bo
    • 1
  • J. You
    • 1
  • Y. Zhu
    • 1
  • D. Duan
    • 1
  • H. Cui
    • 1
  • Q. Lu
    • 1
    Email author
  1. 1.Department of Nutrition and Food Hygiene, College of Public HealthZhengzhou UniversityZhengzhouChina
  2. 2.The First Affiliated Hospital of Zhengzhou UniversityZhengzhouChina

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