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Osteoporosis treatment may also protect against pneumonia

The nitrogen containing bisphosphonates (N-BPs) medications such as alendronate widely used to treat postmenopausal osteoporosis are linked with lower risks of pneumonia and of dying from pneumonia, say researchers.

Osteoporosis treatment may also protect against pneumonia
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Osteoporosis is a medical condition in which the bones become brittle and fragile from loss of tissue, typically as a result of hormonal changes, or deficiency of calcium or vitamin D.

"The objective of this work was to study the risk of pneumonia and pneumonia mortality among patients receiving N-BPs medications, non-N-BP medications, and no anti-osteoporosis medications after hip fracture," the study authors from the University of Hong Kong wrote.

Results from previous animal studies indicate that N-BP treatment leads to a high concentration of N-BPs in the respiratory tract.

For the current findings, published in the Journal of Bone and Mineral Research, the research team included 4,041 patients with hip fractures who received N-BPs and 11,802 who did not.

Over a median follow-up time of 2.7 years, The findings showed that N-BPs was associated with a 24 per cent lower risk of pneumonia compared with no treatment (69 versus 90 cases per 1,000 people per year).

A similar association was observed with pneumonia mortality, with a 35 per cent lower risk associated with N-BPs (23 versus 35 per 1,000 patients per year for the N-BP and non-N-BP groups, respectively), the researchers said.

Together with its anti-inflammatory and immune-modulatory properties, this may explain why N-BPs were associated with reduced risk of pneumonia, as revealed in our study," said study senior author Ching-Lung Cheung from the University of Hong Kong.

He added that studying the potential of N-BPs for treating symptoms of COVID-19 may be warranted.

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