Diet and lifestyle play a central role in determining the risk of osteoporotic fractures. While the effects of exercise, smoking, and alcohol intake are well recognized, much less is known about how dietary habits such as skipping breakfast or eating dinner late may influence fracture risk. To explore this, a large-scale study analyzed lifestyle and dietary patterns in 927,130 adults.

Over a median follow-up of 2.6 years, the analysis showed that skipping breakfast (adjusted hazard ratio [aHR]: 1.18), late dinner (aHR: 1.08), and smoking (aHR: 1.11) were linked to an increased risk of osteoporotic fracture. In contrast, daily alcohol consumption (aHR: 0.91), regular exercise (aHR: 0.99), faster gait speed (aHR: 0.84), and adequate sleep (aHR: 0.95) were associated with reduced risk. This study provides new evidence that, beyond well-known lifestyle factors, dietary timing, particularly…