A large cohort study published in Osteoporosis International (Volume 17, Number 7; July 2006) examined the relationship between coffee consumption and fracture risk in 31,527 Swedish women. Intake of coffee, tea, and total caffeine was assessed using food-frequency questionnaires, and participants were followed for just over 10 years.

During the follow-up period, 3,279 osteoporotic fractures were reported. The researchers found that higher coffee consumption was associated with an increased risk of osteoporotic fracture. This association was most pronounced among women with lower calcium intake.

These findings suggest that high coffee consumption may be linked with fracture risk, particularly in the context of inadequate calcium intake. As with other observational studies, the results describe associations rather than cause-and-effect relationships, but they highlight the importance of considering overall dietary patterns when evaluating bone health.