Glyphosate exposure, bone mineral density, osteoporosis, and fractures in the United States population

Following reports of an adverse link between glyphosate and bone mineral density (BMD), this cross-sectional study extended the investigation between glyphosate exposure and BMD to include osteoporosis, and fractures, with a focus on the high risk, post-menopausal female subgroup.

Cross-sectional data from 2,710 participants of the US National Health and Nutrition Examination Survey aged 8-59 years from 2013 to 2018 were used to assess associations between urinary glyphosate concentration (µg/L) and BMD (g/cm²) was measured using dual-energy X-ray absorptiometry (DXA), while osteoporosis and fractures were self-reported. Linear and logistic regression analyses were adjusted for age, race/ethnicity, BMI, smoking status, and income.

There was a negative association between glyphosate and BMD in the entire population (Whole Body BMD slope = -0.018; 95% CI = -0.027, -0.010; p < 0.001; Lumbar Spine BMD slope = -0.019; 95% CI = -0.030, -0.007; p = 0.002). In the high-risk, post-menopausal female subgroup, there was an inverse relationship (Whole Body BMD slope = -0.044; 95% CI = -0.076, -0.012; p = 0.009; Lumbar Spine BMD slope = -0.048; 95% CI = -0.101, 0.004, p = 0.069). Additionally, post-menopausal females with higher glyphosate had greater odds of self-reported osteoporosis (adjusted odds ratio (AOR) = 2.57; 95% CI = 1.24, 5.34; p = 0.011) and of self-reported fracture (AOR = 2.14; 95% CI = 1.28, 3.58, p = 0.004).

Results are internally consistent and align with existing literature concerning toxicity of glyphosate on bone and extend it to include adverse impact on osteoporosis and fractures. Given the cross-sectional design and single point of sampling, longitudinal studies with repeated sampling are recommended to evaluate causation.