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This narrative review synthesizes current evidence on the epidemiological, pathophysiological, and clinical interrelationships between stroke and hip fractures. Key quantitative findings include a 7.6% incidence of hip fractures within 5\u00a0years post-stroke\u2014significantly higher than the 2.8% observed in non-stroke populations\u2014and a 30-day postoperative mortality rate of up to 14.8% in stroke patients with hip fractures. Severe post-stroke disability is associated with a 2.1- to 4.8-fold increased risk of hip fracture compared to those with good recovery. The review also highlights the utility of risk assessment tools such as FRAX and emerging prediction models, and evaluates prevention strategies including osteoporosis screening, exercise-based rehabilitation, and lifestyle modifications.<\/jats:p>","DOI":"10.3389\/fragi.2026.1780462","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T05:20:18Z","timestamp":1775712018000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The interplay between stroke and hip fractures: a narrative review of mechanisms, risk assessment, and prevention"],"prefix":"10.3389","volume":"7","author":[{"given":"Zuzhou","family":"Wen","sequence":"first","affiliation":[{"name":"Department of Joint Orthopedics, The Fourth People\u2019s Hospital of Guiyang","place":["Guiyang, Guizhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Joint Orthopedics, The Fourth People\u2019s Hospital of Guiyang","place":["Guiyang, Guizhou, China"]},{"name":"Bone Diseases & Center for Healthy Aging,University Hospital Carl Gustav Carus of the Technische Universit\u00e4t Dresden","place":["Dresden, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junzhao","family":"Qiao","sequence":"additional","affiliation":[{"name":"Department of Joint Orthopedics, The Fourth People\u2019s Hospital of Guiyang","place":["Guiyang, Guizhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongqiang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Joint Orthopedics, The Fourth People\u2019s Hospital of Guiyang","place":["Guiyang, Guizhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"965","DOI":"10.3390\/bs14100965","article-title":"Physical activity behaviour and motivation during and following pulmonary and cardiac rehabilitation: a repeated measures study","volume":"14","author":"Alfrey","year":"2024","journal-title":"Behav. 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