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The association between hemoglobin (Hb) level including anemia and fracture has not been studied thoroughly. 197, 187 adults ≥ 50years from the National Health Insurance Service of Korea were studied. Hb was determined during health screening examinations in 2004 or 2005. From 1 January 2006, participants were followed up for fracture until 31 December 2013. Hb levels (g/dL) were categorized into five groups, with normal hemoglobin levels subdivided into three groups (low normal, normal, and high normal Hb) 13, ≥