Trunk Muscle Composition 2 Months After Hip Fracture: Findings From the Baltimore Hip Studies.
Arch Phys Med Rehabil
; 100(9): 1663-1671, 2019 09.
Article
em En
| MEDLINE
| ID: mdl-30578772
ABSTRACT
OBJECTIVE:
To determine if hip fracture patients would have smaller cross-sectional area (CSA) and lower radiological attenuation (suggesting greater fat infiltration) in all trunk muscles as compared to older adults without hip fractures.DESIGN:
Cross-sectional analysis of computed tomography (CT) scans.SETTING:
Clinical imaging facility.PARTICIPANTS:
Forty-one white participants (19 men, 22 women) from the Baltimore Hip Studies seventh cohort at 2 months postfracture were compared to 693 white participants (424 men, 269 women) from the Health, Aging and Body Composition (Health ABC) study at the year 6 visit (N=734). INTERVENTION Not applicable. MAIN OUTCOMEMEASURES:
Trunk muscle CSA and attenuation values were obtained from a single 10-mm, axial CT scan completed at the L4-L5 disc space in each participant.RESULTS:
The hip fracture cohort had significantly smaller CSA for all trunk muscles (range 12.1%-38% smaller) compared to the Health ABC cohort (P<.01), with the exception of the rectus abdominus muscle in men (P=.12). But, hip fracture patients, particularly female patients, had higher attenuation levels (lower intramuscular fat) in all trunk muscles (P<.0001).CONCLUSIONS:
Findings are consistent with atrophy of the trunk muscles in the hip fracture population without a high level of intramuscular fat. Future work should evaluate the role of trunk muscle composition in the functional recovery of older adults after hip fracture.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Músculo Esquelético
/
Fraturas do Quadril
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
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Observational_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
Idioma:
En
Revista:
Arch Phys Med Rehabil
Ano de publicação:
2019
Tipo de documento:
Article