Does sarcopenia predict change in mobility after hip fracture? a multicenter observational study with one-year follow-up.
BMC Geriatr
; 18(1): 65, 2018 03 05.
Article
in En
| MEDLINE
| ID: mdl-29506481
ABSTRACT
BACKGROUND:
Patients with hip fracture frequently have sarcopenia and are at great risk of loss of mobility. We have investigated if sarcopenia predicts change in mobility after hip fracture.METHODS:
This is a prospective, multicenter observational study with one-year follow-up. Patients with hip fracture who were community-living and capable of walking before the fracture were included at three hospitals in Norway (2011-2013). The primary outcome of the study was change in mobility, measured by the New Mobility Score (NMS). Sarcopenia was determined postoperatively by anthropometry, grip strength, and NMS.RESULTS:
We included 282 participants and sarcopenia status was determined in 201, of whom 38% (77/201) had sarcopenia, 66% (128/194) had low muscle mass, 52% (116/222) had low grip strength and 8% (20/244) had low pre-fracture mobility (NMS < 5). Sarcopenia did not predict change in mobility (effect 0.2 points; 95% CI -0.5 to 0.9, P = 0.6), but it was associated with having lower mobility at one-year (NMS 5.8 (SD 2.3) vs. 6.8 (SD 2.2), P = 0.003), becoming a resident of a nursing home (odds ratio 3.2, 95% CI 0.9 to 12.4, P = 0.048), and the combined endpoint of becoming a resident of a skilled nursing home or death (odds ratio 3.6, 95% CI 1.2 to 12.2, P = 0.02).CONCLUSIONS:
Sarcopenia did not predict change in mobility in the year after hip fracture.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Mobility Limitation
/
Sarcopenia
/
Hip Fractures
Type of study:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
En
Journal:
BMC Geriatr
Journal subject:
GERIATRIA
Year:
2018
Type:
Article
Affiliation country:
Norway