Prevalence of sarcopenia in patients older than 75 years admitted for hip fracture

Hip fracture in the population aged 75 years and older is one of the most disabling pathologies. Likewise, disease related malnutrition (DRM) and sarcopenia are two frequent diagnoses in this age group, whose prevalence may be increased in patients with hip fracture. To determine the prevalence of m...

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Veröffentlicht in:Endocrinología, diabetes y nutrición. diabetes y nutrición., 2023-06, Vol.70 (6), p.396-407
Hauptverfasser: Cervera-Díaz, María del Carmen, López-Gómez, Juan José, García-Virto, Virginia, Aguado-Hernández, Héctor José, De Luis-Román, Daniel Antonio
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Sprache:eng
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Zusammenfassung:Hip fracture in the population aged 75 years and older is one of the most disabling pathologies. Likewise, disease related malnutrition (DRM) and sarcopenia are two frequent diagnoses in this age group, whose prevalence may be increased in patients with hip fracture. To determine the prevalence of malnutrition and/or sarcopenia in patients admitted for hip fracture and evaluate the existence of malnutrition related to disease and sarcopenia, and the differences between the sarcopenic and non-sarcopenic group. 186 patients aged 75 years or over, hospitalised for hip fracture from March 2018 to June 2019 were included. Demographic, nutritional and biochemical variables were collected. Nutritional screening was carried out with the Mini-Nutritional Assessment (MNA), the presence of DRM was established with The Global Leadership Initiative on Malnutrition (GLIM) criteria. For sarcopenia screening, the Strength, Assistance with walking, Rising from a chair, Climbing stairs and Falls (SARC-F) was used and the diagnosis of sarcopenia was made using the criteria from the European Working Group on Sarcopenia in Older People (EWGSOP) reviewed in 2019 (EWGSOP2). Muscle strength was determined by hand-grip strength, body composition by measurement of bioelectrical impedance. The mean age was 86.2 years, most of the patients were women (81.7%). 37.1% of patients were at nutritional risk (MNA 17−23.5) and 16.7% were malnourished (MNA 
ISSN:2530-0180
2530-0180
DOI:10.1016/j.endien.2023.06.001