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Undernutrition, Sarcopenia, and Frailty in Fragility Hip Fracture: Advanced Strategies for Improving Clinical Outcomes

1
Department of Physical Therapy, Niigata University of Health and Welfare, Shimami-cho 950-3198, Japan
2
Department of Geriatric Medicine, National Center for Geriatrics and Gerontology, Obu 474-8511, Japan
3
Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute 480-1195, Japan
4
Department of Nursing, Nishinomiya Kyoritsu Neurosurgical Hospital, Nishinomiya 663-8211, Japan
5
Department of Nutrition, Hamamatsu City Rehabilitation Hospital, Hamamatsu 433-8127, Japan
6
Department of Clinical Nutrition and Food Service, NTT Medical Center Tokyo, Tokyo 141-8625, Japan
7
Biostatistics Center, Kurume University, Kurume 830-0011, Japan
8
Okinawa Chuzan Hospital Clinical Research Center, Chuzan Hospital, Matsumoto 904-2151, Japan
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(12), 3743; https://doi.org/10.3390/nu12123743
Received: 31 October 2020 / Revised: 30 November 2020 / Accepted: 3 December 2020 / Published: 4 December 2020
(This article belongs to the Special Issue Impact of Malnutrition upon Healthcare and Clinical Outcomes)
Geriatric patients with hip fractures often experience overlap in problems related to nutrition, including undernutrition, sarcopenia, and frailty. Such problems are powerful predictors of adverse responses, although few healthcare professionals are aware of them and therefore do not implement effective interventions. This review aimed to summarize the impact of undernutrition, sarcopenia, and frailty on clinical outcomes in elderly individuals with hip fractures and identify successful strategies that integrate nutrition and rehabilitation. We searched PubMed (MEDLINE) and Cochrane Central Register of Controlled Trials (CENTRAL) for relevant literature published over the last 10 years and found that advanced interventions targeting the aforementioned conditions helped to significantly improve postoperative outcomes among these patients. Going forward, protocols from advanced interventions for detecting, diagnosing, and treating nutrition problems in geriatric patients with hip fractures should become standard practice in healthcare settings. View Full-Text
Keywords: undernutrition; muscular atrophy; frailty syndrome; fragility hip fracture; elderly undernutrition; muscular atrophy; frailty syndrome; fragility hip fracture; elderly
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MDPI and ACS Style

Inoue, T.; Maeda, K.; Nagano, A.; Shimizu, A.; Ueshima, J.; Murotani, K.; Sato, K.; Tsubaki, A. Undernutrition, Sarcopenia, and Frailty in Fragility Hip Fracture: Advanced Strategies for Improving Clinical Outcomes. Nutrients 2020, 12, 3743. https://doi.org/10.3390/nu12123743

AMA Style

Inoue T, Maeda K, Nagano A, Shimizu A, Ueshima J, Murotani K, Sato K, Tsubaki A. Undernutrition, Sarcopenia, and Frailty in Fragility Hip Fracture: Advanced Strategies for Improving Clinical Outcomes. Nutrients. 2020; 12(12):3743. https://doi.org/10.3390/nu12123743

Chicago/Turabian Style

Inoue, Tatsuro; Maeda, Keisuke; Nagano, Ayano; Shimizu, Akio; Ueshima, Junko; Murotani, Kenta; Sato, Keisuke; Tsubaki, Atsuhiro. 2020. "Undernutrition, Sarcopenia, and Frailty in Fragility Hip Fracture: Advanced Strategies for Improving Clinical Outcomes" Nutrients 12, no. 12: 3743. https://doi.org/10.3390/nu12123743

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