Relationship between Nutritional Status, Body Composition, Muscle Strength, and Functional Recovery in Patients with Proximal Femur Fracture
Abstract
:1. Introduction
2. Materials and Methods
2.1. Nutritional Status
2.2. Bioelectrical Impedance Analysis (BIA)
2.3. Muscle Strength Assessment
2.4. Functional Measurements
2.5. Statistical Analysis
3. Results
3.1. Descriptive Characteristics
3.2. Univariate Analyses
4. Discussion
4.1. Nutritional Status
4.2. Body Composition
4.3. Muscle Quality
4.4. Study Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Characteristics | Mean | SD |
---|---|---|
Number of patients | 148 | |
Age (years) | 84.1 | 7.8 |
Sex (F/M) | 121/27 | |
Femoral neck fracture | 84 | |
Trochanteric fracture | 64 | |
BHA | 76 | |
Osteosynthesis | 72 | |
Days after PFF onset | 22.6 | 8.7 |
Rehabilitation Program Time (min/day) | 139.8 | 18.6 |
Serum albumin (g/dL) | 3.6 | 0.4 |
GNRI on admission | 94.3 | 10.9 |
GNRI at 4 weeks | 96.8 | 12.8 |
Motor FIM score on admission | 49.4 | 13.7 |
Motor FIM score at 4 weeks | 66.8 | 16.4 |
Male (n = 27) | Female (n = 121) | |||
---|---|---|---|---|
Mean | SD | Mean | SD | |
Age (years) | 82.6 | 9.3 | 84.7 | 9.4 |
Height (cm) | 162.1 | 12.8 | 154.2 * | 9.2 |
Weight (kg) | 53.6 | 14.3 | 48.9 * | 9.8 |
BMI (kg/m2) | 20.4 | 3.8 | 20.6 | 3.9 |
Nutritional Status (GNRI) | Muscle Strength (kgw) | Muscle Quality (Degree) | SMI (kg/m2) | Motor FIM Items | |
---|---|---|---|---|---|
On admission | 93.6 | 24.7 | 4.2 | 7.4 | 47.6 |
After 4 weeks | 95.8 | 27.9 | 4.4 | 7.3 | 66.4 |
p | <0.001 | <0.001 | <0.001 | 0.21 | <0.001 |
Nutritional Status (GNRI) | Muscle Strength (kgw) | Muscle Quality (Degree) | SMI (kg/m2) | Motor FIM Items | |
---|---|---|---|---|---|
On admission | 94.6 | 18.2 | 3.3 | 5.7 | 49.8 |
After 4 weeks | 95.7 | 19.1 | 3.4 | 5.6 | 66.9 |
p | <0.001 | <0.001 | <0.001 | 0.24 | <0.001 |
Variables | Odds Ratios | 95% CI | p |
---|---|---|---|
No malnutrition (GNRI > 92) | 3.917 | 1.224–4.745 | 0.02 |
High muscle strength (male > 26.0 kgw, female > 18.0 kgw) | 1.340 | 0.651–2.758 | 0.43 |
High muscle quality (male > 3.5°, female > 3.0°) | 7.929 | 3.047–20.589 | <0.01 |
High SMI (male > 7.0 kg/m2, female > 5.7 kg/m2) | 0.859 | 0.417–1.773 | 0.68 |
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Irisawa, H.; Mizushima, T. Relationship between Nutritional Status, Body Composition, Muscle Strength, and Functional Recovery in Patients with Proximal Femur Fracture. Nutrients 2022, 14, 2298. https://doi.org/10.3390/nu14112298
Irisawa H, Mizushima T. Relationship between Nutritional Status, Body Composition, Muscle Strength, and Functional Recovery in Patients with Proximal Femur Fracture. Nutrients. 2022; 14(11):2298. https://doi.org/10.3390/nu14112298
Chicago/Turabian StyleIrisawa, Hiroshi, and Takashi Mizushima. 2022. "Relationship between Nutritional Status, Body Composition, Muscle Strength, and Functional Recovery in Patients with Proximal Femur Fracture" Nutrients 14, no. 11: 2298. https://doi.org/10.3390/nu14112298