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Search Results (11)

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Keywords = level of mobility (LoM)

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17 pages, 1971 KB  
Article
Protective Effects of Lindera obtusiloba Leaf Extract on Osteoarthritis in Mouse Primary Chondrocytes and a Medial Meniscus Destabilization Model
by Kang-Il Oh, Mun Hyoung Bae, Junhwan Jeong, Seokjin Hwang, Jonggyu Park, Hyun-Woo Kwon, Eunkuk Park and Seon-Yong Jeong
Int. J. Mol. Sci. 2025, 26(20), 9877; https://doi.org/10.3390/ijms26209877 - 10 Oct 2025
Viewed by 471
Abstract
Osteoarthritis (OA) is a degenerative joint disorder characterized by progressive articular cartilage degradation, leading to pain, stiffness, and impaired mobility. This study investigated the anti-osteoarthritic effects of Lindera obtusiloba (LO) leaf extract in primary cultured chondrocytes and a mouse model of destabilization of [...] Read more.
Osteoarthritis (OA) is a degenerative joint disorder characterized by progressive articular cartilage degradation, leading to pain, stiffness, and impaired mobility. This study investigated the anti-osteoarthritic effects of Lindera obtusiloba (LO) leaf extract in primary cultured chondrocytes and a mouse model of destabilization of the medial meniscus (DMM)-induced OA. Mouse primary chondrocytes were treated with IL-1β and various concentrations of LO leaf extract (50–150 μg/mL), and analyzed by RT-PCR, Western blotting, and ELISA. For the in vivo experiments, male C57BL/6 mice underwent DMM surgery and were administered LO leaf extract (50–200 mg/kg/day) for eight weeks, followed by micro-CT, histological, and immunohistochemical analyses. LO leaf extract exhibited no cytotoxicity in chondrocytes. In interleukin-1β-induced inflammatory chondrocytes, LO leaf extract significantly suppressed the expression of OA-associated catabolic factors, including cyclooxygenase-2 (Cox-2), matrix metalloproteinases (MMP3 and MMP13), and phosphorylated nuclear factor-kappa B (NF-κB). It also reduced the production of destructive mediators, such as prostaglandin E2 (PGE2) and collagenase, in a dose-dependent manner. In vivo, LO leaf extract-treated mice demonstrated significant reductions in articular cartilage degradation, subchondral bone sclerosis, and the expression of catabolic and inflammatory mediators. Additionally, LO leaf extract administration significantly decreased systemic pro-inflammatory cytokine levels in DMM-induced mice. Collectively, these findings indicate that LO leaf extract attenuates OA progression by suppressing both local and systemic inflammatory responses, supporting its potential as a natural therapeutic agent for the prevention and treatment of OA. Full article
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21 pages, 7497 KB  
Article
An Enhanced Local Optimization Algorithm for GNSS Shadow Matching in Mobile Phones
by Xianggeng Han, Nijia Qian, Jingxiang Gao, Zengke Li, Yifan Hu, Liu Yang and Fangchao Li
Remote Sens. 2025, 17(4), 677; https://doi.org/10.3390/rs17040677 - 16 Feb 2025
Viewed by 1111
Abstract
In the context of mobile phones, the local optimal global navigation satellite systems (GNSS) shadow matching algorithm, which is based on the urban three-dimensional model, can effectively reduce the error of GNSS pseudo-range single-point positioning. However, the positioning accuracy of this algorithm is [...] Read more.
In the context of mobile phones, the local optimal global navigation satellite systems (GNSS) shadow matching algorithm, which is based on the urban three-dimensional model, can effectively reduce the error of GNSS pseudo-range single-point positioning. However, the positioning accuracy of this algorithm is susceptible to noise, and its continuous signal-to-noise ratio (SNR) scoring method does not fully exploit the probability density and probability distribution information contained in the SNR. Therefore, this paper proposes two improvements for the local optimal shadow matching algorithm: (1) utilizing low-pass filtering to filter SNR, thereby reducing the influence of noise on the algorithm and (2) introducing a probability-based SNR scoring method to fully leverage the probability density and probability distribution information of SNR. In dynamic single-point positioning, the improved algorithm attains an absolute positioning accuracy of up to 3 m, representing a decimeter-level enhancement over the original algorithm. Experiments confirm that using the SNR statistical information of non-line of sight (NLOS) and line-of-sight (LOS) as prior information results in better positioning accuracy compared to when this information is distorted by multipath effects. Additionally, to address the issue of high time complexity in the shadow matching algorithm, especially when considering local optima, this paper presents a scheme to simplify the algorithm’s flow, reducing its time complexity by approximately 75%. Full article
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16 pages, 1686 KB  
Article
Trace Detection of Di-Isopropyl Methyl Phosphonate DIMP, a By-Product, Precursor, and Simulant of Sarin, Using Either Ion Mobility Spectrometry or GC-MS
by Victor Bocoș-Bințințan, Paul-Flaviu Bocoș-Bințințan, Tomáš Rozsypal and Mihail Simion Beldean-Galea
Toxics 2025, 13(2), 102; https://doi.org/10.3390/toxics13020102 - 28 Jan 2025
Cited by 2 | Viewed by 1543
Abstract
Di-isopropyl methyl phosphonate (DIMP) has no major commercial uses but is a by-product or a precursor in the synthesis of the nerve agent sarin (GB). Also, DIMP is utilized as a simulant compound for the chemical warfare agents sarin and soman in order [...] Read more.
Di-isopropyl methyl phosphonate (DIMP) has no major commercial uses but is a by-product or a precursor in the synthesis of the nerve agent sarin (GB). Also, DIMP is utilized as a simulant compound for the chemical warfare agents sarin and soman in order to test and calibrate sensitive IMS instrumentation that warns against the deadly chemical weapons. DIMP was measured from 2 ppbv (15 μg m−3) to 500 ppbv in the air using a pocket-held ToF ion mobility spectrometer, model LCD-3.2E, with a non-radioactive ionization source and ammonia doping in positive ion mode. Excellent sensitivity (LoD of 0.24 ppbv and LoQ of 0.80 ppbv) was noticed; the linear response was up to 10 ppbv, while saturation occurred at >500 ppbv. DIMP identification by IMS relies on the formation of two distinct peaks: the monomer M·NH4+, with a reduced ion mobility K0 = 1.41 cm2 V−1 s−1, and the dimer M2·NH4+, with K0 = 1.04 cm2 V−1 s−1 (where M is the DIMP molecule); positive reactant ions (Pos RIP) have K0 = 2.31 cm2 V−1 s−1. Quantification of DIMP at trace levels was also achieved by GC-MS over the concentration range of 1.5 to 150 μg mL−1; using a capillary column (30 m × 0.25 mm × 0.25 μm) with a TG-5 SilMS stationary phase and temperature programming from 60 to 110 °C, DIMP retention time (RT) was ca. 8.5 min. The lowest amount of DIMP measured by GC-MS was 1.5 ng, with an LoD of 0.21 μg mL−1 and an LoQ of 0.62 μg mL−1 DIMP. Our results demonstrate that these methods provide robust tools for both on-site and off-site detection and quantification of DIMP at trace levels, a finding which has significant implications for forensic investigations of chemical agent use and for environmental monitoring of contamination by organophosphorus compounds. Full article
(This article belongs to the Section Drugs Toxicity)
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29 pages, 6132 KB  
Review
Smartphone Prospects in Bridge Structural Health Monitoring, a Literature Review
by Ekin Ozer and Rolands Kromanis
Sensors 2024, 24(11), 3287; https://doi.org/10.3390/s24113287 - 21 May 2024
Cited by 12 | Viewed by 4312
Abstract
Bridges are critical components of transportation networks, and their conditions have effects on societal well-being, the economy, and the environment. Automation needs in inspections and maintenance have made structural health monitoring (SHM) systems a key research pillar to assess bridge safety/health. The last [...] Read more.
Bridges are critical components of transportation networks, and their conditions have effects on societal well-being, the economy, and the environment. Automation needs in inspections and maintenance have made structural health monitoring (SHM) systems a key research pillar to assess bridge safety/health. The last decade brought a boom in innovative bridge SHM applications with the rise in next-generation smart and mobile technologies. A key advancement within this direction is smartphones with their sensory usage as SHM devices. This focused review reports recent advances in bridge SHM backed by smartphone sensor technologies and provides case studies on bridge SHM applications. The review includes model-based and data-driven SHM prospects utilizing smartphones as the sensing and acquisition portal and conveys three distinct messages in terms of the technological domain and level of mobility: (i) vibration-based dynamic identification and damage-detection approaches; (ii) deformation and condition monitoring empowered by computer vision-based measurement capabilities; (iii) drive-by or pedestrianized bridge monitoring approaches, and miscellaneous SHM applications with unconventional/emerging technological features and new research domains. The review is intended to bring together bridge engineering, SHM, and sensor technology audiences with decade-long multidisciplinary experience observed within the smartphone-based SHM theme and presents exemplary cases referring to a variety of levels of mobility. Full article
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16 pages, 2242 KB  
Article
Quantification of Arsenic in Soil Samples Collected in an Industrial Area of Brindisi (Apulia, Italy): Speciation Analysis and Availability
by Danilo Migoni, Paride Papadia and Francesco Paolo Fanizzi
Sustainability 2023, 15(20), 14666; https://doi.org/10.3390/su152014666 - 10 Oct 2023
Viewed by 1732
Abstract
Arsenic (As) is a well-known toxic metalloid, but environmental risks due to excessive As content in soils or sediments depend on the chemical forms present and their relative mobility. Long-term exposure to arsenic may cause several diseases. In order to assess the possible [...] Read more.
Arsenic (As) is a well-known toxic metalloid, but environmental risks due to excessive As content in soils or sediments depend on the chemical forms present and their relative mobility. Long-term exposure to arsenic may cause several diseases. In order to assess the possible risks in the heavily impacted Consorzio per lo Sviluppo Industriale e di Servizi Reali alle Imprese (Consortium for Industrial Development and Effective Services for Business, S.I.S.R.I.) industrial area of Brindisi (Apulia, southern Italy), 38 soil samples were collected in the area, from 18 sampling points previously determined as outliers. Total As determination, speciation analysis, and a cession test with acetic acid were performed. Speciation analysis was performed by HPLC coupled to hydride generation-atomic absorption spectroscopy (HG-AAS). Total As determination obtained by mineralization showed a concentration range between 51.8 and 169.6 mg kg−1, which is higher than the limit of 50 mg kg−1 established by D.M. (Ministerial Decree) 471/99 for industrial areas. The highest concentrations of extracted As were obtained in the top-soil layers. As(III) and As(V) were detected in all the samples, while the concentrations of the organic species monomethyl arsonic acid (MMAA) and dimethyl arsenic acid (DMAA) were always under the detection limit. The samples releasing the highest As quantities in the acetic acid cession test were in every circumstance collected from the superficial soil levels. The different amounts of As determined in the sampling sites could depend on the distance from the specific sources of pollution, even if it is very difficult to identify them in a very complex industrial zone such as the S.I.S.R.I. area of Brindisi. In this study, As occurs mainly as relatively immobile or slowly exchangeable forms: for this reason, it is more abundant in the top-soil and is little affected by the action of rainwater, which transports only reduced quantities of As into the deeper layers. Full article
(This article belongs to the Section Sustainable Chemical Engineering and Technology)
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19 pages, 5265 KB  
Article
Analysis of Data Reception in the Communication Layer Applied to an Architecture of Mobile Sensor Networks in Marine Environments
by Abigail Elizabeth Pallares-Calvo, Blanca Esther Carvajal-Gámez, Octavio Gutiérrez-Frías and Dante Mujica-Vargas
Sensors 2023, 23(12), 5480; https://doi.org/10.3390/s23125480 - 10 Jun 2023
Cited by 2 | Viewed by 1635
Abstract
This paper is focused on the use of radio frequency identification (RFID) technology operating at 125 kHz in a communication layer for a network of mobile and static nodes in marine environments, with a specific focus on the Underwater Internet of Things (UIoT). [...] Read more.
This paper is focused on the use of radio frequency identification (RFID) technology operating at 125 kHz in a communication layer for a network of mobile and static nodes in marine environments, with a specific focus on the Underwater Internet of Things (UIoT). The analysis is divided into two main sections: characterizing the penetration depth at different frequencies and evaluating the probabilities of data reception between antennas of static nodes and a terrestrial antenna considering the line of sight (LoS) between antennas. The results indicate that the use of RFID technology at 125 kHz allows for data reception with a penetration depth of 0.6116 dB/m, demonstrating its suitability for data communication in marine environments. In the second part of the analysis, we examine the probabilities of data reception between static-node antennas at different heights and a terrestrial antenna at a specific height. Wave samples recorded in Playa Sisal, Yucatan, Mexico, are used for this analysis. The findings show a maximum reception probability of 94.5% between static nodes with an antenna at a height of 0 m and a 100% data reception probability between a static node and the terrestrial antenna when the static-node antennas are optimally positioned at a height of 1 m above sea level. Overall, this paper provides valuable insights into the application of RFID technology in marine environments for the UIoT, considering the minimization of impacts on marine fauna. The results suggest that by adjusting the characteristics of the RFID system, the proposed architecture can be effectively implemented to expand the monitoring area, considering variables both underwater and on the surface of the marine environment. Full article
(This article belongs to the Special Issue Advanced IoT Systems in Smart Cities)
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12 pages, 3920 KB  
Article
Smartphone-Based Body Location-Independent Functional Mobility Analysis in Patients with Parkinson’s Disease: A Step towards Precise Medicine
by Diogo Vila-Viçosa, Mariana Leitão, Raquel Bouça-Machado, Filipa Pona-Ferreira, Sara Alberto, Joaquim J. Ferreira and Ricardo Matias
J. Pers. Med. 2022, 12(5), 826; https://doi.org/10.3390/jpm12050826 - 19 May 2022
Cited by 2 | Viewed by 2913
Abstract
Ecological evaluation of gait using mobile technologies provides crucial information regarding the evolution of symptoms in Parkinson’s disease (PD). However, the reliability and validity of such information may be influenced by the smartphone’s location on the body. This study analyzed how the smartphone [...] Read more.
Ecological evaluation of gait using mobile technologies provides crucial information regarding the evolution of symptoms in Parkinson’s disease (PD). However, the reliability and validity of such information may be influenced by the smartphone’s location on the body. This study analyzed how the smartphone location affects the assessment of PD patients’ gait in a free-living environment. Twenty PD patients (mean ± SD age, 64.3 ± 10.6 years; 9 women (45%) performed 3 trials of a 250 m outdoor walk using smartphones in 5 different body locations (pants pocket, belt, hand, shirt pocket, and a shoulder bag). A method to derive gait-related metrics from smartphone sensors is presented, and its reliability is evaluated between different trials as well as its concurrent validity against optoelectronic and smartphone criteria. Excellent relative reliability was found with all intraclass correlation coefficient values above or equal to 0.85. High absolute reliability was observed in 21 out of 30 comparisons. Bland-Altman analysis revealed a high level of agreement (LoA between 4.4 and 17.5%), supporting the use of the presented method. This study advances the use of mobile technology to accurately and reliably quantify gait-related metrics from PD patients in free-living walking regardless of the smartphone’s location on the body. Full article
(This article belongs to the Special Issue Care Personalization in Parkinson Disease)
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13 pages, 1600 KB  
Article
Fast Sensing of Hydrogen Cyanide (HCN) Vapors Using a Hand-Held Ion Mobility Spectrometer with Nonradioactive Ionization Source
by Victor Bocos-Bintintan and Ileana Andreea Ratiu
Sensors 2021, 21(15), 5045; https://doi.org/10.3390/s21155045 - 26 Jul 2021
Cited by 13 | Viewed by 5023
Abstract
Sensitive real-time detection of vapors produced by toxic industrial chemicals (TICs) always represents a stringent priority. Hydrogen cyanide (HCN) is definitely a TIC, being widely used in various industries and as an insecticide; it is a reactive, very flammable, and highly toxic compound [...] Read more.
Sensitive real-time detection of vapors produced by toxic industrial chemicals (TICs) always represents a stringent priority. Hydrogen cyanide (HCN) is definitely a TIC, being widely used in various industries and as an insecticide; it is a reactive, very flammable, and highly toxic compound that affects the central nervous system, cardiovascular system, eyes, nose, throat, and also has systemic effects. Moreover, HCN is considered a blood chemical warfare agent. This study was focused toward quick detection and quantification of HCN in air using time-of-flight ion mobility spectrometry (ToF IMS). Results obtained clearly indicate that IMS can rapidly detect HCN at sub-ppmv levels in air. Ion mobility spectrometric response was obtained in the negative ion mode and presented one single distinct product ion, at reduced ion mobility K0 of 2.38 cm2 V−1 s−1. Our study demonstrated that by using a miniaturized commercial IMS system with nonradioactive ionization source model LCD-3.2E (Smiths Detection Ltd., London, UK), one can easily measure HCN at concentrations of 0.1 ppmv (0.11 mg m−3) in negative ion mode, which is far below the OSHA PEL-TWA value of 10 ppmv. Measurement range was from 0.1 to 10 ppmv and the estimated limit of detection LoD was ca. 20 ppbv (0.02 mg m−3). Full article
(This article belongs to the Special Issue Chemical Gas Sensors for Environment Monitoring)
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17 pages, 4432 KB  
Article
Modeling of Downlink Interference in Massive MIMO 5G Macro-Cell
by Kamil Bechta, Cezary Ziółkowski, Jan M. Kelner and Leszek Nowosielski
Sensors 2021, 21(2), 597; https://doi.org/10.3390/s21020597 - 16 Jan 2021
Cited by 16 | Viewed by 4452
Abstract
Multi-beam antenna systems are the basic technology used in developing fifth-generation (5G) mobile communication systems. In practical implementations of 5G networks, different approaches are used to enable a massive multiple-input-multiple-output (mMIMO) technique, including a grid of beams, zero-forcing, or eigen-based beamforming. All of [...] Read more.
Multi-beam antenna systems are the basic technology used in developing fifth-generation (5G) mobile communication systems. In practical implementations of 5G networks, different approaches are used to enable a massive multiple-input-multiple-output (mMIMO) technique, including a grid of beams, zero-forcing, or eigen-based beamforming. All of these methods aim to ensure sufficient angular separation between multiple beams that serve different users. Therefore, ensuring the accurate performance evaluation of a realistic 5G network is essential. It is particularly crucial from the perspective of mMIMO implementation feasibility in given radio channel conditions at the stage of network planning and optimization before commercial deployment begins. This paper presents a novel approach to assessing the impact of a multi-beam antenna system on an intra-cell interference level in a downlink, which is important for the accurate modeling and efficient usage of mMIMO in 5G cells. The presented analysis is based on geometric channel models that allow the trajectories of propagation paths to be mapped and, as a result, the angular power distribution of received signals. A multi-elliptical propagation model (MPM) is used and compared with simulation results obtained for a statistical channel model developed by the 3rd Generation Partnership Project (3GPP). Transmission characteristics of propagation environments such as power delay profile and antenna beam patterns define the geometric structure of the MPM. These characteristics were adopted based on the 3GPP standard. The obtained results show the possibility of using the presented novel MPM-based approach to model the required minimum separation angle between co-channel beams under line-of-sight (LOS) and non-LOS conditions, which allows mMIMO performance in 5G cells to be assessed. This statement is justified because for 80% of simulated samples of intra-cell signal-to-interference ratio (SIR), the difference between results obtained by the MPM and commonly used 3GPP channel model was within 2 dB or less for LOS conditions. Additionally, the MPM only needs a single instance of simulation, whereas the 3GPP channel model requires a time-consuming and computational power-consuming Monte Carlo simulation method. Simulation results of intra-cell SIR obtained this way by the MPM approach can be the basis for spectral efficiency maximization in mMIMO cells in 5G systems. Full article
(This article belongs to the Special Issue Emerging Technologies in Communications and Networking: 5G and Beyond)
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32 pages, 8737 KB  
Article
Indoor Localization Based on Infrared Angle of Arrival Sensor Network
by Damir Arbula and Sandi Ljubic
Sensors 2020, 20(21), 6278; https://doi.org/10.3390/s20216278 - 4 Nov 2020
Cited by 38 | Viewed by 6699
Abstract
Accurate, inexpensive, and reliable real-time indoor localization holds the key to the full potential of the context-aware applications and location-based Internet of Things (IoT) services. State-of-the-art indoor localization systems are coping with the complex non-line-of-sight (NLOS) signal propagation which hinders the use of [...] Read more.
Accurate, inexpensive, and reliable real-time indoor localization holds the key to the full potential of the context-aware applications and location-based Internet of Things (IoT) services. State-of-the-art indoor localization systems are coping with the complex non-line-of-sight (NLOS) signal propagation which hinders the use of proven multiangulation and multilateration methods, as well as with prohibitive installation costs, computational demands, and energy requirements. In this paper, we present a novel sensor utilizing low-range infrared (IR) signal in the line-of-sight (LOS) context providing high precision angle-of-arrival (AoA) estimation. The proposed sensor is used in the pragmatic solution to the localization problem that avoids NLOS propagation issues by exploiting the powerful concept of the wireless sensor network (WSN). To demonstrate the proposed solution, we applied it in the challenging context of the supermarket cart navigation. In this specific use case, a proof-of-concept navigation system was implemented with the following components: IR-AoA sensor prototype and the corresponding WSN used for cart localization, server-side application programming interface (API), and client application suite consisting of smartphone and smartwatch applications. The localization performance of the proposed solution was assessed in, altogether, four evaluation procedures, including both empirical and simulation settings. The evaluation outcomes are ranging from centimeter-level accuracy achieved in static-1D context up to 1 m mean localization error obtained for a mobile cart moving at 140 cm/s in a 2D setup. These results show that, for the supermarket context, appropriate localization accuracy can be achieved, along with the real-time navigation support, using readily available IR technology with inexpensive hardware components. Full article
(This article belongs to the Special Issue Sensors and Systems for Indoor Positioning)
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13 pages, 594 KB  
Article
The Association between High Body Mass Index and Early Clinical Outcomes in Patients with Proximal Femur Fractures
by Michael Müller, Alexander Gutwerk, Frederik Greve, Lisa Völker, Michael Zyskowski, Chlodwig Kirchhoff, Peter Biberthaler, Dominik Pförringer and Karl Braun
J. Clin. Med. 2020, 9(7), 2076; https://doi.org/10.3390/jcm9072076 - 2 Jul 2020
Cited by 19 | Viewed by 3783
Abstract
Background: Fractures of the proximal femur constitute daily work in orthopedic trauma surgery. With the continuous increase of obesity in the general population, surgeons face several known technical challenges. The aim of this study was to investigate the association of high body mass [...] Read more.
Background: Fractures of the proximal femur constitute daily work in orthopedic trauma surgery. With the continuous increase of obesity in the general population, surgeons face several known technical challenges. The aim of this study was to investigate the association of high body mass index (BMI) in patients with proximal femur fractures with intra- and postoperative adverse events, as well as with functional outcomes after successful surgery. Methods: In this retrospective, single-center cohort study, 950 patients who sustained a fracture of the proximal femur (femoral neck fracture or trochanteric fracture) and underwent surgical treatment at our level I trauma center between 2003 and 2015 were included. Patient-specific data were obtained in regard to demographics, comorbidities, and fracture morphology. In-hospital postoperative complications (i.e., need for revision surgery, wound site infection, pneumonia, urinary tract infection, necessary transfusion, and deep-vein thrombosis) were analyzed, along with the length of hospitalization and overall mortality rate. Functional outcome was assessed using the Barthel index and the patient’s ability to walk on crutches. Mortality rate and need for revision surgery were assessed over a two-year time period. Any adverse event was correlated to one of the four WHO’s BMI groups. Results: The cohort included 80 (8.4%) underweight patients, 570 (60.0%) normal weight patients, 241 (25.4%) overweight patients, and 59 (6.2%) obese patients. We found more femoral neck fractures (506, or 53%) than trochanteric fractures (444, or 47%). In bivariate analysis, no significant difference was found in regard to overall mortality or postoperative complications. Hospitalization time (LOS) differed between the underweight (12.3 ± 4.8 days), normal (13.6 ± 7.8 days), overweight (14.2 ± 11.7 days), and obese patients (16.0 ± 9.7 days) (p = 0.040). Operation time increased stepwise with increasing BMI: underweight = 85.3 ± 42.9 min; normal weight = 90.2 ± 38.2 min; overweight = 99.9 ± 39.9 min; obese = 117.2 ± 61.5 min (p < 0.001). No significant difference was found by analyzing functional outcomes. However, patients with intermediate BMI levels (18.5–30 kg/m2) tended to achieve the best results, as represented by a higher Barthel index score and the patient’s ability to walk on crutches. Conclusion: Increased BMI in patients with proximal femur fractures is associated with both longer operation time and length of hospitalization (LOS). Postoperative mobilization and functional outcomes appear to follow a reversed J-curve distribution (with overweight patients showing the best functional results), whereas both obese and underweight patients have associated poorer function. Full article
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