Habitus and hip fracture revisited: skeletal size, strength and cognition rather than thinness?

Age and Ageing
N BeanA B Lehmann

Abstract

In a prospective study, 50 consecutive women with fractured hips were compared for body mass, skeletal size, handgrip strength and the 12-point information/orientation CAPE score with 50 age-matched women who had never broke their hips. Women were excluded from both groups if they lived in institutions or were severely disoriented. Although weight and skeletal size were significantly lower in the patients than in the controls, weights when corrected for skeletal size were not significantly different. Handgrip was significantly lower in the cases than in the controls. Both handgrip strength and CAPE score were significant correlates of hip fracture in multiple regression analysis. After exclusion of heavily dependent patients, hip fracture may be associated with reduced muscle strength rather than reduced body mass or fat.

Citations

Jun 5, 2004·Annals of Epidemiology·Iris Weller, Joseph Schatzker
Nov 20, 2002·Ageing Research Reviews·Ray MarksJoseph M Lane
Sep 15, 2009·Journal of Strength and Conditioning Research·Joshua LowndesTheodore J Angelopoulos
May 18, 2011·Journal of Aging Research·Ray Marks
Sep 24, 2013·The American Journal of Medicine·Elisabetta SavinoStefano Volpato
Sep 28, 2017·Journal of Back and Musculoskeletal Rehabilitation·Hiroyuki HayashiNaoki Tomiyama
Jun 24, 2020·Journal of Bone Metabolism·Seung Hoo Lee, Hyun Sik Gong
Nov 12, 2020·Clinical Interventions in Aging·Helena KrysztofiakMarta Kałużna-Oleksy

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