Prevalence of malnutrition in a cohort of 509 patients with acute hip fracture: the importance of a comprehensive assessment

European Journal of Clinical Nutrition
M Díaz de BustamanteJuan I González-Montalvo

Abstract

Backgrounds/objectives:Malnutrition is very common in acute hip fracture (HF) patients. Studies differ widely in their findings, with reported prevalences between 31 and 88% mainly because of small sample sizes and the use of different criteria. The aim of this study was to learn the prevalence of malnutrition in a large cohort of HF patients in an comprehensive way that includes the frequency of protein-energy malnutrition, vitamin D deficiency and sarcopenia. A 1-year consecutive sample of patients admitted with fragility HF in a 1300-bed public University Hospital, who were assessed within the first 72 h of admission. Clinical, functional, cognitive and laboratory variables were included. Energy malnutrition (body mass index (BMI) <22 kg/m2), protein malnutrition (serum total protein <6.5 g/dl or albumin <3.5 g/dl), vitamin D deficiency (serum 25-OH-vitamin D <30 ng/dl) and sarcopenia (low muscle mass plus low grip strength) were considered. Five hundred nine HF patients were included. The mean age was 85.6±6.9 years and 79.2% were women. Ninety-nine (20.1%) patients had a BMI <22 kg/m2. Four hundred nine patients (81.2%) had protein malnutrition. Eighty-seven (17.1%) patients had both energy and protein malnutrition. Serum ...Continue Reading

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Citations

Sep 27, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·Y KomoritaT Kitazono
Jun 1, 2019·American Journal of Physical Medicine & Rehabilitation·Marco Di MonacoGiuseppe Massazza
Feb 14, 2020·European Journal of Physical and Rehabilitation Medicine·Marco Di MonacoGiuseppe Massazza
Jun 20, 2020·European Geriatric Medicine·Hanne Rosendahl-RiiseAnette Hylen Ranhoff
Oct 4, 2020·The Journal of Nutrition, Health & Aging·N ProbertÅ G Andersson
Apr 4, 2021·International Journal of Environmental Research and Public Health·Francisco José Tarazona-SantabalbinaJosé Ramón Caeiro

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