Evaluation of commonly used nutritional assessment methods in hip fracture patients

Journal of Frailty, Sarcopenia and Falls

ARTICLE

George P. Lyritis¹  Antonios Galanos²  Stavroula Rizou¹  Yannis Dionyssiotis³  Evaggelia Papakitsou⁴  Amalia Tsagari⁵ 

[1] Hellenic Osteoporosis Foundation;Laboratory for Research of the Musculoskeletal System ‘’Th. Garofalidis’’, Medical School, University of Athens, KAT General Hospital;Physical Medicine & Rehabilitation Department, European Interbalkan Medical Center;Orthopaedic Department, Laiko General Hospital;Dietetic Department, KAT General Hospital

关键词: Hip fracture;    Malnutrition;    Mini Nutritional Assessment;    Anthropometry;    Biochemical markers;   

DOI  :  10.22540/JFSF-02-039

学科分类：内科医学

来源: Hylonome Publications

【 摘 要 】

Objective: Malnutrition is a common problem in hip fracture patients. The prevalence of malnutrition and available nutritional markers for use for nutritional assessment in this population group was investigated. Methods: This is a case control study including 214 patients with a hip fracture from “KAT” Hospital in Athens, Greece, and 108 controls from three Elderly Open Protection Centers. Main outcome measures were anthropometric [Body Mass Index (BMI), triceps skinfold thickness (TST) and mid-arm muscle circumference (MAMC)] and biochemical parameters (serum albumin and serum cholesterol). Mini Nutritional Assessment (MNA) was used for malnutrition assessment. Results: Based on MNA score only, we found 19.5 % vs. 0.9% malnourished, 54.6% vs. 32.4% at risk and 25.9% vs. 66.7% well-nourished, in hip fracture group and controls, respectively. All anthropometric parameters of malnutrition were significantly lower in the hip fracture patients compared to controls (p value<0.05). Serum albumin and serum-cholesterol levels correlated negatively significantly with s-CRP levels (R2=0.247, p<0.001 and R2=0.06, p<0.001, respectively) in the hip fracture group. Conclusions: Hip fracture patients are often malnourished. MNA application may be helpful in identifying malnourished hip fracture patients. Moreover, serum cholesterol may be a useful marker of malnutrition in hip fracture patients.

【 授权许可】

CC BY-NC-SA