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Open Access 01-12-2018 | Research Article

Does sarcopenia predict change in mobility after hip fracture? a multicenter observational study with one-year follow-up

Authors: Ole Martin Steihaug, Clara Gram Gjesdal, Bård Bogen, Målfrid Holen Kristoffersen, Gunhild Lien, Karl Ove Hufthammer, Anette Hylen Ranhoff

Published in: BMC Geriatrics | Issue 1/2018

Abstract

Background

Patients with hip fracture frequently have sarcopenia and are at great risk of loss of mobility. We have investigated if sarcopenia predicts change in mobility after hip fracture.

Methods

This is a prospective, multicenter observational study with one-year follow-up. Patients with hip fracture who were community-living and capable of walking before the fracture were included at three hospitals in Norway (2011–2013). The primary outcome of the study was change in mobility, measured by the New Mobility Score (NMS). Sarcopenia was determined postoperatively by anthropometry, grip strength, and NMS.

Results

We included 282 participants and sarcopenia status was determined in 201, of whom 38% (77/201) had sarcopenia, 66% (128/194) had low muscle mass, 52% (116/222) had low grip strength and 8% (20/244) had low pre-fracture mobility (NMS < 5). Sarcopenia did not predict change in mobility (effect 0.2 points; 95% CI –0.5 to 0.9, P = 0.6), but it was associated with having lower mobility at one-year (NMS 5.8 (SD 2.3) vs. 6.8 (SD 2.2), P = 0.003), becoming a resident of a nursing home (odds ratio 3.2, 95% CI 0.9 to 12.4, P = 0.048), and the combined endpoint of becoming a resident of a skilled nursing home or death (odds ratio 3.6, 95% CI 1.2 to 12.2, P = 0.02).

Conclusions

Sarcopenia did not predict change in mobility in the year after hip fracture.

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Title: Does sarcopenia predict change in mobility after hip fracture? a multicenter observational study with one-year follow-up
Authors: Ole Martin Steihaug
Clara Gram Gjesdal
Bård Bogen
Målfrid Holen Kristoffersen
Gunhild Lien
Karl Ove Hufthammer
Anette Hylen Ranhoff
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Geriatrics / Issue 1/2018
Electronic ISSN: 1471-2318
DOI: https://doi.org/10.1186/s12877-018-0755-x

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