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- Title
Prevalence of malnutrition in a cohort of 509 patients with acute hip fracture: the importance of a comprehensive assessment.
- Authors
Díaz de Bustamante, M; Alarcón, T; Menéndez-Colino, R; Ramírez-Martín, R; Otero, Á; González-Montalvo, J I; Díaz de Bustamante, M; Alarcón, T; Menéndez-Colino, R; Ramírez-Martín, R; Otero, Á; González-Montalvo, J I
- 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.<bold>Subjects/methods: </bold>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.<bold>Results: </bold>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 vitamin D was <30 ng/ml in 466 (93%) patients. The prevalence of sarcopenia was 17.1%.<bold>Conclusions: </bold>Protein malnutrition and vitamin D deficiency are the rule in acute HF patients. Energy malnutrition and sarcopenia are also common. A nutritional assessment in these patients should include these aspects together.
- Subjects
SPAIN; MALNUTRITION diagnosis; ACADEMIC medical centers; MALNUTRITION; GERIATRIC assessment; COMPARATIVE studies; BONE fractures; HIP joint injuries; LEANNESS; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; NUTRITIONAL assessment; NUTRITIONAL requirements; RESEARCH; EVALUATION research; VITAMIN D deficiency; BODY mass index; RELATIVE medical risk; DISEASE prevalence; HUMAN research subjects; SARCOPENIA; ACUTE diseases; PROTEIN-energy malnutrition; DISEASE complications; DIAGNOSIS
- Publication
European Journal of Clinical Nutrition, 2018, Vol 72, Issue 1, p77
- ISSN
0954-3007
- Publication type
journal article
- DOI
10.1038/ejcn.2017.72