Association of Sarcopenia and Factors Influencing the Activities of Daily Living of Patients with Hip Fractures: A Pilot Study

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  • Nagai Takako
    Department of Orthopedic Surgery, Nihon University School of Medicine
  • Uei Hiroshi
    Department of Orthopedic Surgery, Nihon University School of Medicine
  • Nakanishi Kazuyoshi
    Department of Orthopedic Surgery, Nihon University School of Medicine

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Other Title
  • 大腿骨近位部骨折におけるサルコペニアの実態と ADL に影響する因子：探索的研究
  • ダイタイコツ キン イブ コッセツ ニ オケル サルコペニア ノ ジッタイ ト ADL ニ エイキョウ スル インシ : タンサクテキ ケンキュウ

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Purpose: The aim of this study was to clarify the actual condition of sarcopenia and factors influencing the activities of daily living (ADL) of patients with hip fractures. Methods: The study included 42 patients with hip fractures. ADL were assessed using the Barthel index. The following information was registered retrospectively: (a) at admission: age, sex, body mass index, Charlson comorbidity index, Geriatric Nutritional Risk Index (GNRI), medications, and Barthel index (BI) at admission; and (b) at discharge: BI, BI gain and length of stay. Results: Twenty-four patients (57.1%) had sarcopenia. According to the multiple linear regression analysis, age and inappropriate drugs were significant factors affecting ADL. Conclusions: The sarcopenia group had significantly lower ADL at discharge, and age and inappropriate drugs were independent factors related to ADL at discharge.

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