Most Hip fracture patients had low vitamin D and protein (needed for strong bones) – May 2017

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

European Journal of Clinical Nutrition advance online publication, 17 May 2017; doi:10.1038/ejcn.2017.72.
Díaz de Bustamante M1, Alarcón T1,2,3, Menéndez-Colino R1,2, Ramírez-Martín R1, Otero Á2,3,4, González-Montalvo JI1,2,3.
1 Geriatrics Department, Hospital Universitario La Paz, Madrid, Spain.
2 La Paz University Hospital Research Institute, IdiPAZ, Madrid, Spain.
3 RETICEF, Spain.
4 Preventive Medicine Department, Universidad Autónoma de Madrid, Madrid, Spain.

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 vitamin D was <30 ng/ml in 466 (93%) patients. The prevalence of sarcopenia was 17.1%.

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.

Publisher wants $32 for the PDF

Created by admin. Last Modification: Friday May 19, 2017 00:57:57 UTC by admin. (Version 3)
This page is in the following categories
See any problem with this page? Report it to the webmaster.