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Presarcopenia and sarcopenia in hip-fracture women: prevalence and association with ability to function in activities of daily living

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Abstract

Background and aims

Sarcopenia staging systems have been proposed, but little is known on their application in hip-fracture patients. Our aim was to assess the prevalence of presarcopenia and sarcopenia and their association with ability to function in activities of daily living in hip-fracture women.

Methods

We investigated white women (N = 138 of 149) who were consecutively admitted to a rehabilitation hospital because of their first hip fracture. In each woman, we measured appendicular lean mass (aLM) by dual-energy X-ray absorptiometry, at a median of 18 days after hip fracture occurrence. On the same day, we assessed grip strength with a handheld dynamometer. Functional autonomy was assessed by the Barthel Index. We used the European Working Group on Sarcopenia in Older People (EWGSOP) definition to calculate the prevalence of presarcopenia and sarcopenia, taking into account both aLM/height2 and handgrip strength. Gait speed was not considered, because of the recent hip fracture.

Results

Twenty-three (17 %) of the 138 women fulfilled the diagnostic criteria for presarcopenia whereas 80 (58 %) were sarcopenic. The women with presarcopenia were younger, healthier and with higher Barthel Index scores (median 65 vs. 55; interquartile range 60–75 and 50–60, respectively; p < 0.001) than those with sarcopenia. Significant differences in Barthel Index scores at the time of assessment (but not at the end of the rehabilitation course) persisted after multiple adjustments (p < 0.001).

Conclusions

The prevalence of presarcopenia and sarcopenia was high in hip-fracture women. Presarcopenic women had higher ability to function in activities of daily living than sarcopenic women.

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Conflict of interest

On behalf of all the authors, the corresponding author states that there is no conflict of interest.

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Authors and Affiliations

  1. Osteoporosis Research Center and Division of Physical Medicine and Rehabilitation, Presidio Sanitario San Camillo, Fondazione Opera San Camillo, Strada Santa Margherita 136, 10131, Turin, Italy

    Marco Di Monaco, Carlotta Castiglioni & Rosa Tappero

  2. Service of Occupational Therapy, Presidio Sanitario San Camillo, Fondazione Opera San Camillo, Strada Santa Margherita 136, 10131, Turin, Italy

    Elena De Toma, Luisa Gardin & Silvia Giordano

  3. Department of Culture, Politics and Society, University, Lungodora Siena 100, 10100, Turin, Italy

    Roberto Di Monaco

Authors
  1. Marco Di Monaco
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  2. Carlotta Castiglioni
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  3. Elena De Toma
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  4. Luisa Gardin
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  5. Silvia Giordano
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  6. Roberto Di Monaco
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  7. Rosa Tappero
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Correspondence to Marco Di Monaco.

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Di Monaco, M., Castiglioni, C., De Toma, E. et al. Presarcopenia and sarcopenia in hip-fracture women: prevalence and association with ability to function in activities of daily living. Aging Clin Exp Res 27, 465–472 (2015). https://doi.org/10.1007/s40520-014-0306-z

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  • DOI: https://doi.org/10.1007/s40520-014-0306-z

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