ID | 65973 |
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著者 |
Sato, Kohei
Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Tsuji, Hironori
Department of Orthopedic Surgery, Japanese Red Cross Okayama Hospital
Yorimitsu, Masanori
Department of Orthopedic Surgery, Okayama University Hospital
Uehara, Takenori
Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Okazaki, Yuki
Department of Orthopedic Surgery, Tsuyama Chuo Hospital
Takao, Shinichiro
Department of Orthopedic Surgery, Okayama Medical Center
Hata, Toshiaki
Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Fukuoka, Shiro
Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Noda, Tomoyuki
Department of Orthopedic Surgery, Kawasaki Medical School, General Medical Center
Kanda, Hideyuki
Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kaken ID
researchmap
Ozaki, Toshifumi
Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kaken ID
publons
researchmap
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抄録 | Sarcopenia and malnutrition are increasing in older adults and are reported risk factors for functional impairment after hip fracture surgery. This study aimed to investigate the associations between skeletal muscle mass loss, malnutrition, and postoperative walking ability in patients with hip fracture. We retrospectively reviewed patients who underwent intertrochanteric fracture surgery at our institute. The psoas muscle index, controlling nutritional status score, and functional ambulation category (FAC) were used to evaluate skeletal muscle mass, nutritional status, and walking ability, respectively. Six months after surgery, walking ability was assessed as either “gait disturbance” or “independent gait”. Multivariate binomial logistic regression analysis, with skeletal muscle mass, nutritional status, and other factors, was used to predict the risk of being assigned to the gait disturbance group. This study included 95 patients (mean age, 85.2 years; 70 women). Sixty-six patients had low skeletal muscle mass, 35 suffered from malnutrition, and 28 had both. Malnutrition and low skeletal muscle mass were significantly associated with postoperative gait disturbance (FAC < 3). Preoperative low skeletal muscle mass and malnutrition were risk factors for postoperative poor walking ability. Further preventive interventions focusing on skeletal muscle mass and nutritional status are required.
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キーワード | sarcopenia
nutrition
geriatric hip fracture
psoas muscle index
controlling nutritional status score
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Amo Type | Original Article
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出版物タイトル |
Acta Medica Okayama
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発行日 | 2023-10
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巻 | 77巻
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号 | 5号
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出版者 | Okayama University Medical School
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開始ページ | 511
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終了ページ | 516
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ISSN | 0386-300X
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NCID | AA00508441
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資料タイプ |
学術雑誌論文
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言語 |
英語
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著作権者 | Copyright Ⓒ 2023 by Okayama University Medical School
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論文のバージョン | publisher
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査読 |
有り
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