Flinders University, College of Nursing and Health Sciences, Sturt Road, Bedford Park, South Australia 5042, Australia; Flinders University, College of Medicine and Public Health, Sturt Road, Bedford Park, South Australia 5042, Australia; Flinders Medical Centre, Department of Orthopaedic Surgery & Trauma, Flinders Drive, Bedford Park, South Australia 5042, Australia.
Flinders University, College of Nursing and Health Sciences, Sturt Road, Bedford Park, South Australia 5042, Australia.
Exp Gerontol. 2018 Oct 1;111:1-9. doi: 10.1016/j.exger.2018.06.022. Epub 2018 Jun 30.
Hip fractures are a global concern, resulting in poor outcomes and high health care costs. They mostly affect people >80 years. Hip fractures are influenced by various (modifiable) risk factors. Emerging evidence suggests hand grip strength (HGS) to be one of several useful tools to identify hip fracture risk. This is the first systematic review that aims to assess the evidence underlying the relationship between hip fracture incidence and HGS. Eleven studies were selected for this review (six case-control and five cohort studies), comprising 21,197 participants. Where reported, HGS was significantly decreased in individuals with a hip fracture near the time of injury as compared to controls (p < 0.001); HGS was associated with increased hip fracture risk in all included studies. Meta-analysis was not possible. All studies included in this systematic review confirmed a relationship between decreased HGS and hip fracture incidence. We were not able to quantify the strength of this relationship, due to the heterogeneity of the included studies. HGS merits further investigation as a useful tool for identifying individuals that might be at elevated risk for sustaining a hip fracture.
髋部骨折是一个全球性的问题，会导致不良后果和高昂的医疗保健费用。它们主要影响 >80 岁的人群。髋部骨折受多种（可改变的）危险因素的影响。新出现的证据表明，握力（HGS）是识别髋部骨折风险的几种有用工具之一。这是第一项旨在评估髋部骨折发生率与 HGS 之间关系的证据的系统评价。本综述共纳入了 11 项研究（6 项病例对照研究和 5 项队列研究），共纳入 21197 名参与者。在报告中，与对照组相比，受伤时附近发生髋部骨折的个体的 HGS 明显降低（p < 0.001）；所有纳入的研究均表明 HGS 与髋部骨折风险增加相关。由于纳入研究的异质性，无法进行荟萃分析。本系统评价中纳入的所有研究均证实了 HGS 降低与髋部骨折发生率之间的关系。由于纳入研究的异质性，我们无法量化这种关系的强度。HGS 值得进一步研究，作为一种识别可能髋部骨折风险增加的个体的有用工具。
