Caliskan Hatice, Igdir Volkan, Ozsurekci Cemile, Caliskan Emrah, Halil Meltem
Division of Geriatrics, Department of Internal Medicine, Hacettepe University Medical Faculty, Ankara, Turkey.
Department of Orthopedic Surgery and Traumatology, Numune Research and Training Hospital, Ankara, Turkey.
Geriatr Orthop Surg Rehabil. 2020 Feb 12;11:2151459320906361. doi: 10.1177/2151459320906361. eCollection 2020.
Sarcopenia, which is described as loss of muscle mass and function, worsens daily living activities of older people. Sarcopenia is a component of frailty that causes falls and fractures in older people. The aim of this study was to evaluate sarcopenia and frailty status of older people with distal radius fracture (DRF) and compare with age- and sex-matched controls without DRF.
This is an observational cross-sectional study including 27 patients with DRF and 28 controls without fracture who applied to geriatric outpatient clinic. Sarcopenia was diagnosed according to the definition of European Working Group on Sarcopenia in Older People 2. Frailty was assessed by Fried frailty index. Comprehensive geriatric assessment was applied to all participants.
Median ages were 70 and 69 years (min: 65, max: 87 in both) in patients with DRF and controls, respectively. The prevalence of sarcopenia was similar between the groups ( = .48). Prefrail-frail (nonrobust) phenotype was higher in patients with DRF ( = .04). Nonrobust phenotype was an independent variable predicting DRF in logistic regression models.
This study showed that nonrobust phenotype was an independent variable predicting DRF.
Assessment of frailty and detecting patients with nonrobust phenotype may help clinicians in fracture prevention strategies.
肌肉减少症被描述为肌肉质量和功能的丧失，它会使老年人的日常生活活动恶化。肌肉减少症是衰弱的一个组成部分，会导致老年人跌倒和骨折。本研究的目的是评估桡骨远端骨折（DRF）老年人的肌肉减少症和衰弱状况，并与年龄和性别匹配的无DRF对照组进行比较。
这是一项观察性横断面研究，纳入了27例DRF患者和28例未骨折的对照者，他们均前往老年门诊就诊。根据老年人肌肉减少症欧洲工作组2的定义诊断肌肉减少症。通过Fried衰弱指数评估衰弱情况。对所有参与者进行全面的老年综合评估。
DRF患者和对照组的年龄中位数分别为70岁和69岁（两组的最小值均为65岁，最大值均为87岁）。两组之间肌肉减少症的患病率相似（=0.48）。DRF患者中衰弱前期-衰弱（非强壮）表型更高（=0.04）。在逻辑回归模型中，非强壮表型是预测DRF的一个独立变量。
本研究表明，非强壮表型是预测DRF的一个独立变量。
评估衰弱情况并检测出具有非强壮表型的患者可能有助于临床医生制定骨折预防策略。
