The Association of Sarcopenia and Elderly Hip Fracture
Keywords:sarcopenia, lean tissue index, body composition monitor, osteoporotic fracture
Background : Sarcopenia is term of low muscle mass and strength which affects fall and bone fracture in elderly people. The purpose of this study was to find the prevalence of sarcopenia in elderly hip fracture with the association of sarcopenia and fracture.
Objective : To identified the association of sarcopenia and hip fracture and prevalence in elderly people.
Methods : A Cross-sectional analytic study to determine sarcopenia by measure lean tissue index (LTI) by using body composition monitor (BCM) in elderly hip fracture, compare with non-fracture group.
Results : Total 98 patients including 48 hip fracture patients (male 25%, female 75%) and 50 non-fracture patients (male 40%, female 60%). Nine patients in fracture group had sarcopenia conversely with no sarcopenia in non-fracture group (p=0.001). The patients with hip fracture had significantly lower muscle mass than non-fracture group (LTI 6.89 Kg/m2 vs 7.43 Kg/m2, p=0.013), particularly in female (female with hip fracture LTI 6.37 Kg/m2 vs female non-fracture 6.81 Kg/m2, p=0.001).
Conclusion : Sarcopenia is common in elderly hip fracture especially in female. The prevalence of sarcopenia is 9.18%. Measuring of lean tissue index by using BCM is inexpensive, no radiation expose and easily to use. Underline diagnosis and treatment of sarcopenia can reduce the fall and fracture of elderly people in the future.
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