Hand grip strength and early mortality after hip fracture

Gutiérrez-Hermosillo, Hugo; León-González, Enrique Díaz de; Medina-Chávez, Juan Humberto; Torres-Naranjo, Francisco; Martínez-Cordero, Claudia; Ferrari, Serge

doi:10.1007/s11657-020-00750-3

Cited by 6 publications

(5 citation statements)

References 31 publications

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“…In addition, patients with a CCI score of ≥3 sustained an increased 19% risk of recurrent osteoporotic fracture compared with those with a CCI score of 0 at 1 year after the hip fracture [28]. Lower handgrip strength has also been associated with higher postoperative mortality [29]. However, in our study, handgrip strength was a significant predictor for postoperative mortality only in the univariate analysis and not in the multiple logistic regression model.…”

Section: Discussioncontrasting

confidence: 63%

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Prognostic Factors for Mortality, Activity of Daily Living, and Quality of Life in Taiwanese Older Patients within 1 Year Following Hip Fracture Surgery

Chiang

Huang

Kuo

et al. 2022

JPM

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Background. Hip fractures among older adults are a major public health concern worldwide. This study investigated the potential clinical factors that predict postoperative 1-year activities of daily living (ADL), quality of life (QoL), and mortality in Taiwanese older adults following hip fracture. Methods. This is a prospective cohort study enrolling older adults (≥60 years) who had undergone hip fracture surgery in a single medical center. The comprehensive clinical history of each patient was examined. QoL, ADL, and mortality events were recorded consecutively at 3, 6, and 12 months after operation. The multiple logistic regression model and the generalized estimating equation (GEE) were adopted to identify contributing factors for mortality and postoperative ADL and QoL prognosis, respectively. Results. Among 377 participants with hip fracture, 48 died within 1 year of the index operation. ADL and QoL considerably decreased at 3 months following hip surgery. Old age, high Charlson Comorbidity Index, and American Society of Anesthesiologists grading were crucial predictors for mortality at the 1-year follow-up. The generalized estimating equation analysis indicated that the length of postoperative follow-up time, serum albumin level, patient cognitive status, and handgrip strength were considerably associated with QoL and ADL recovery prognosis in the Taiwanese older adults following hip fracture. Conclusions. Hip fractures have long-lasting effects on the older adults. Our data imply several prognosis predicting parameters that may assist clinicians in accounting for an individual’s personalized risks in order to improve functional outcomes and reduce mortality.

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Section: Discussioncontrasting

confidence: 63%

“…Hip fracture can considerably impair the QoL and mobility of older adults. Hershkovitz et al reported that <10% of patients with hip fracture are functionally independent after 1 year of postoperative rehabilitation [29]. Health-related QoL also severely deteriorates after hip fracture.…”

Section: Discussionmentioning

confidence: 99%

Prognostic Factors for Mortality, Activity of Daily Living, and Quality of Life in Taiwanese Older Patients within 1 Year Following Hip Fracture Surgery

Chiang

Huang

Kuo

et al. 2022

JPM

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show abstract

“…Also, diabetes associated obesity will increase the intramuscular lipid in ltration and lead to impairment of muscular function [33]. Notably, hand grip strength is a useful indicator for muscular function and weaker grip strength has been shown as an independent factor associated with increased falling and high mortality after hip fracture [34]. To the best of our knowledge, there is no research to examine the gender-speci c associations of osteoporosis with body composition and hand grip strength in patients with T2DM.…”

Section: Discussionmentioning

confidence: 99%

Gender-Specific Impacts of Thigh Skinfold Thickness and Grip Strength for Predicting Osteoporosis in Type 2 Diabetes

Lee

et al. 2023

Preprint

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Background Diabetes with co-existing bone fragility or osteoporosis is common in elderly patients, whereas is frequently underestimated. Methods We conducted dual-energy x-ray absorptiometry (DXA) with 7-site skinfold (SF) and dominant hand grip strength measurements among patients with type 2 diabetes (T2DM) to assess their gender-specific associations. A total of 103 patients with T2DM (60 females and 43 males), aged between 50–80 years (median 68.0 years) were enrolled. Results Our results revealed osteoporosis was negatively correlated with grip strength in both genders, negatively correlated with lean mass solely in males and negatively correlated with fat mass (particular the gynoid fat mass and thigh SF thickness) in females. Via performing multivariable stepwise logistic regression, we identified grip strength in both genders and thigh SF thickness in females as predictors for osteoporosis. Receiver operating characteristic curve analysis further disclosed 20.5 mm female thigh skinfold thickness, 18.1 kg female grip strength and 29.0 kg male grip strength as reasonable cutoff levels for predicting osteoporosis in the Taiwanese patients with T2DM. Conclusions Patients with T2DM presented gender-specific associations between osteoporosis, body composition and grip strength. Grip strength and thigh SF thickness might serve as predictors for early detection of osteoporosis in patients with T2DM.

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“…Also, diabetes associated obesity will increase the intramuscular lipid infiltration and lead to impairment of muscular function [ 37 ]. Notably, hand grip strength is a useful indicator for muscular function and weaker grip strength has been shown as an independent factor associated with increased falling and high mortality after hip fracture [ 38 ]. To the best of our knowledge, there is no research to examine the gender-specific associations of osteoporosis with body composition and hand grip strength in patients with T2DM.…”

Section: Discussionmentioning

confidence: 99%

Gender-specific impacts of thigh skinfold thickness and grip strength for predicting osteoporosis in type 2 diabetes

Lee

et al. 2023

Diabetol Metab Syndr

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Background Diabetes with co-existing bone fragility or osteoporosis is common in elderly patients, whereas is frequently underestimated. Methods We conducted dual-energy x-ray absorptiometry (DXA) with 7-site skinfold (SF) and dominant hand grip strength measurements among patients with type 2 diabetes (T2DM) to assess their gender-specific associations. A total of 103 patients with T2DM (60 females and 43 males), aged between 50 and 80 years (median 68.0 years) were enrolled and 45 non-DM females were also included to compare with T2DM females. Results Our results revealed osteoporosis was negatively correlated with grip strength in both genders, negatively correlated with lean mass solely in males and negatively correlated with fat mass (particular the gynoid fat mass and thigh SF thickness) in females. Via performing multivariable stepwise logistic regression, we identified grip strength in both genders and thigh SF thickness in females as predictors for osteoporosis. Receiver operating characteristic curve analysis further disclosed 20.5 mm female thigh skinfold thickness, 18.1 kg female grip strength and 29.0 kg male grip strength as reasonable cutoff levels for predicting osteoporosis in the Taiwanese patients with T2DM. Conclusions Patients with T2DM presented gender-specific associations between osteoporosis, body composition and grip strength. Grip strength and thigh SF thickness might serve as predictors for detection of osteoporosis in patients with T2DM.

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Hand grip strength and early mortality after hip fracture

Cited by 6 publications

References 31 publications

Prognostic Factors for Mortality, Activity of Daily Living, and Quality of Life in Taiwanese Older Patients within 1 Year Following Hip Fracture Surgery

Prognostic Factors for Mortality, Activity of Daily Living, and Quality of Life in Taiwanese Older Patients within 1 Year Following Hip Fracture Surgery

Gender-Specific Impacts of Thigh Skinfold Thickness and Grip Strength for Predicting Osteoporosis in Type 2 Diabetes

Gender-specific impacts of thigh skinfold thickness and grip strength for predicting osteoporosis in type 2 diabetes

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