Men with hip fractures have poorer nutritional status and survival than women

Carpintero, Pedro; López, Pedro Benito; Leon, F Escobedo-diaz De; Lluch, M.; Montero, Manuel; Aguilera, Cristobal

doi:10.1080/00016470510030788

Cited by 33 publications

(31 citation statements)

References 27 publications

(32 reference statements)

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“…Postfracture malnutrition has been associated with a wide variety of adverse outcomes, including increased risk of mortality [7], longer hospital stays [8], and impaired recovery of physical function [9]. Between 50% and 68% of hip fracture patients suffer from some form of postfracture malnutrition [8,10,11], with the most consistently identified areas of malnutrition being insufficient protein and total energy intakes.…”

Section: Introductionmentioning

confidence: 99%

Serum vitamin E concentrations among highly functioning hip fracture patients are higher than in nonfracture controls

et al. 2011

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Malnutrition after hip fracture is common and associated with poor outcomes and protracted recovery. Low concentrations of vitamin E have been associated with incident decline in physical function among older adults and may, therefore, be particularly important to functionally compromised patients hip fracture patients. Serum concentrations of α-tocopherol and γ-tocopherol, the 2 major forms of vitamin E, were assessed in 148 female hip fracture patients 65 years or older from the Baltimore Hip Studies cohort 4 around the time of fracture (baseline) and at 2, 6, and 12 month postfracture follow-up visits (recovery). It was hypothesized that mean concentrations of both forms of vitamin E among these hip fracture patients would be lowest at the baseline visit and increase at each study visit during the year after fracture. Linear regression and generalized estimating equations were used to assess changes in vitamin E concentrations after adjustment for covariates and to determine predictors of vitamin E concentrations at baseline and throughout recovery. It was also hypothesized that vitamin E concentrations shortly after hip fracture would be lower than those in nonfracture controls after adjustment for covariates. To evaluate this hypothesis, linear regression was used to perform adjusted comparisons of baseline vitamin E concentrations among Baltimore Hip Studies cohort 4 participants to 1076 older women without history of hip fracture from the Women’s Health and Aging Study I, Invecchiare in Chianti Study, and the National Health and Nutrition Examination Surveys. Mean α-tocopherol was lowest at baseline, and time from fracture to blood draw was positively associated with baseline α-tocopherol (P = .005). Mean γ-tocopherol did not change appreciably throughout the year after fracture, although it fluctuated widely within individuals. Serum concentrations of α-tocopherol and γ-tocopherol were highest among the hip fracture population after adjustment (P < .0001). In general, highly cognitively and physically functioning hip fracture patients demonstrated higher vitamin E concentrations. Thus, the relatively high degree of function among this cohort of hip fracture patients may explain their higher-than-expected vitamin E concentrations.

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Section: Introductionmentioning

confidence: 99%

Serum vitamin E concentrations among highly functioning hip fracture patients are higher than in nonfracture controls

et al. 2011

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“…ALB, PAB, and TRA are visceral proteins that have different half-lives, and therefore the levels may reflect the relative chronicity of a patient's clinical condition. The half-life is 20 d for ALB, 9 d for TRA, and 2 d for PAB [15]. Because of the short half-life, the level of PAB was too sensitive to reflect accurate changes in the protein-calorie condition.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Different Nutritional Measurements on Delayed Wound Healing After Hip Fracture in the Elderly

Guo

Yang

Qian

et al. 2010

Journal of Surgical Research

100

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“…During the later 1990s, attention shifted in an attempt to predict survival and functional outcomes based upon various factors, including not only the fracture but also characteristics of the patients themselves [15][16][17][18][19][20][21][22][23][24][25][26][27][28]. These studies have suggested that survival and functional recovery could be correlated to factors such as chronological age, gender, pre-morbid health, and preoperative functional status.…”

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confidence: 96%

Five-Year Survival in a Cohort of Hip Fracture Patients: The Predictive Role of Pre-fracture Health Status

2008

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The aim was to assess the outcome of surgery at 5 years after hip fracture. In this prospective study, we analyzed 5-year survival of a cohort of 105 hip fracture patients as a function of preoperative health. The main outcome measurements were the status of the patient, dead or alive, and the SF-36 of their pre-fracture status as recalled during their hospital stay. In the fifth year post-hospitalization 58 patients were alive. There was a significant association between the recall SF-36 general health score and being alive in the fifth year (P = 0.0004) and with survival in general (P = 0.0001). This and prior studies support the concept of stratifying hip fracture patients according to pre-fracture health status when assessing outcomes of fracture repair or other interventions. This study further demonstrates the utility of the SF-36 for this purpose.

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Men with hip fractures have poorer nutritional status and survival than women

Abstract: The higher mortality rate in men than in women after hip fracture may in part be explained by the poor nutritional status in men.

Cited by 33 publications

References 27 publications

Serum vitamin E concentrations among highly functioning hip fracture patients are higher than in nonfracture controls

Serum vitamin E concentrations among highly functioning hip fracture patients are higher than in nonfracture controls

The Effects of Different Nutritional Measurements on Delayed Wound Healing After Hip Fracture in the Elderly

Five-Year Survival in a Cohort of Hip Fracture Patients: The Predictive Role of Pre-fracture Health Status

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