Εκτίμηση της επίπτωσης πρωτεϊνικού και θερμιδικού υποσιτισμού σε ασθενείς με οστεοπορωτικά κατάγματα του ισχίου

Abstract

Background & aims: The aims were to investigate: the prevalence of malnutrition in hip fracture patients; which of the nutritional markers are associated with increased fracture risk; the potential correlation between vitamin D and malnutrition in hip fracture patients. Methods: The final sample was 214 patients with a hip fracture from “KAT” Hospital in Athens, Greece, and 108 randomly selected community dwelling controls from three Elderly Open Protection Centers. Anthropometric, biochemical parameters and the Mini Nutritional Assessment (MNA) were used for malnutrition assessment. Results: Based on a combination of anthropometric and biochemical parameters, from the hip fracture group, 11.9% were classified as malnourished, 88.1% as well-nourished, while from the controls, 0.9% were malnourished, and 99% were well-nourished. Based on MNA score only, from the hip fracture group, 19.5% were malnourished, 54.6% at risk and 25.9% well nourished, from the control group, 0.9% were malnourished, 32.4% at risk and 66.7% well nourished. In logistic regression analysis, MNA and triceps skinfold thickness (TST) were significantly correlated with increased fracture risk. Vitamin D was significantly correlated with s-alb, s-chol and MNA score. Conclusions: Hip fracture patients are often malnourished. Identifying an elderly person’s malnutrition may be helpful for the health care professionals in improving perioperative care in patients with hip fracture.