Prevalence of malnutrition in a cohort of 509 patients with acute hip fracture: the importance of a comprehensive assessment.
European Journal of Clinical Nutrition advance online publication, 17 May 2017; doi:10.1038/ejcn.2017.72.
Díaz de Bustamante M1, Alarcón T1,2,3, Menéndez-Colino R1,2, Ramírez-Martín R1, Otero Á2,3,4, González-Montalvo JI1,2,3.
1 Geriatrics Department, Hospital Universitario La Paz, Madrid, Spain.
2 La Paz University Hospital Research Institute, IdiPAZ, Madrid, Spain.
3 RETICEF, Spain.
4 Preventive Medicine Department, Universidad Autónoma de Madrid, Madrid, Spain.
509 hip fractures
93% had low vitamin D (< 30 ng/mL)
81% had low protein
Strong bones need Vitamin D, Protein, Magnesium, Vitamin K (1 or 2?), Calcium, exercise, etc. This astract mentions only Vitamin D and Protein
- Hip fracture 58 percent more likely if low vitamin D – meta-analysis March 2017
- Vitamin D and fractures – 24 meta-analyses and counting – Dec 2014
- Vitamin D may prevent falls and fractures without Calcium – an overview of 9 meta-analysis – Oct 2012
- 1 in 3 died after hip fracture but only 1 in 14 if add Vitamin D and exercise – RCT April 2017
- Hypothesis: increased bone mineral density needs protein, Ca, Mg, Vitamin D and K
- 20 percent fewer male hip fractures if more Magnesium in the water – July 2013
- Healthy bones need: Calcium, Vitamin D, Magnesium, Silicon, Vitamin K, and Boron – 2012 Note The founder of VitaminDWiki takes all of them and exercises
Falls and Fractures category contains the following summary
212 items in FALLS and FRACTURES
- see also Overview Seniors and Vitamin D
- Overview Fractures and Falls and Vitamin D
- Search VitaminDWiki for "HIP FRACTURE" 1310 items as of April 2019
Malnutrition is very common in acute hip fracture (HF) patients. Studies differ widely in their findings, with reported prevalences between 31 and 88% mainly because of small sample sizes and the use of different criteria. The aim of this study was to learn the prevalence of malnutrition in a large cohort of HF patients in an comprehensive way that includes the frequency of protein-energy malnutrition, vitamin D deficiency and sarcopenia.
A 1-year consecutive sample of patients admitted with fragility HF in a 1300-bed public University Hospital, who were assessed within the first 72 h of admission. Clinical, functional, cognitive and laboratory variables were included. Energy malnutrition (body mass index (BMI) <22 kg/m2), protein malnutrition (serum total protein <6.5 g/dl or albumin <3.5 g/dl), vitamin D deficiency (serum 25-OH-vitamin D <30 ng/dl) and sarcopenia (low muscle mass plus low grip strength) were considered.
Five hundred nine HF patients were included. The mean age was 85.6±6.9 years and 79.2% were women. Ninety-nine (20.1%) patients had a BMI <22 kg/m2. Four hundred nine patients (81.2%) had protein malnutrition. Eighty-seven (17.1%) patients had both energy and protein malnutrition. Serum vitamin D was <30 ng/ml in 466 (93%) patients. The prevalence of sarcopenia was 17.1%.
Protein malnutrition and vitamin D deficiency are the rule in acute HF patients. Energy malnutrition and sarcopenia are also common. A nutritional assessment in these patients should include these aspects together.
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