Frailty and Sarcopenia in Patients With Distal Radius Fracture: A Geriatric Perspective

Introduction: Sarcopenia, which is described as loss of muscle mass and function, worsens daily living activities of older people. Sarcopenia is a component of frailty that causes falls and fractures in older people. The aim of this study was to evaluate sarcopenia and frailty status of older people with distal radius fracture (DRF) and compare with age- and sex-matched controls without DRF. Materials and Methods: This is an observational cross-sectional study including 27 patients with DRF and 28 controls without fracture who applied to geriatric outpatient clinic. Sarcopenia was diagnosed according to the definition of European Working Group on Sarcopenia in Older People 2. Frailty was assessed by Fried frailty index. Comprehensive geriatric assessment was applied to all participants. Results: Median ages were 70 and 69 years (min: 65, max: 87 in both) in patients with DRF and controls, respectively. The prevalence of sarcopenia was similar between the groups ( P = .48). Prefrail–frail (nonrobust) phenotype was higher in patients with DRF ( P = .04). Nonrobust phenotype was an independent variable predicting DRF in logistic regression models. Discussion: This study showed that nonrobust phenotype was an independent variable predicting DRF. Conclusion: Assessment of frailty and detecting patients with nonrobust phenotype may help clinicians in fracture prevention strategies.

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A multicentre cross-sectional study to examine physicians’ ability to rule out a distal radius fracture based on clinical findings

European Journal of Trauma and Emergency Surgery ◽

10.1007/s00068-015-0527-7 ◽

2015 ◽

Vol 42 (2) ◽

pp. 185-190 ◽

Cited By ~ 4

Author(s):

M. M. J. Walenkamp ◽

M. P. Rosenwasser ◽

J. C. Goslings ◽

N. W. L. Schep

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Cross Sectional Study ◽

Clinical Findings ◽

Radius Fracture ◽

Sectional Study ◽

Cross Sectional ◽

Rule Out

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High Prevalence of Osteoporosis in Men with Distal Radius Fracture: A Cross-Sectional Study of 233 Men

Calcified Tissue International ◽

10.1007/s00223-016-0142-6 ◽

2016 ◽

Vol 99 (3) ◽

pp. 250-258 ◽

Cited By ~ 4

Author(s):

Lisa Egund ◽

Fiona McGuigan ◽

Karin Önnby ◽

Aleksander Giwercman ◽

Kristina Akesson

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Cross Sectional Study ◽

Radius Fracture ◽

Sectional Study ◽

Cross Sectional ◽

Osteoporosis In Men ◽

High Prevalence ◽

Prevalence Of Osteoporosis

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Inadequate management for secondary fracture prevention in patients with distal radius fracture by trauma surgeons

Osteoporosis International ◽

10.1007/s00198-015-3103-4 ◽

2015 ◽

Vol 26 (7) ◽

pp. 1959-1963 ◽

Cited By ~ 19

Author(s):

T. Baba ◽

H. Hagino ◽

H. Nonomiya ◽

T. Ikuta ◽

E. Shoda ◽

...

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Fracture Prevention ◽

Radius Fracture ◽

Secondary Fracture ◽

Secondary Fracture Prevention ◽

Trauma Surgeons

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Prevalence and factors associated with frailty among community-dwelling older people in rural Thanjavur district of South India: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2019-032904 ◽

2019 ◽

Vol 9 (10) ◽

pp. e032904 ◽

Cited By ~ 3

Author(s):

Kirubakaran Kesavan Kendhapedi ◽

Niveditha Devasenapathy

Keyword(s):

Older People ◽

Fear Of Falling ◽

Frailty Index ◽

Cross Sectional Study ◽

Community Dwelling ◽

Cross Sectional ◽

Domain Definition ◽

Tilburg Frailty Indicator ◽

Community Dwelling Older People ◽

Frailty Indicator

ObjectiveThere is sparse data on the prevalence of frailty from rural parts of India. Our aim was to estimate prevalence of frailty among community-dwelling older people in rural South Indian population and explore socio-demographic factors associated with frailty. We further explored the associations between frailty with fear of falling and falls.DesignCommunity based cross-sectional study.SettingFour villages in Thanjavur district of Southern India.ParticipantsRandom sample of adults aged 60 years and above from four villages.MethodsWe sampled community-dwelling older adults from the electoral list of four villages using stratified random sampling. We report prevalence of frailty as defined by physical definition (Fried’s Phenotype), accumulation of deficits (Frailty Index) and multi-domain definition (Tilburg Frailty Indicator). We report proportion of agreement of frailty status between the frailty tools. We used logistic regressions with robust SEs to examine the associations between socio-demographic determinants with frailty and the association between frailty with fear of falling and falls.ResultsAmong the 408 participants, the weighted (non-response and poststratification for sex) prevalence and 95% CI of frailty was 28% (18.9 to 28.1) for physical definition, 59% (53.9 to 64.3) for accumulation of deficits and 63% (57.4 to 67.6) for multi-domain definition. Frailty Index and Tilburg Frailty Indicator had good agreement (80%). Age, female, lower education, lower socioeconomic status, minimum physical activity in routine work were independently associated with frailty irrespective of the frailty definitions. Frail elderly had higher odds of falls as well as fear of falling compared with non-frail, irrespective of the definitions.ConclusionPrevalence of frailty among older people in rural Thanjavur district of South India was high compared with low-income and middle-income countries. Understanding the modifiable determinants of frailty can provide a valuable reference for future prevention and intervention.

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Relationship between Perceived Indoor Temperature and Self-Reported Risk for Frailty among Community-Dwelling Older People

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16040613 ◽

2019 ◽

Vol 16 (4) ◽

pp. 613 ◽

Cited By ~ 3

Author(s):

Yukie Nakajima ◽

Steven Schmidt ◽

Agneta Malmgren Fänge ◽

Mari Ono ◽

Toshiharu Ikaga

Keyword(s):

Older People ◽

Economic Status ◽

Frailty Index ◽

Cross Sectional Study ◽

Community Dwelling ◽

Indoor Temperature ◽

Cross Sectional ◽

Economic Satisfaction ◽

Increased Risk ◽

Community Dwelling Older People

This study investigated the relationship between perceived indoor temperature in winter and frailty among community-dwelling older people. This cross-sectional study included 342 people 65 years and older in Japan. Participants answered questions about demographics, frailty, housing, and perceived indoor temperature in winter. Participants were grouped based on perceived indoor temperature (Cold or Warm) and economic satisfaction (Unsatisfied or Satisfied). Differences in the frailty index between perceived indoor temperature groups and economic satisfaction groups were tested by using ANCOVA and MANCOVA. An interaction effect showed that people in the Cold Group and unsatisfied with their economic status had significantly higher frailty index scores (F(1, 336) = 5.95, p = 0.015). Furthermore, the frailty index subscale of fall risk was the specific indicator of frailty that accounted for this significant relationship. While previous research has shown the risks related to cold indoor temperature in homes, interestingly among those who reported cold homes, only those who were not satisfied with their economic situation reported being at increased risk for frailty. This highlights the potential importance of preventing fuel poverty to prevent frailty.

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Associations between nutrient intakes and dietary patterns with different sarcopenia definitions in older Australian men: the concord health and ageing in men project

Public Health Nutrition ◽

10.1017/s1368980020003547 ◽

2020 ◽

pp. 1-16 ◽

Cited By ~ 1

Author(s):

Arpita Das ◽

Robert G Cumming ◽

Vasi Naganathan ◽

Fiona Blyth ◽

David G Le Couteur ◽

...

Keyword(s):

Older People ◽

Dietary Patterns ◽

Working Group ◽

Nutrient Intake ◽

Older Men ◽

Cross Sectional Study ◽

Cross Sectional ◽

European Working Group ◽

Increased Risk ◽

European Working

Abstract Objective: To assess the associations between nutrient intake and dietary patterns with different sarcopenia definitions in older men. Design: Cross-sectional study. Setting: Sarcopenia was defined using the Foundation for the National Institutes of Health (FNIH), the European Working Group on Sarcopenia in Older People (EWGSOP) and the European Working Group on Sarcopenia in Older People 2 (EWGSOP2). Dietary adequacy of fourteen nutrients was assessed by comparing participants’ intakes with the Nutrient Reference Values (NRV). Attainment of NRV for nutrients was incorporated into a variable ‘poor’ (meeting ≤ 9) v. ‘good’ (meeting ≥ 10) using the cut-point method. Also, two different dietary patterns, monounsaturated:saturated fat and n-6:n-3 fatty acids ratio and individual nutrients were used as predictor variables. Participants: A total of 794 men aged ≥75 years participated in this study. Results: The prevalence of sarcopenia by the FNIH, EWGSOP and EWGSOP2 definitions was 12·9 %, 12·9 % and 19·6 %, respectively. With the adjustment, poor nutrient intake was significantly associated with FNIH-defined sarcopenia (OR: 2·07 (95 % CI 1·16, 3·67)), but not with EWGSOP and EWGSPOP2 definitions. The lowest and second-lowest quartiles of protein, Mg and Ca and the lowest quartiles of n-6 PUFA and n-3 PUFA intakes were significantly associated with FNIH-defined sarcopenia. Each unit decrease in n-6:n-3 ratio was significantly associated with a 9 % increased risk of FNIH-defined sarcopenia (OR: 1·09 (95 % CI 1·04, 1·16)). Conclusions: Inadequate intakes of nutrients are associated with FNIH-defined sarcopenia in older men, but not with the other two sarcopenia definitions. Further studies are required to understand these relationships.

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