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KMID : 1007020060040020091
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Korean Soceity of Osteroporosis
2006 Volume.4 No. 2 p.91 ~ p.97
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The Effect of Nutritional Status on Type and Early Functional Recovery of Osteoporotic Intertrochanteric Fracture
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Kim Ho-Joong
Park Jin
Moon Eun-Su
Moon Seong-Hwan
Lee Hwan-Mo
Park Jin-Oh
Park Si-Young
Yoon Sung-Hwan
Chung Hyun-Soo
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Abstract
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Objectives: Osteoporosis is an important contributor to bone fragility, which leads to increased incidence of osteoporotic fracture. Malnutrition not only causes osteoporosis, but also affects postoperative healing and functional recovery. Therefore, we examined the association of nutritional status including biochemical markers, anthropometric measurement, and dietary intake, with type and short term functional outcome of osteoporotic intertrochanteric fractures.
Methods: Forty patients of postmenopausal women over 50 years older with osteoporotic intertrochanteric fracture were eligible. Two hundred fifty subjects over 50 years old without hip or spine fracture served as control. Demographic features(body mass index, lean body mass, body fat mass), bone mineral density, biochemical markers(albumin, total protein, transferrin, total lymphocyte count, hemoglobin),anthropometric measurements(triceps skin fold, mid arm circumference), usual dietary intake by semiquantitiative frequency questionnaire(calorie, protein, carbohydrate, fat, Ca, P) were collected. All parameters were compared between intertrochanteric fracture and control group. Type of intertrochanteric fracture, early functional recovery(sitting, ambulation with or without aids) in fracture group were associated with aforementioned parameters. Chi-square test, Cox regression analysis, t-test were utilized.
Results: In age and gender matched comparison, intertrochanteric fracture group showed significantly low bone mass, malnutrition status in terms of biochemical markers, anthropometric measurement, and usual dietary intake(P<0.05). Although type of hip fracture showed no association with nutritional status, early functional recovery had significant association with nutritional status.
Conclusion: Nutritional status may be a useful clinical tool to predict early functional recovery of osteoporotic intertrochanteric fracture.
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KEYWORD
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Intertrochanteric fracture, Nutritional status, Postmenopausal women, Osteoporotic
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