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
See also Vitamin D Life
- 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 Vitamin D Life takes all of them and exercises
Falls and Fractures category contains the following summary
219 items in FALLS and FRACTURES - see also Overview Seniors and Vitamin D
- Overview Fractures and Falls and Vitamin D
- Deaths due to falls doubled in just a decade (age-adjusted, perhaps decreased vitamin D) – June 2019
- Preventing Falls in Older Adults – Vitamin D combination is the best - JAMA Meta-analysis Nov 2017
- Falls cut in half by 100,000 IU vitamin D monthly - RCT 2016
- Vitamin D prevents falls – majority of meta-analyses conclude – meta-meta analysis Feb 2015
- Vitamin D and fractures – 24 meta-analyses and counting – Dec 2014
Hip fracture
- Search Vitamin D Life for "HIP FRACTURE" 191 items not in PDF as of July 2020
- A call to action: Vitamin D for hip fracture – Holick July 2020
- Risk factors for death after hip fracture surgery – 7 of the 8 are associated with low vitamin D – Aug 2020
- 3.5 X higher risk of death 2 years after hip fracture surgery if low vitamin D – Jan 2020
- Hip fracture recovery best with home exercise plus Vitamin D – RCT Dec 2018
- Hip fracture 58 percent more likely if low vitamin D – meta-analysis March 2017
- Fracture risk 40 percent higher risk if low Vitamin D - June 2019
- 1 in 3 died after hip fracture but only 1 in 14 if add Vitamin D and exercise – RCT April 2017
Backgrounds/objectives:
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.SUBJECTS/METHODS:
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.RESULTS:
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%.CONCLUSIONS:
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.Publisher wants $32 for the PDF
Most Hip fracture patients had low vitamin D and protein (needed for strong bones) – May 2017Printer Friendly PDF this page! Follow this page for updates1242 visitors, last modified 19 May, 2017, This page is in the following categories (# of items in each category)