JFSF Vol 2, No 3, September 2017, p.39-44
Evaluation of commonly used nutritional assessment methods in hip fracture patients
Amalia Tsagari1, Evaggelia Papakitsou2, Yannis Dionyssiotis3, Stavroula Rizou4, Antonios Galanos5, George P. Lyritis4
- Dietetic Department, KAT General Hospital, Athens, Greece
- Orthopaedic Department, Laiko General Hospital, Athens, Greece
- Physical Medicine & Rehabilitation Department, European Interbalkan Medical Center,
- Hellenic Osteoporosis Foundation, Athens, Greece
- Laboratory for Research of the Musculoskeletal System ‘’Th. Garofalidis’’,
Medical School, University of Athens, KAT General Hospital, Athens, Greece
Keywords: Hip fracture, Malnutrition, Mini Nutritional Assessment, Anthropometry, Biochemical markers
Malnutrition is a common problem in hip fracture patients. The prevalence of malnutrition and available nutritional markers for use for nutritional assessment in this population group was investigated.
This is a case control study including 214 patients with a hip fracture from “KAT” Hospital in
Athens, Greece, and 108 controls from three Elderly Open Protection Centers. Main outcome measures were
anthropometric [Body Mass Index (BMI), triceps skinfold thickness (TST) and mid-arm muscle circumference (MAMC)]
and biochemical parameters (serum albumin and serum cholesterol). Mini Nutritional Assessment (MNA) was used for
malnutrition assessment. Results:
Based on MNA score only, we found 19.5 % vs. 0.9% malnourished, 54.6% vs.
32.4% at risk and 25.9% vs. 66.7% well-nourished, in hip fracture group and controls, respectively. All
anthropometric parameters of malnutrition were significantly lower in the hip fracture patients compared to
controls (p value<0.05). Serum albumin and serum-cholesterol levels correlated negatively significantly with s-CRP
levels (R2=0.247, p<0.001 and R2=0.06, p<0.001, respectively) in the hip fracture group. Conclusions:
fracture patients are often malnourished. MNA application may be helpful in identifying malnourished hip fracture
patients. Moreover, serum cholesterol may be a useful marker of malnutrition in hip fracture patients.