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JFSF Vol 2, No 3, September 2017, p.39-44

doi: 10.22540/JFSF-02-039


Original Article

Evaluation of commonly used nutritional assessment methods in hip fracture patients

Amalia Tsagari1, Evaggelia Papakitsou2, Yannis Dionyssiotis3, Stavroula Rizou4, Antonios Galanos5, George P. Lyritis4

  1. Dietetic Department, KAT General Hospital, Athens, Greece
  2. Orthopaedic Department, Laiko General Hospital, Athens, Greece
  3. Physical Medicine & Rehabilitation Department, European Interbalkan Medical Center, Thessaloniki, Greece
  4. Hellenic Osteoporosis Foundation, Athens, Greece
  5. 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


Objective: 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. Methods: 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: Hip 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.