Trunk Muscle Composition 2 Months After Hip Fracture: Findings From the Baltimore Hip Studies

Hicks, Gregory E.; Shardell, Michelle; Miller, Ram R.; Eastlack, Marty; Orwig, Denise; Goodpaster, Bret H.; Chomentowski, Peter J.; Hochberg, Marc C.; Rathbun, Alan M.; Cauley, Jane A.; Harris, Tamara B.; Satterfield, Suzanne; Schafer, Anne L.; Magaziner, Jay

doi:10.1016/j.apmr.2018.10.023

Cited by 10 publications

(5 citation statements)

References 26 publications

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“…Previous studies that used CT to evaluate TMM in patients with hip fracture reported that patients with fractures have markedly lower TMM than those without fracture. 16) Moreover, the loss of TMM as evaluated by BIA was associated with an increased incidence of femoral neck fracture. 10) Therefore, in older patients with hip fractures, TMM should be evaluated early.…”

Section: Discussionmentioning

confidence: 99%

“…Studies using computed tomography (CT) to evaluate muscle mass in patients with hip fracture have reported a decrease in TMM after hip fracture. 16 ) Another study in which the TMM was evaluated using ultrasonography in older adults reported that a decrease in TMM was associated with a decrease in walking ability. 17 ) Therefore, it is considered that TMM decreases after hip fracture and that decreased TMM is associated with decreased walking ability.…”

Section: Introductionmentioning

confidence: 99%

“…Multivariate logistic regression of walking independence .25-0.96) 0.039 1.12 0.32 (0.14-0.73) <0.001 1.69 0.23 (0.08-0.62) 0.004 1.77 MMSE-J on admission 1.18 (1.09-1.28) <0.001 1 16. 1.19 (1.10-1.29) <0.001 1.19 1.16 (1.06-1.28) <0.001 1.25 MNA-SF on admission 0.94 (0.81-1.08) 0.360 1.26 0.92 (0.79-1.06) 0.240 1.43 0.91 (0.76-1.09) 0.300 1.40 FIM on admission 1.04 (1.01-1.06) <0.001 1.31 1.03 (1.01-1.06) 0.003 1.33 1.03 (1.00-1.06) 0.042 1.38 Length of hospital stay 0.99 (0.98-1.00) 0.100 1.01 0.99 (0.97-1.00) 0.056 1.04 0.99 (0.98-1.01) 0.270 1.05 Rehabilitation volume 1.03 (1.01-1.04) 0.002 1.05 1.03 (1.01-1.04) 0.001 1.06 1.05 (1.03-1.07) <0.001 1.09 For sex, male is coded as 0, female is coded as 1.…”

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confidence: 99%

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Relationship between Trunk Muscle Mass Index at Admission and Walking Independence in Patients with Hip Fracture

Shiraishi,

Sato,

Chijiiwa

et al. 2023

PRM

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Objectives: This study aimed to investigate the relationship between trunk muscle mass index (TMI), appendicular skeletal muscle mass index (ASMI), and walking independence in patients aged 65 years and older undergoing rehabilitation for hip fracture. Methods: This retrospective, observational study was conducted in a convalescent rehabilitation ward and included 314 patients (aged ≥65 years) with hip fracture. The patients were classified into the independence group [functional independence measure (FIM)-walk score ≥6] or the non-independence group (FIM-walk score ≤5) according to the mobility item score among the motor FIM items at the time of discharge. Age, sex, TMI, ASMI, and Mini Nutritional Assessment-Short Form (MNA-SF) data were also extracted. Between-group and multivariate analyses were performed to evaluate the factors associated with walking independence. Results: The independence group had higher TMI (males: 6.6±0.9 vs. 5.6±1.0 kg/m 2 , P <0.001; females: 6.1±0.8 vs. 5.7±1.0 kg/m 2 , P <0.001), ASMI (males: 6.7±1.1 vs. 5.9±1.3 kg/m 2 , P=0.004; females: 5.3±0.9 vs. 4.7±0.8 kg/m 2 , P <0.001), MMSE-J (21.5±4.9 vs. 16.4±4.5 points, P <0.001), and MNA-SF [median (interquartile range): 8 (6–9) vs. 7 (5–8) points, P <0.001] than the non-independence group. Multivariate analysis showed that TMI at admission was significantly associated with walking independence (odds ratio: 1.86, 95% confidence interval: 1.28–2.72, P <0.001). Conclusions: This study suggests that a higher TMI at admission was important for acquiring walking independence in patients with hip fracture and shows the importance of early evaluation of TMI during hospitalization of patients with hip fracture.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Relationship between Trunk Muscle Mass Index at Admission and Walking Independence in Patients with Hip Fracture

Shiraishi,

Sato,

Chijiiwa

et al. 2023

PRM

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“…Trunk muscle characteristics such as strength, endurance, size, and composition are well-established contributors to balance performance among older adults with and without LBP 47,48. The relationship between trunk characteristics and balance is extended by evidence showing that among patients with hip fractures, a group of known fallers, trunk musculature is atrophied compared with controls 49. A recent report established that higher aberrant movement summary scores are independently associated with longitudinal decline in a latent construct of physical function among older adults with chronic LBP 27.…”

Section: Discussionmentioning

confidence: 99%

“…47,48 The relationship between trunk characteristics and balance is extended by evidence showing that among patients with hip fractures, a group of known fallers, trunk musculature is atrophied compared with controls. 49 A recent report established that higher aberrant movement summary scores are independently associated with longitudinal decline in a latent construct of physical function among older adults with chronic LBP. 27 Importantly, this latent construct was representative of several physical function tests that are predictive of falling (eg, repeated chair rise, gait speed, and stair climbing).…”

Section: Discussionmentioning

confidence: 99%

A Clinical Measure of Trunk Neuromuscular Function Predicts Falling in Older Adults With Chronic Low Back Pain

Knox

Pugliese

Pohlig

et al. 2023

Journal of Geriatric Physical Therapy

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Background and Purpose: Older adults with low back pain (LBP) are at risk for falling, but condition-specific mechanisms are unknown. Trunk neuromuscular function is critical for maintaining balance during mobility tasks and is often impaired in older adults with LBP. The purpose of this study was to assess whether aberrant lumbopelvic movements (or aberrant movements), a clinical index of trunk neuromuscular function, were associated with increased fall risk among older adults with chronic LBP over a 12-month follow-up period. Methods: This study analyzed data from a prospective cohort study of 250 community-dwelling older adults with chronic LBP. Participants were screened for 4 aberrant movements during 3 trials of forward flexion from a standing position: instability catch, painful arc, altered lumbopelvic rhythm, and Gower's sign. Aberrant movements were totaled to yield a summary score (ie, 0-4). Prospective falls were monitored via monthly fall calendars for 12 months. A generalized linear model with Poisson distribution and log link function was used to evaluate the association between aberrant movements and prospective fall risk. Age, sex, body mass index, LBP intensity, dynamic balance performance, prior falls, anxiolytic medication usage, and hip osteoarthritis characteristics were included as covariates in the model. Results: Baseline aberrant movements were independently associated with greater fall risk (risk ratio = 1.249, 95% CI = 1.047-1.491, P = .014); each 1-unit increase in aberrant movement score imparted a 24.9% increase in the risk of falling. Conclusions: Aberrant movements increased the risk of falling among older adults with chronic LBP over a 1-year span.

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Factors associated with actual skeletal muscle mass increase during hip fracture rehabilitation of persons aged 80 and older

Ogawa¹,

Sato²,

Nakayama³

et al. 2022

Archives of Gerontology and Geriatrics

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Trunk Muscle Composition 2 Months After Hip Fracture: Findings From the Baltimore Hip Studies

Cited by 10 publications

References 26 publications

Relationship between Trunk Muscle Mass Index at Admission and Walking Independence in Patients with Hip Fracture

Relationship between Trunk Muscle Mass Index at Admission and Walking Independence in Patients with Hip Fracture

A Clinical Measure of Trunk Neuromuscular Function Predicts Falling in Older Adults With Chronic Low Back Pain

Factors associated with actual skeletal muscle mass increase during hip fracture rehabilitation of persons aged 80 and older

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