Postoperative sarcopenia in older patients with hip fractures: incidence and associated risk factors in a retrospective cohort study.

IF 3.1 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Frontiers in Medicine Pub Date : 2026-04-22 eCollection Date: 2026-01-01 DOI:10.3389/fmed.2026.1766120

Hang Yin, Chao Qin, Qi Tang, Guoli Wu, He Diao

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Abstract

Objective: Sarcopenia significantly impacts the quality of life in older adults. Given the lack of large-scale studies on risk factors for postoperative sarcopenia in older hip fracture patients, this study investigated its incidence and associated risk factors.

Materials and methods: This retrospective study enrolled older patients who were admitted for surgical treatment of hip fractures.

Results: Out of the 325 enrolled patients, 264 (81.23%) were identified as being at risk for postoperative sarcopenia. The average sarcopenia score was 5.01 ± 1.61. Significant differences (p < 0.05) were observed across age, marital status, education levels, living arrangements, exercise habits, masticatory function, the number of chronic diseases, albumin levels, and activities of daily living (ADL) scores. Multivariate regression analysis identified age, education levels, activities of daily living (ADL) scores, and masticatory function as independent risk factors for sarcopenia.

Conclusion: This study identified several risk factors for sarcopenia following hip fracture surgery in older adults, providing a basis for targeted clinical interventions to mitigate postoperative muscle loss.

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老年髋部骨折患者术后肌肉减少：一项回顾性队列研究的发病率和相关危险因素

目的：骨骼肌减少症显著影响老年人的生活质量。鉴于缺乏对老年髋部骨折患者术后肌肉减少危险因素的大规模研究，本研究调查其发病率及相关危险因素。材料和方法：本回顾性研究纳入接受髋部骨折手术治疗的老年患者。结果：在325例入组患者中，264例（81.23%）被确定为有术后肌肉减少的风险。平均肌少症评分为5.01 ± 1.61。结论：本研究确定了老年人髋部骨折术后肌肉减少的几个危险因素，为有针对性的临床干预提供了基础，以减轻术后肌肉损失。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Medicine Medicine-General Medicine

CiteScore

5.10

自引率

5.10%

发文量

3710

审稿时长

12 weeks

期刊介绍： Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate - the use of patient-reported outcomes under real world conditions - the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines - the scientific bases for guidelines and decisions from regulatory authorities - access to medicinal products and medical devices worldwide - addressing the grand health challenges around the world