{"title":"全髋关节置换术后老年患者合并虚弱和肌肉疏松症：观察研究","authors":"Takashi Ikeda , Kazunari Ninomiya , Koji Suzuki , Kazuo Hirakawa","doi":"10.1016/j.jjoisr.2024.06.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>Frailty and sarcopenia may progressively worsen physical function, and studies have noted the frequent presence of sarcopenia in patients who undergo total hip arthroplasty (THA). This study aimed to examine the prevalence of comorbid frailty and sarcopenia in older patients undergoing THA and to determine the impact of these conditions on lower limb strength and hip function.</p></div><div><h3>Methods</h3><p>Patients aged ≥65 years who had undergone THA at least 1 year previously were divided into five groups according to the presence and severity of frailty and sarcopenia. Lower limb strength [hip abductor (HA) and knee extensor (KE)], balance, and hip function were compared.</p></div><div><h3>Results</h3><p>Sarcopenia and frailty affected lower limb muscle strength and hip function in a staircase-like manner, with mean ± standard deviation values for the five groups as follows: HA muscle strength (in Nm/body weight), robust 0.80 ± 0.23, pre-frail + non-sarcopenia 0.69 ± 0.17, pre-frail + sarcopenia 0.58 ± 0.20, frail + non-sarcopenia 0.54 ± 0.16, frail + sarcopenia 0.50 ± 0.16; KE muscle strength (in kgf/body weight), robust 1.17 ± 0.23, pre-frail + non-sarcopenia 1.03 ± 0.32, pre-frail + sarcopenia 0.90 ± 0.31, frail + non-sarcopenia 0.84 ± 0.27, frail + sarcopenia 0.74 ± 0.21; and Harris Hip Score, robust 96.8 ± 4.6, pre-frail + non-sarcopenia 94.3 ± 7.9, pre-frail + sarcopenia 88.6 ± 9.6, frail + non-sarcopenia 87.5 ± 10.3, frail + sarcopenia 83.5 ± 8.6.</p></div><div><h3>Conclusion</h3><p>Progression of sarcopenia and frailty affects lower limb muscle strength and physical function in a staircase-like fashion, suggesting the need to assess the cumulative effects of the two. Among this population, rather than interventions to improve muscle strength and balance in specific areas, interventions to maintain a comprehensive level of physical fitness and muscle mass (including nutrition and lifestyle changes) may be necessary.</p></div>","PeriodicalId":100795,"journal":{"name":"Journal of Joint Surgery and Research","volume":"2 3","pages":"Pages 123-128"},"PeriodicalIF":0.0000,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949705124000161/pdfft?md5=d6caafb120ee35126f7cd6387954bd1a&pid=1-s2.0-S2949705124000161-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Comorbid frailty and sarcopenia in older patients after total hip arthroplasty: An observational study\",\"authors\":\"Takashi Ikeda , Kazunari Ninomiya , Koji Suzuki , Kazuo Hirakawa\",\"doi\":\"10.1016/j.jjoisr.2024.06.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>Frailty and sarcopenia may progressively worsen physical function, and studies have noted the frequent presence of sarcopenia in patients who undergo total hip arthroplasty (THA). This study aimed to examine the prevalence of comorbid frailty and sarcopenia in older patients undergoing THA and to determine the impact of these conditions on lower limb strength and hip function.</p></div><div><h3>Methods</h3><p>Patients aged ≥65 years who had undergone THA at least 1 year previously were divided into five groups according to the presence and severity of frailty and sarcopenia. Lower limb strength [hip abductor (HA) and knee extensor (KE)], balance, and hip function were compared.</p></div><div><h3>Results</h3><p>Sarcopenia and frailty affected lower limb muscle strength and hip function in a staircase-like manner, with mean ± standard deviation values for the five groups as follows: HA muscle strength (in Nm/body weight), robust 0.80 ± 0.23, pre-frail + non-sarcopenia 0.69 ± 0.17, pre-frail + sarcopenia 0.58 ± 0.20, frail + non-sarcopenia 0.54 ± 0.16, frail + sarcopenia 0.50 ± 0.16; KE muscle strength (in kgf/body weight), robust 1.17 ± 0.23, pre-frail + non-sarcopenia 1.03 ± 0.32, pre-frail + sarcopenia 0.90 ± 0.31, frail + non-sarcopenia 0.84 ± 0.27, frail + sarcopenia 0.74 ± 0.21; and Harris Hip Score, robust 96.8 ± 4.6, pre-frail + non-sarcopenia 94.3 ± 7.9, pre-frail + sarcopenia 88.6 ± 9.6, frail + non-sarcopenia 87.5 ± 10.3, frail + sarcopenia 83.5 ± 8.6.</p></div><div><h3>Conclusion</h3><p>Progression of sarcopenia and frailty affects lower limb muscle strength and physical function in a staircase-like fashion, suggesting the need to assess the cumulative effects of the two. Among this population, rather than interventions to improve muscle strength and balance in specific areas, interventions to maintain a comprehensive level of physical fitness and muscle mass (including nutrition and lifestyle changes) may be necessary.</p></div>\",\"PeriodicalId\":100795,\"journal\":{\"name\":\"Journal of Joint Surgery and Research\",\"volume\":\"2 3\",\"pages\":\"Pages 123-128\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-07-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2949705124000161/pdfft?md5=d6caafb120ee35126f7cd6387954bd1a&pid=1-s2.0-S2949705124000161-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Joint Surgery and Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2949705124000161\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Joint Surgery and Research","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2949705124000161","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Comorbid frailty and sarcopenia in older patients after total hip arthroplasty: An observational study
Purpose
Frailty and sarcopenia may progressively worsen physical function, and studies have noted the frequent presence of sarcopenia in patients who undergo total hip arthroplasty (THA). This study aimed to examine the prevalence of comorbid frailty and sarcopenia in older patients undergoing THA and to determine the impact of these conditions on lower limb strength and hip function.
Methods
Patients aged ≥65 years who had undergone THA at least 1 year previously were divided into five groups according to the presence and severity of frailty and sarcopenia. Lower limb strength [hip abductor (HA) and knee extensor (KE)], balance, and hip function were compared.
Results
Sarcopenia and frailty affected lower limb muscle strength and hip function in a staircase-like manner, with mean ± standard deviation values for the five groups as follows: HA muscle strength (in Nm/body weight), robust 0.80 ± 0.23, pre-frail + non-sarcopenia 0.69 ± 0.17, pre-frail + sarcopenia 0.58 ± 0.20, frail + non-sarcopenia 0.54 ± 0.16, frail + sarcopenia 0.50 ± 0.16; KE muscle strength (in kgf/body weight), robust 1.17 ± 0.23, pre-frail + non-sarcopenia 1.03 ± 0.32, pre-frail + sarcopenia 0.90 ± 0.31, frail + non-sarcopenia 0.84 ± 0.27, frail + sarcopenia 0.74 ± 0.21; and Harris Hip Score, robust 96.8 ± 4.6, pre-frail + non-sarcopenia 94.3 ± 7.9, pre-frail + sarcopenia 88.6 ± 9.6, frail + non-sarcopenia 87.5 ± 10.3, frail + sarcopenia 83.5 ± 8.6.
Conclusion
Progression of sarcopenia and frailty affects lower limb muscle strength and physical function in a staircase-like fashion, suggesting the need to assess the cumulative effects of the two. Among this population, rather than interventions to improve muscle strength and balance in specific areas, interventions to maintain a comprehensive level of physical fitness and muscle mass (including nutrition and lifestyle changes) may be necessary.
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