Mayra C. Moreno-Lozano, Department of Osteoarticular Rehabilitation, Instituto Nacional de Reahbilitación Luis Guillermo Ibarra Ibarra, Secretaría de Salud, Mexico City, City
Ma. de los Angeles Soria-Bastida, Department of Osteoarticular Rehabilitation, Instituto Nacional de Reahbilitación Luis Guillermo Ibarra Ibarra, Secretaría de Salud, Mexico City, City
Mónica A. Gallegos-Bouchan, Department of Osteoarticular Rehabilitation, Instituto Nacional de Reahbilitación Luis Guillermo Ibarra Ibarra, Secretaría de Salud, Mexico City, City
Liliana P. Rodríguez-Vega, Department of Osteoarticular Rehabilitation, Instituto Nacional de Reahbilitación Luis Guillermo Ibarra Ibarra, Secretaría de Salud, Mexico City, City
Background: There are close links between frailty, sarcopenia, and osteoporosis and the occurrence with falls and fragility fractures. Objective: The objective of this study was to determine sarcopenia in fracture patients of an Orthogeriatric Unit. Material and methods: A transversal study was conducted in 62 older adults, hospitalized with fragility fracture from March 2022 to October 2023. Based on the European working group on Sarcopenia in older people2 algorithm for the confirmation diagnosis, we used dual-energy X-ray absorptiometry (DXA). Results: Sixty-two patients, 79% of whom were women, median age of 83.5 years, interquartile range (IQR) (76.7-87 years). Detected fall factors were extrinsic in 60%. DXA performed on 49 patients and confirmed sarcopenia in 31%. Barthel index median was 87.5 (IQR 75-100). We only detect significant differences in frequency of male sarcopenic fractured patients (OR = 1.64 [95% CI 1.16-2.31]). Some correlations between the age and functional independence, disability perception, FRAX C, and albumin: R = −0.302 (p = 0.017), R = 0.302 (p = 0.018), R = 0.405 (p = 0.003), and R = −0.372 (p = 0.009), respectively, were detected. Conclusion: Sarcopenia is a musculoskeletal disease associated with increase of falls and fractures, but it is not the only factor we should consider as the main risk of major fracture.
Keywords: Orthogeriatric unit. Sarcopenia frailty. Fragility fractures. Falls.
