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논문 기본 정보

자료유형
학술저널
저자정보
Jun-Ku Lee (Department of Orthopedic Surgery Inje University Seoul Paik Hospital Seoul South Korea) Seong-Eun Byun (Department of Orthopaedic Surgery CHA Bundang Medical Center School of Medicine CHA University S) Minki Lee (Department of Orthopedic Surgery Inje University Seoul Paik Hospital Seoul South Korea) Gotak Kim (Department of Orthopaedic Surgery CHA Bundang Medical Center School of Medicine CHA University S) Eugene Baek (Department of Orthopaedic Surgery CHA Bundang Medical Center School of Medicine CHA University S) Soo-Hong Han (Department of Orthopaedic Surgery CHA Bundang Medical Center School of Medicine CHA University S)
저널정보
대한골다공증학회 Osteoporosis and Sarcopenia Osteoporosis and Sarcopenia Vol.6 No.2
발행연도
2020.1
수록면
88 - 93 (6page)

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Objectives: The prevalence of sarcopenia, an independent risk factor for fragility fractures, is high in geriatric hip fracture patients. We aim to compare patients with hip fractures to the general population using different dual-energy X-ray absorptiometry (DXA) devices e General Electric (GE) Lunar and Hologic. Methods: We retrospectively reviewed data of patients diagnosed with osteoporotic hip fractures. At our institute, 252 patients with hip fractures were measured with the GE Lunar DXA. The control group included 252 matched individuals from a general population dataset whose data were measured with the Hologic DXA; controls were selected using nearest-neighbor propensity score matching. Measurements included appendicular lean mass (ALM), bone mineral density, and subsequent rates of sarcopenia and osteoporosis. Results: The BMD T-score was significantly lower in patients with hip fractures than in matched controls (-2.7 vs. -2.1, respectively; P < 0.001). However, mean lean body mass of the arm was significantly greater in the hip fractures group compared to the matched control groups (4.092 kg vs. 3.869 kg, respectively; P = 0.024). Additionally, mean lean body mass of the leg was similar between groups (11.565 kg vs. 11.986 kg, respectively; P = 0.084). ALM/height2 and subsequent sarcopenia rates were not different between groups (hip fractures and 6.257 kg/m2 and 38.5%; matched controls, 6.198 kg/m2 and 33.7%). Conclusions: Despite experiencing hip fractures, muscle mass measurements and sarcopenia prevalence were similar between the groups. Muscle mass measurements for evaluating sarcopenia present significant discrepancies according to the DXA used.
#Sarcopenia #Muscle mass #Dual-energy X-ray absorptiometry #Hip fracture

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참고문헌 (30)

참고문헌 신청
Phillips SM / 2015 / Nutritional supplements in support of resistance exercise to counter age-related sarcopenia / Adv Nutr 6:452~460 google schola Serra Rexach JA / 2006 / Clinical consequences of sarcopenia / Nutr Hosp 21(Suppl 3):46~50 google schola Kelly TL / 2009 / Dual energy X-Ray absorptiometry body composition reference values from NHANES / PloS One 4:e7038 google schola Gonzalez-Montalvo JI / 2016 / Prevalence of sarcopenia in acute hip fracture patients and its influence on short-term clinical outcome / Geriatr Gerontol Int 16:1021~1027 google schola Ho AW / 2016 / Prevalence of presarcopenia and sarcopenia in Hong Kong Chinese geriatric patients with hip fracture and its correlation with different factors / Hong Kong Med J 22:23~29 google schola

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