| Autor: |
Martín-Fuentes M; Servicio de Endocrinología y Nutrición. Hospital Universitario Santa Cristina., Varas de Dios B; Unidad de Reumatología. Hospital Universitario Santa Cristina., Valverde Villar AM; Servicio de Traumatología y Cirugía Ortopédica. Hospital Universitario Santa Cristina., Sánchez Almaraz R; Servicio de Endocrinología y Nutrición. Hospital Universitario Santa Cristina., Pérez Torres A; Unidad de Dietética. Hospital Universitario Santa Cristina., Iglesias Domínguez L; Unidad de Dietética. Hospital Universitario Santa Cristina., Muñoz García N; Servicio de Traumatología y Cirugía Ortopédica. Hospital Universitario Santa Cristina., Guindal Pérez Y; Servicio de Traumatología y Cirugía Ortopédica. Hospital Universitario Santa Cristina., Aragonés Maza P; Servicio de Traumatología y Cirugía Ortopédica. Hospital Universitario Santa Cristina., Reche Sainz CM; Servicio de Traumatología y Cirugía Ortopédica. Hospital Universitario Santa Cristina., Espina Flores I; Servicio de Traumatología y Cirugía Ortopédica. Hospital Universitario Santa Cristina., Neira Borrajo I; Servicio de Traumatología y Cirugía Ortopédica. Hospital Universitario Santa Cristina., Romero Estarlich V; Servicio de Geriatría. Hospital Universitario Santa Cristina. |
| Jazyk: |
Spanish; Castilian |
| Zdroj: |
Nutricion hospitalaria [Nutr Hosp] 2023 Jun 21; Vol. 40 (3), pp. 567-573. |
| DOI: |
10.20960/nh.04341 |
| Abstrakt: |
Introduction: Introduction: malnutrition, both due to deficiency and excess of nutrients, correlates to the morbidity of the surgical patient. Objectives: to analyze the nutritional status, body composition and bone health of patients undergoing elective knee and hip arthroplasty. Methods: an observational cross-sectional study was carried out evaluating patients undergoing hip and knee replacement surgery from February to September 2019. The Malnutrition Universal Screening Tool (MUST), anthropometry, hand-grip dynamometry, bone densitometry, lumbar spine X-ray and bioimpedance analysis were performed. Results: eighty-six patients (61.6 % women) were evaluated, with a mean age of 69.5 ± 9.5 years. The mean body mass index (BMI) was 31.3 ± 4.5. According to MUST, 21.3 % were at risk of malnutrition; 16.9 % had decreased triceps skinfold with respect to p50 and 20 % had a pathological hand-grip dynamometry. In 91.4 %, vitamin D was < 30 pg/ml. In the bioimpedanciometry, the women presented significantly decreased muscle mass values. Age was correlated with a lower presence of fat-free mass, total and appendicular muscle mass. In those over 65 years of age, 52.6 % of men vs 14.3 % of women had a decreased muscle mass index; 58.5 % had low bone mineral density. We observed vertebral bone collapses in 13.9 %. Conclusion: there is a high prevalence of obesity in patients who are candidates for arthroplasty and this does not exclude the existence of a risk of malnutrition. They may also have decreased muscle mass and strength. Nutritional education and physical exercise recommendations are essential in order to optimize nutritional status for surgery. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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