Change search
ReferencesLink to record
Permanent link

Direct link
Increased 1-year survival and discharge to independent living in overweight hip fracture patients
Karolinska Univ Hosp, Dept Geriatr Med, Huddinge, Sweden.;Dept Clin Sci Intervent & Technol CLINTEC, Stockholm, Sweden.;Karolinska Inst, Stockholm, Sweden..
Karolinska Inst, Stockholm, Sweden..
Karolinska Univ Hosp, Dept Geriatr Med, Huddinge, Sweden; Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism.
Show others and affiliations
2016 (English)In: Acta Orthopaedica, ISSN 1745-3674, E-ISSN 1745-3682, Vol. 87, no 2, 146-151 p.Article in journal (Refereed) PublishedText
Abstract [en]

Background and purpose - Hip fracture patients usually have low body mass index (BMI), and suffer further postoperative catabolism. How BMI relates to outcome in relatively healthy hip fracture patients is not well investigated. We investigated the association between BMI, survival, and independent living 1 year postoperatively.

Patients and methods - This prospective multicenter study involved 843 patients with a hip fracture (mean age 82 (SD 7) years, 73% women), without severe cognitive impairment and living independently before admission. We investigated the relationship between BMI and both 1-year mortality and ability to return to independent living.

Results - Patients with BMI > 26 had a lower mortality rate than those with BMI < 22 and those with BMI 22-26 (6%, 16%, and 18% respectively; p = 0.006). The odds ratio (OR) for 1-year survival in the group with BMI > 26 was 2.6 (95% CI: 1.2-5.5) after adjustment for age, sex, and physical status. Patients with BMI > 26 were also more likely to return to independent living after the hip fracture (OR = 2.6, 95% CI: 1.4-5.0). Patients with BMI < 22 had similar mortality and a similar likelihood of independent living to those with BMI 22-26.

Interpretation - In this selected group of patients with hip fracture, the overweight and obese patients (BMI > 26) had a higher survival rate at 1 year, and returned to independent living to a higher degree than those of normal (healthy) weight. The obesity paradox and the recommendations for optimal BMI need further consideration in patients with hip fracture.

Place, publisher, year, edition, pages
2016. Vol. 87, no 2, 146-151 p.
National Category
URN: urn:nbn:se:uu:diva-288602DOI: 10.3109/17453674.2015.1125282ISI: 000372447400010PubMedID: 26986549OAI: diva2:926169
The Karolinska Institutet's Research FoundationStockholm County Council
Available from: 2016-05-04 Created: 2016-04-28 Last updated: 2016-05-04Bibliographically approved

Open Access in DiVA

fulltext(447 kB)47 downloads
File information
File name FULLTEXT01.pdfFile size 447 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Cederholm, Tommy
By organisation
Clinical Nutrition and Metabolism
In the same journal
Acta Orthopaedica

Search outside of DiVA

GoogleGoogle Scholar
Total: 47 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 109 hits
ReferencesLink to record
Permanent link

Direct link