Osteoporos Sarcopenia.  2018 Sep;4(3):95-98. 10.1016/j.afos.2018.09.002.

Sarcopenia affects conservative treatment of osteoporotic vertebral fracture

• Iida H
• Sakai Y
• Watanabe T
• Matsui H
• Takemura M
• Matsui Y
• Harada A
• Hida T
• Ito K
• Ito S

• KMID: 2437288
• DOI: http://doi.org/10.1016/j.afos.2018.09.002

Abstract

OBJECTIVES
Sarcopenia and osteoporosis affects activities of daily living and quality of elderly people. However, little is known about its impact on elderly locomotor diseases, such as osteoporotic vertebral fracture (OVF). There is no report investigating the influence of both sarcopenia and osteoporosis on outcomes of OVF. This study aimed to evaluate the clinical outcomes of OVF in elderly patients from sarcopenic perspectives.
METHODS
This prospective study was conducted with 396 patients, aged 65 years or more, hospitalized for the treatment of OVF (mean age, 81.9 ± 7.1 years; 111 males, 285 females). The primary outcome was the Japanese Orthopaedic Association (JOA) score for lumbar disease (at first visit, hospital discharge, and 1 year after treatment) and Barthel index (at the same time and before hospitalization). The second outcome was living place after discharge. Susceptibility to sarcopenia and osteoporosis were evaluated and clinical results of conservative treatment were compared.
RESULTS
Sarcopenia significantly affected Barthel index at first visit and discharge. Sarcopenia patients had significantly higher rate for discharge to nursing home and living in nursing home after 1 year than patients without sarcopenia. Osteoporosis significantly affected the JOA score at the first visit and the Barthel index before hospitalization, at the first visit, discharge, and after 1 year. Osteoporosis did not affect the living place at discharge and after 1 year.
CONCLUSIONS
Sarcopenia and osteoporosis affected outcomes of conservative treatment for OVF; moreover, sarcopenia affected the living place of OVF patients at discharge and after 1 year.

Keyword

Sarcopenia; Vertebral fracture; Conservative treatment

MeSH Terms

Activities of Daily Living
Aged
Asian Continental Ancestry Group
Hospitalization
Humans
Male
Nursing Homes
Osteoporosis
Prospective Studies
Sarcopenia*