Perfil do estado nutricional e da sarcopenia no paciente idoso, com fratura de fêmur proximal : estudo clínico observacional prospectivo

Abstract

INTRODUCTION: Aging is associated with changes in body composition. The loss of muscle mass, age-related sarcopenia is called. This age group is more susceptible to fractures of the proximal femur which is itself an important factor of morbidity and mortality in the elderly. The fracture of the proximal femur has been but related osteoporosis little attention has been given to sarcopenia and nutritional status. OBJECTIVE: The aim of this study was to evaluate the nutritional status and sarcopenia presence in elderly patients with proximal femoral fracture. METHODS: Studies involving elderly patients with proximal femoral fractures treated at two hospitals in the SUS system in the city of Cuiabá-MT. All cases were submitted to SARC -F questionnaire and mini nutritional assessment (MAN). The circumference of the leg, the thickness of the thumb adductor (EMAP) and handgrip strength (FPP) were also recorded in all patients participating in the study. RESULTS: Have been collected between the months of May to October 2016, 132 patients with proximal femur fracture, been 77 (58.3%) male and 55 (41.7%) were female, with a mean age of 73, 6 years (median = 73.5 years, range 60-97 years). Regarding the type of fracture, 37.9 % (50 cases) were presented as femoral neck fracture and 54.5 % (72 cases) with trochanteric fracture. By SARC -F questionnaire 64,4 % (85) of the study population was sarcopenic. For MAN, twenty-six (19.7%) patients were considered eutrophic. Fourthy seven cases (35.6%) were considered at risk of malnutrition and 59 cases (44.7%) were considered malnourished. The EMAP was within the normal range but the FPP was reduced in both sexes and in both members. Similarly, the CP was also reduced bilaterally in men and women of the sample. CONCLUSION: The results observed possibility to conclude that the population of elderly patients with proximal femoral fracture is malnourished and with high prevalence of sarcopenia.