{"id":7533,"date":"2020-06-10T12:13:33","date_gmt":"2020-06-10T09:13:33","guid":{"rendered":"https:\/\/www.gerec.fi\/?p=7533"},"modified":"2020-06-16T11:03:52","modified_gmt":"2020-06-16T08:03:52","slug":"low-physical-function-and-low-muscle-mass-increase-the-risk-for-accelerated-bone-loss-in-older-hip-fracture-patients","status":"publish","type":"post","link":"https:\/\/www.gerec.fi\/en\/low-physical-function-and-low-muscle-mass-increase-the-risk-for-accelerated-bone-loss-in-older-hip-fracture-patients\/","title":{"rendered":"Low physical function and low muscle mass increase the risk for accelerated bone loss in older hip fracture patients","raw":"Low physical function and low muscle mass increase the risk for accelerated bone loss in older hip fracture patients"},"content":{"rendered":"

Low physical function and low muscle mass after hip fracture increased the risk for accelerated bone deterioration in older hip fracture patients. Acknowledgement of the risk factors is important for bone health and overall recovery.<\/strong><\/h4>\n

\u201cSubstantial decrements in physical function, muscle and bone strength occur after hip fracture, which markedly increase the risk for a subsequent fracture,\u201d says\u00a0Tuuli Suominen<\/strong>, a PhD student at the Gerontology Research Center, Faculty of Sport and Health Sciences at the University of Jyv\u00e4skyl\u00e4.<\/p>\n

Part of the bone loss is presumably caused by disuse, but the contributing factors have not been well characterized.<\/p>\n

\u201cA strong relationship exists between bone and muscle,\u201d adds Suominen. \u201cA low level of physical function may prevent effective loading of the bones and could be related to reduced bone-loading physical activity. Moreover, in older, often frail and undernourished hip fracture patients, higher muscle mass may also reflect better resources to cope with a prolonged catabolic state and the hip fracture-related stresses.\u201d<\/p>\n

Associations of physical function and muscle mass with the accelerated posthip fracture bone loss were examined in a study by the Gerontology Research Center and Faculty of Sport and Health Sciences at the University of Jyv\u00e4skyl\u00e4, Finland. A total of 81 independently living men and women over the age of 60 who had been operated on for a hip fracture participated in the study.<\/p>\n

Tibial bone properties were examined by computed tomography at baseline (on average 10 weeks after fracture) and after 12 months. Physical function at baseline was measured with perceived difficulty in walking outdoors and with the Short Physical Performance Battery (SPPB), which includes habitual walking speed, chair rise and standing balance tests. Lean body mass, assessed with bioelectrical impedance, was used as a measure of muscle mass.<\/p>\n

Tibial bone density and strength declined during the year after the fracture, on the fractured as well as on the non-fractured side leg. A lower SPPB score, difficulty in walking outdoors and lower LBM predicted greater decline in bone density in both legs. A lower SPPB score and difficulty in walking outdoors were also associated with a greater decline in bone strength in both legs.<\/p>\n

Older hip fracture patients with low physical function and lower muscle mass may be at risk for greater bone loss during the first post-fracture year. Acknowledgement of the risk factors could assist in developing interventions and care to promote bone health and overall recovery. Attention should be paid to physical function, muscle mass preservation and fall prevention before as well as after fracture occurrence.<\/p>\n

The study was part of a larger research program aiming at promoting mobility recovery after hip fracture. The study was funded by the Ministry of Education and Culture and the Social Insurance Institution of Finland.<\/p>\n

Original article:<\/strong><\/h4>\n

Suominen TH, Edgren J, Salpakoski A, Kallinen M, Cervinka T, Rantalainen T, T\u00f6rm\u00e4kangas T, Heinonen A, Sipil\u00e4 S.\u00a0Physical function and lean body mass as predictors of bone loss after hip fracture: a prospective follow-up study.<\/a>\u00a0BMC Musculoskeletal Disorders. DOI : 10.1186\/s12891-020-03401-3<\/p>\n

For further information:<\/strong><\/h4>\n

Tuuli Suominen, PhD student, tel. +35840 805 4857, tuuli.suominen@jyu.fi<\/p>\n","protected":false,"raw":"

Low physical function and low muscle mass after hip fracture increased the risk for accelerated bone deterioration in older hip fracture patients. Acknowledgement of the risk factors is important for bone health and overall recovery.<\/strong><\/h4>\r\n\u201cSubstantial decrements in physical function, muscle and bone strength occur after hip fracture, which markedly increase the risk for a subsequent fracture,\u201d says\u00a0Tuuli Suominen<\/strong>, a PhD student at the Gerontology Research Center, Faculty of Sport and Health Sciences at the University of Jyv\u00e4skyl\u00e4.\r\n\r\nPart of the bone loss is presumably caused by disuse, but the contributing factors have not been well characterized.\r\n\r\n\u201cA strong relationship exists between bone and muscle,\u201d adds Suominen. \u201cA low level of physical function may prevent effective loading of the bones and could be related to reduced bone-loading physical activity. Moreover, in older, often frail and undernourished hip fracture patients, higher muscle mass may also reflect better resources to cope with a prolonged catabolic state and the hip fracture-related stresses.\u201d\r\n\r\nAssociations of physical function and muscle mass with the accelerated posthip fracture bone loss were examined in a study by the Gerontology Research Center and Faculty of Sport and Health Sciences at the University of Jyv\u00e4skyl\u00e4, Finland. A total of 81 independently living men and women over the age of 60 who had been operated on for a hip fracture participated in the study.\r\n\r\nTibial bone properties were examined by computed tomography at baseline (on average 10 weeks after fracture) and after 12 months. Physical function at baseline was measured with perceived difficulty in walking outdoors and with the Short Physical Performance Battery (SPPB), which includes habitual walking speed, chair rise and standing balance tests. Lean body mass, assessed with bioelectrical impedance, was used as a measure of muscle mass.\r\n\r\nTibial bone density and strength declined during the year after the fracture, on the fractured as well as on the non-fractured side leg. A lower SPPB score, difficulty in walking outdoors and lower LBM predicted greater decline in bone density in both legs. A lower SPPB score and difficulty in walking outdoors were also associated with a greater decline in bone strength in both legs.\r\n\r\nOlder hip fracture patients with low physical function and lower muscle mass may be at risk for greater bone loss during the first post-fracture year. Acknowledgement of the risk factors could assist in developing interventions and care to promote bone health and overall recovery. Attention should be paid to physical function, muscle mass preservation and fall prevention before as well as after fracture occurrence.\r\n\r\nThe study was part of a larger research program aiming at promoting mobility recovery after hip fracture. The study was funded by the Ministry of Education and Culture and the Social Insurance Institution of Finland.\r\n

Original article:<\/strong><\/h4>\r\nSuominen TH, Edgren J, Salpakoski A, Kallinen M, Cervinka T, Rantalainen T, T\u00f6rm\u00e4kangas T, Heinonen A, Sipil\u00e4 S.\u00a0Physical function and lean body mass as predictors of bone loss after hip fracture: a prospective follow-up study.<\/a>\u00a0BMC Musculoskeletal Disorders. DOI : 10.1186\/s12891-020-03401-3\r\n

For further information:<\/strong><\/h4>\r\nTuuli Suominen, PhD student, tel. +35840 805 4857, tuuli.suominen@jyu.fi"},"excerpt":{"rendered":"Lonkkamurtuman j\u00e4lkeinen heikko jalkojen toimintakyky ja alhainen lihasmassa ennustavat i\u00e4kk\u00e4iden henkil\u00f6iden luuston heikkenemist\u00e4 murtuman j\u00e4lkeisen vuoden aikana. Riskitekij\u00f6iden tunnistaminen on t\u00e4rke\u00e4\u00e4 luuston kunnon palautumisen ja kokonaisvaltaisen kuntoutumisen kannalta. - Jalkojen toimintakyky ja luun lujuusominaisuudet heikkenev\u00e4t nopeasti ja pitk\u00e4kestoisesti lonkkamurtuman seurauksena,…","protected":false,"raw":""},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_fi_post_content":"
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Lonkkamurtuman j\u00e4lkeinen heikko jalkojen toimintakyky ja alhainen lihasmassa ennustavat i\u00e4kk\u00e4iden henkil\u00f6iden luuston heikkenemist\u00e4 murtuman j\u00e4lkeisen vuoden aikana. Riskitekij\u00f6iden tunnistaminen on t\u00e4rke\u00e4\u00e4 luuston kunnon palautumisen ja kokonaisvaltaisen kuntoutumisen kannalta.<\/strong><\/h4>\r\n<\/header>\r\n
<\/div>\r\n
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\r\n\r\n- Jalkojen toimintakyky ja luun lujuusominaisuudet heikkenev\u00e4t nopeasti ja pitk\u00e4kestoisesti lonkkamurtuman seurauksena, mik\u00e4 lis\u00e4\u00e4 huomattavasti uuden murtuman riski\u00e4, kertoo tohtorikoulutettava\u00a0Tuuli Suominen<\/strong>\u00a0Jyv\u00e4skyl\u00e4n yliopiston liikuntatieteellisest\u00e4 tiedekunnasta.\r\n\r\nOsa lonkkamurtuman j\u00e4lkeisest\u00e4 luukadosta selittyy todenn\u00e4k\u00f6isesti luuston kuormittamattomuudella, mutta luukatoa ennustavia tekij\u00f6it\u00e4 ei tunneta t\u00e4ysin.\r\n\r\n- Luut ja lihakset toimivat tiiviiss\u00e4 yhteisty\u00f6ss\u00e4. Jalkojen heikko toimintakyky ja alhainen lihasmassa voivat est\u00e4\u00e4 luiden tehokkaan kuormittamisen sek\u00e4 liitty\u00e4 v\u00e4h\u00e4isemp\u00e4\u00e4n liikkumisen m\u00e4\u00e4r\u00e4\u00e4n. Lonkkamurtumapotilaat ovat tyypillisesti i\u00e4kk\u00e4it\u00e4, hauraita ja usein vajaaravittuja. Suurempi lihasmassa voi my\u00f6s kertoa paremmista voimavaroista selvit\u00e4 murtuman ja leikkaushoidon aiheuttamasta katabolisesta, kudoksia hajottavasta tilasta, Suominen jatkaa.\r\n\r\nAlaraajojen toimintakyvyn ja lihasmassan yhteytt\u00e4 lonkkamurtuman j\u00e4lkeiseen kiihtyneeseen luukatoon selvitettiin Jyv\u00e4skyl\u00e4n yliopiston Gerontologian tutkimuskeskuksen ja liikuntatieteellisen tiedekunnan tutkimushankkeessa. Tutkimukseen osallistui 81 lonkkamurtuman vuoksi leikattua, yli 60-vuotiasta, kotona asuvaa miest\u00e4 ja naista.\r\n\r\nTutkittavien s\u00e4\u00e4riluun ominaisuuksia mitattiin tietokonetomografialla tutkimuksen alussa (noin 10 viikkoa murtumasta) ja 12 kuukauden kuluttua. Alaraajojen toimintakyky\u00e4 mitattiin tutkimuksen alussa koetuilla ulkona liikkumisen vaikeuksilla ja lyhyell\u00e4 fyysisen suorituskyvyn testist\u00f6ll\u00e4, joka sis\u00e4lt\u00e4\u00e4 seisomatasapainoa, k\u00e4vely\u00e4 ja alaraajojen voimantuottotehoa mittaavista osioista. Lihasmassan mittarina k\u00e4ytettiin bioimpedanssimenetelm\u00e4ll\u00e4 mitattua rasvatonta kehonpainoa.\r\n\r\nS\u00e4\u00e4riluun tiheys ja lujuus heikkeniv\u00e4t murtuman j\u00e4lkeisen vuoden aikana sek\u00e4 murtuneessa ett\u00e4 terveess\u00e4 jalassa. Heikompi fyysinen suorituskyky, koetut ulkona liikkumisen vaikeudet sek\u00e4 alhaisempi lihasmassa ennustivat suurempaa s\u00e4\u00e4riluun tiheyden laskua sek\u00e4 murtuneessa ett\u00e4 terveess\u00e4 jalassa. Heikompi fyysinen suorituskyky ja ulkona liikkumisen vaikeudet olivat my\u00f6s yhteydess\u00e4 suurempaan s\u00e4\u00e4riluun lujuuden laskuun molemmissa jaloissa.\r\n\r\n- Riskitekij\u00e4t huomioimalla voitaisiin tunnistaa henkil\u00f6t, joilla toipuminen on todenn\u00e4k\u00f6isesti heikompaa ja kohdentaa heihin tehokkaampia, kokonaisvaltaisia hoito- ja kuntoutuskeinoja. Toimintakyvyn ja lihasmassan yll\u00e4pit\u00e4minen sek\u00e4 kaatumisten ehk\u00e4isy ovat erityisen t\u00e4rkeit\u00e4 niin murtumien ennaltaehk\u00e4isyss\u00e4 kuin murtumista kuntoutumisessa, Suominen sanoo.\r\n\r\nTutkimus on osa laajempaa, lonkkamurtumapotilaiden liikkumiskyvyn palautumiseen t\u00e4hd\u00e4nnytt\u00e4 tutkimushanketta. Tutkimusta on rahoittanut opetus- ja kulttuuriministeri\u00f6 ja Kela.\r\n

Alkuper\u00e4isjulkaisu:<\/strong><\/h4>\r\nSuominen TH, Edgren J, Salpakoski A, Kallinen M, Cervinka T, Rantalainen T, T\u00f6rm\u00e4kangas T, Heinonen A, Sipil\u00e4 S.\u00a0Physical function and lean body mass as predictors of bone loss after hip fracture: a prospective follow-up study<\/a>.\u00a0BMC Musculoskeletal Disorders (2020) 21:367. DOI: 10.1186\/s12891-020-03401-3\r\n

Lis\u00e4tietoja:<\/strong><\/h4>\r\nTohtorikoulutettava Tuuli Suominen, 040 805 4857, tuuli.suominen@jyu.fi\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>","_fi_post_name":"heikko-jalkojen-kunto-lisaa-lonkkamurtumapotilaiden-luukadon-riskia","_fi_post_excerpt":"","_fi_post_title":"Heikko jalkojen kunto lis\u00e4\u00e4 lonkkamurtumapotilaiden luukadon riski\u00e4","_en_post_content":"

Low physical function and low muscle mass after hip fracture increased the risk for accelerated bone deterioration in older hip fracture patients. Acknowledgement of the risk factors is important for bone health and overall recovery.<\/strong><\/h4>\r\n\u201cSubstantial decrements in physical function, muscle and bone strength occur after hip fracture, which markedly increase the risk for a subsequent fracture,\u201d says\u00a0Tuuli Suominen<\/strong>, a PhD student at the Gerontology Research Center, Faculty of Sport and Health Sciences at the University of Jyv\u00e4skyl\u00e4.\r\n\r\nPart of the bone loss is presumably caused by disuse, but the contributing factors have not been well characterized.\r\n\r\n\u201cA strong relationship exists between bone and muscle,\u201d adds Suominen. \u201cA low level of physical function may prevent effective loading of the bones and could be related to reduced bone-loading physical activity. Moreover, in older, often frail and undernourished hip fracture patients, higher muscle mass may also reflect better resources to cope with a prolonged catabolic state and the hip fracture-related stresses.\u201d\r\n\r\nAssociations of physical function and muscle mass with the accelerated posthip fracture bone loss were examined in a study by the Gerontology Research Center and Faculty of Sport and Health Sciences at the University of Jyv\u00e4skyl\u00e4, Finland. A total of 81 independently living men and women over the age of 60 who had been operated on for a hip fracture participated in the study.\r\n\r\nTibial bone properties were examined by computed tomography at baseline (on average 10 weeks after fracture) and after 12 months. Physical function at baseline was measured with perceived difficulty in walking outdoors and with the Short Physical Performance Battery (SPPB), which includes habitual walking speed, chair rise and standing balance tests. Lean body mass, assessed with bioelectrical impedance, was used as a measure of muscle mass.\r\n\r\nTibial bone density and strength declined during the year after the fracture, on the fractured as well as on the non-fractured side leg. A lower SPPB score, difficulty in walking outdoors and lower LBM predicted greater decline in bone density in both legs. A lower SPPB score and difficulty in walking outdoors were also associated with a greater decline in bone strength in both legs.\r\n\r\nOlder hip fracture patients with low physical function and lower muscle mass may be at risk for greater bone loss during the first post-fracture year. Acknowledgement of the risk factors could assist in developing interventions and care to promote bone health and overall recovery. Attention should be paid to physical function, muscle mass preservation and fall prevention before as well as after fracture occurrence.\r\n\r\nThe study was part of a larger research program aiming at promoting mobility recovery after hip fracture. The study was funded by the Ministry of Education and Culture and the Social Insurance Institution of Finland.\r\n

Original article:<\/strong><\/h4>\r\nSuominen TH, Edgren J, Salpakoski A, Kallinen M, Cervinka T, Rantalainen T, T\u00f6rm\u00e4kangas T, Heinonen A, Sipil\u00e4 S.\u00a0Physical function and lean body mass as predictors of bone loss after hip fracture: a prospective follow-up study.<\/a>\u00a0BMC Musculoskeletal Disorders. DOI : 10.1186\/s12891-020-03401-3\r\n

For further information:<\/strong><\/h4>\r\nTuuli Suominen, PhD student, tel. +35840 805 4857, tuuli.suominen@jyu.fi","_en_post_name":"low-physical-function-and-low-muscle-mass-increase-the-risk-for-accelerated-bone-loss-in-older-hip-fracture-patients","_en_post_excerpt":"","_en_post_title":"Low physical function and low muscle mass increase the risk for accelerated bone loss in older hip fracture patients","edit_language":"en","footnotes":""},"categories":[130],"tags":[336,334,335,315,305,138,139,332,330,226,209],"class_list":["post-7533","post","type-post","status-publish","format-standard","hentry","category-tiedeuutiset","tag-bone-loss","tag-hip-fracture","tag-hip-fracture-patient","tag-lihasmassa","tag-liikkumiskyky","tag-lonkkamurtuma","tag-lonkkamurtumapotilas","tag-luukato","tag-muscle-mass","tag-physical-function","tag-toimintakyky","entry","no-media"],"_links":{"self":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/posts\/7533","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/comments?post=7533"}],"version-history":[{"count":25,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/posts\/7533\/revisions"}],"predecessor-version":[{"id":7588,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/posts\/7533\/revisions\/7588"}],"wp:attachment":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/media?parent=7533"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/categories?post=7533"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/tags?post=7533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}