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April 26, 2026Frontiers in Medicine2 citationsOpen Access

Postoperative sarcopenia in older patients with hip fractures: incidence and associated risk factors in a retrospective cohort study

HYHang YinCQChao QinQTQi Tang

Key Points

  • This study aims to investigate the incidence and risk factors for postoperative sarcopenia in older patients with hip fractures.
  • Retrospective cohort study of 325 older patients with hip fractures admitted for surgery.
  • Identified risk factors for sarcopenia through multivariate regression analysis.
  • Evaluated multiple variables including age, education levels, and masticatory function.
  • 264 out of 325 patients (81.23%) were at risk for postoperative sarcopenia.
  • Significant differences were found in age, education, ADL scores, and masticatory function (p<0.05).
  • Age and ADL scores were identified as independent risk factors for sarcopenia.

Abstract

Objective Sarcopenia significantly impacts the quality of life in older adults. Given the lack of large-scale studies on risk factors for postoperative sarcopenia in older hip fracture patients, this study investigated its incidence and associated risk factors. Materials and methods This retrospective study enrolled older patients who were admitted for surgical treatment of hip fractures. Results Out of the 325 enrolled patients, 264 (81.23%) were identified as being at risk for postoperative sarcopenia. The average sarcopenia score was 5.01 ± 1.61. Significant differences ( p 0.05) were observed across age, marital status, education levels, living arrangements, exercise habits, masticatory function, the number of chronic diseases, albumin levels, and activities of daily living (ADL) scores. Multivariate regression analysis identified age, education levels, activities of daily living (ADL) scores, and masticatory function as independent risk factors for sarcopenia. Conclusion This study identified several risk factors for sarcopenia following hip fracture surgery in older adults, providing a basis for targeted clinical interventions to mitigate postoperative muscle loss.

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Cite This Study

Yin et al. (2026) studied this question.

synapsesocial.com/papers/69edaafc4a46254e215b32edhttps://doi.org/10.3389/fmed.2026.1766120
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