Body mass index found not to be associated with metabolic indicators in patients with orthopedic trauma
Body mass index in patients with orthopedic trauma
DOI:
https://doi.org/10.12873/421bertelliPalavras-chave:
orthopedic trauma, body weight, body mass index, vitamin D and albumin.Resumo
Introduction: The relevance of the nutritional status in patients with orthopedic trauma (OT) has been enhanced in the literature.
Objective: This study compared overweight and obese patients with normal body weight patients and their relationship with nutritional and metabolic indicators.
Methods: Patients with OT (n=108) were investigated in a prospective study for body mass index (BMI) in relation to their calf circumference (CC), vitamin D and albumin serum levels.
The statistical analysis included the Chi-square or Fisher tests and the Mann-Whitney test and Spearman's linear correlation coefficient.
Results: There was no association between gender, type of fractured bone, laterality, smoking, diabetes, menopause, albumin and vitamin D and the two groups of patients classified by BMI. There was an association (p <0.0001) only with CC, with lower CC values in patients with normal body weight.
Conclusion: BMI was not associated with metabolic indicators in patients with OT
Referências
Acosta-Olivo C, Tamez-Mata Y, Elizondo-Rodriguez J, Rodriguez-Torres R, Diaz-Valadez A, Peña-Martinez V. Investigation of the association between the acute ankle injury caused by fall from own height and body mass index. J Foot Ankle Surg 2019; 58(2):288-90.
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F et al. Sarcopenia: European Consensus on definition and diagnosis: report of the European Working Group on Sarcopenia in Older People. Age Agein 2010; 39(4):412-23. Available from: http://www.ncbi.nlm.nih.govpmcarticlesPMC2886201.
Ferreira CES, Maeda SS, Batista MC, Lazaretti-Castro M, Vasconcellos, Miguel Madeira LS, Soares LM et al. Posicionamento Oficial da Sociedade Brasileira de Patologia Clínica/Medicina Laboratorial (SBPC/ML) e da Sociedade Brasileira de Endocrinologia e Metabologia (SBEM) – Intervalos de Referência da Vitamina D - 25(OH)D. Arq Bras Endocrinol Meta 2018; 53(6):377-81.
Gkastaris K, Goulis DG, Potoupnis M, Anastasilakis AD, Kapetanos G. Obesity, osteoporosis and bone metabolism. J Musculoskelet Neuronal Interact 2020; 20(3):372-381.
Gorter EA, Krijnen P, Schipper IB. Vitamin D deficiency in adult fracture patients: prevalence and risk factors. Eur J Trauma Emerg Surg 2016; 42(3):369-378.
Gorter EA, Krijnen P, Schipper IB. Vitamin D status and adult fracture healing. J Clin Orthop Trauma 2017; 8(1):34-37.
Holick MF, Binkley NC, Bischoff-Ferrari HÁ, Gordon CM, Hanley DA, Heaney RP et al. Clinical Practice Guideline: evaluation, treatment, and prevention of vitamin D deficiency: An Endocrine Society Clinical Pactice Guideline. J Clin Endocrinol Metab 2011; 96(7):1911-30.
Hood MA, Murtha YM, Rocca GJD, Starnnard JP, Volgas DA, Crist BD. Prevalence of low vitamin D levels in patients with orthopedic trauma. Am J Orthop 2016; 45(7):E522-E6.
Ihle C, Freude T, Bahrs C, Zehendner E, Braunsberger J, Biesalski HK, Lambert C, Stöckle U, Wintermeyer E, Grünwald J, Grünwald L, Ochs G, Flesch I, Nüssler A. Malnutrition - An underestimated factor in the inpatient treatment of traumatology and orthopedic patients: A prospective evaluation of 1055 patients. Injury 2017; 48(3):628-636.
King CM, Hamilton GA, Cobb M, Carpenter D, Ford LA. Association between ankle fractures and obesity. J Foot Ankle Surg 2012; 51(5):543-7.
Liu S, Zhu Y, Wang L, Chen W, Zhang X, Zhang Y. Incidence and risk factors for foot fractures in China: A retrospective population-based survey. PLoS One 2018; 13(12):e0209740.
Maeda SS, Borba VZC, Camargo MBR, Silva DMW, Borges JL, Cunha BF et al. Recommendations of the Brazilian Society of Endocrinology and Metabology (SBEM) for the diagnosis and treatment of hypovitaminosis D. Arq Bras Endocrinol Metab 2014; 58(5):411-33.
Mickle KJ, Steele JR. Obese older adults suffer foot pain and foot-related functional limitation. Gait Posture 2015; 42(4):442-7.
Nelson CL, Kamath AF, Elkassabany NM, Guo Z, Liu J. The serum albumin threshold for increased perioperative complications after total hip arthroplasty is 3.0 g/dL. Hip Int. 2019; 29(2):166-171.
Nut R, Brandi ML, Checchia G, Di Munno O, Dominguez L, Falaschi P et al. Guidelines for the management of osteoporosis and fragility fractures. Intern Emerg Med 2019; 14(1):85-102.
Organização Pan-Americana da Saúde. XXXVI Reunión del Comitê Asesor de Investigaciones en Salud: Encuesta Multicêntrica: Salud Beinestar y Envejecimeiento (SABE) en América Latina e el Caribe. 2001. Washington (DC): OPAS. Informe Preliminar.
Ravel R. Laboratório clínico: aplicações clínicas dos dados laboratoriais. 6. ed. 2011. Rio de Janeiro: Guanabara Koogan.
Sabharwal S, Root MZ.Impact of obesity on orthopaedics. J Bone Joint Surg Am 2012; 94(11):1045-52.
Smith JT, Halim K, Palms DA, Okike K, Bluman EM, Chiodo CP. Prevalence of vitamin D deficiency in patients with foot and ankle injuries. Foot Ankle Int 2014; 35(1):8-13.
Stavem K, Naumann MG, Sigurdsen U, Utvåg SE. Association of Body Mass Index With the Pattern of Surgically Treated Ankle Fractures Using Two Different Classification Systems. J Foot Ankle Surg 2017; 56(2):314-318.
Tanamas SK, Wluka AE, Berry P, Menz HB, Strauss BJ, Davies-Tuck M, Proietto J, Dixon JB, Jones G, Cicuttini FM. Relationship between obesity and foot pain and its association with fat mass, fat distribution, and muscle mass. Arthritis Care Res (Hoboken) 2012; 64(2):262-8.
Torbergsen AC, Watne LO, Frihagen F, Wyller TB, Mowè M. Effects of nutritional intervention upon bone turnover in elderly hip fracture patients. Randomized controlled trial. Clin Nutr ESPEN 2019; 29:52-58.
Walsh JS, Vilaca T. Obesity, Type 2 Diabetes and Bone in Adults. Calcif Tissue Int 2017; 100(5):528-535.
Williams BR, Thomas AJ, Collier RC, Boffeli TJ, Anderson SA. Vitamin D Levels Do Not Predict Risk of Metatarsal Fractures. Foot Ankle Spec 2018; 11(1):37-43.
World Health Organization. Obesity: preventing and managing the global epidemic. Geneva: WHO. 2000. Report of a WHO Consultation on obesity.
Wortsman J, Matsuoka LY, Chen TC, Lu Z, Holick MF. Decreased bioavailability of vitamin D in obesity. Am J Clin Nutr 2000;72(3):690-3.
Downloads
Publicado
Como Citar
Licença
Copyright (c) 2022 Nutrición Clínica y Dietética Hospitalaria
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los lectores pueden utilizar los textos publicados de acuerdo con la definición BOAI (Budapest Open Access Initiative)
