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Association Between Body Mass Index and Functional Outcomes in Elderly Patients with Extra-articular Distal Radius Fracture: A Prospective Observational Study.
Gutiérrez-Espinoza, Héctor; Olguín-Huerta, Cristian; Cuyul-Vásquez, Iván; Ríos-Riquelme, Mario; Valenzuela-Fuenzalida, Juan; Araya-Quintanilla, Felipe.
Afiliação
  • Gutiérrez-Espinoza H; Rehabilitation in Health Research Center, CIRES, University of the Americas, Echaurren Street 140, 3rd floor, Santiago, Chile.
  • Olguín-Huerta C; School of Health Sciences, Physiotherapy Department, Universidad Gabriela Mistral, Santiago, Chile.
  • Cuyul-Vásquez I; Rehabilitation in Health Research Center, CIRES, University of the Americas, Echaurren Street 140, 3rd floor, Santiago, Chile.
  • Ríos-Riquelme M; Departamento de Procesos Terapéuticos, Facultad de Ciencias de La Salud, Universidad Católica de Temuco, Temuco, Chile.
  • Valenzuela-Fuenzalida J; Sciences in Physical Activity Department, Universidad de Santiago, Libertador Bernardo O´Higgins Avenue 3363, Santiago, Chile.
  • Araya-Quintanilla F; Departamento de Morfología, Facultad de Medicina, Universidad Andrés Bello, Republica Avenue 259, Santiago, Chile.
Indian J Orthop ; 55(4): 1009-1014, 2021 Aug.
Article em En | MEDLINE | ID: mdl-34194659
INTRODUCTION: The association between body mass index (BMI) and functional outcomes is unknown in elderly individuals with distal radius fracture (DRF). OBJECTIVE: The aim of this study is to evaluate if there is association between BMI and functional outcomes in patients older than 60 years with DRF treated conservatively. MATERIALS AND METHODS: A prospective observational study was performed. A total of 228 patients with extra-articular DRF were prospectively recruited. All patients were categorized by their BMI as normal, overweight, or obese. Functional outcomes were assessed after cast removal and at 1-year follow-up. The Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH), and Patient-Rated Wrist Evaluation (PRWE) questionnaires were used to assess upper limb and wrist/hand function, respectively, while the Jamar Dynamometer was used to assess grip strength. RESULTS: Of the total number of patients, 184 were female (80.7%), 87 were overweight (38.2%), and 111 were obese (48.7%). After cast removal, the correlations between BMI and functional outcomes were DASH 0.06 (p = 0.578), PRWE 0.04 (p = 0.692), and grip strength - 0.02 (p = 0.763). At 1-year follow-up, the correlations were DASH 0.55 (p = 0.036), PRWE 0.32 (p = 0.041), and grip strength - 0.21 (p = 0.043). CONCLUSION: This study suggests that at 1-year follow-up, there was a low-to-moderate association between BMI and poor functional outcomes in elderly patients with extra-articular DRF treated conservatively. LEVEL OF EVIDENCE: Level IV, observational prospective study.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies / Risk_factors_studies Idioma: En Revista: Indian J Orthop Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Chile País de publicação: Suíça

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies / Risk_factors_studies Idioma: En Revista: Indian J Orthop Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Chile País de publicação: Suíça