BODY COMPOSITION, LEVEL OF PHYSICAL ACTIVITY AND COGNITIVE DYSFUNCTION IN PATIENTS WITH NEW LOW-ENERGY FRACTURES

D. Krutko, D. Isaenkova, R. Baskakova, S. Mazurenko

Research output: Chapter in Book/Report/Conference proceedingConference abstractsResearch

Abstract

Objectives: We assessed body composition, level of physical activityand cognitive dysfunction in patients with new low-energyfractures.Methods: The study group included 33 patients (28 women) withnew low-energy fracture. The average age was 75.7±12.6 y. Weassessed the level of physical activity, and MMSE (Mini-MentalState Examination) score. We performed bioelectrical impedanceanalysis to assess body composition.Results: The mean MMSE score was 20,8±8.4. 17 patients (52%)had MMSE score more or equal 24 (no dementia), 6 patients(18%) demonstrated mild dementia, 6 patients (18%) demonstratedmoderate dementia, and 4 patients (12%) showed severecognitive impairment. We assessed patients’ physical activitywith the original questionnaire, where 0 means bed-ridden levelof physical activity (2 patients, 6%), 1 means ambulatory withinown apartment/house (11 patients, 33%), 2 means ambulatoryto and from a shop/workplace (13 patients, 39%), 3 means dailywalking no <2 hours (4 patients, 12%), 4 means moderate physicalactivity daily (1 patient, 3%), 5 means vigorous physical activitymost days of the week (1 patient, 3%). We asked about the numberof spontaneous falls during the last year. The mean numberwas 2.1±2.8 (quartile 1 to quartile 3, 0.0-4.0). The weight meanwas 80.3±5.5 kg in men and 68.2±13.9 kg in women. The meanfat mass value was 20.5±9.7 kg. Fat free mass mean value was54.7±9.1 kg in men and 48.5±9.1 kg. Mean skeletal muscle massin men was 31.0±5.2 kg, mean skeletal muscle mass in womenwas 27.5±3.4 kg. There was no correlation between number offalls for the last year and level of physical activity of MMSE score.We found a negative correlation between the level of physical activityand number of falls for the last year (Rs=- 0.69; p<0.05).We couldn’t find any correlation between weight of different bodycompartments and the MMSE level, level of physical activity, andnumber of falls.Conclusion: Patients with new low-energy fractures demonstratedhigh prevalence of cognitive impairment and low level of physicalactivity. There was a significant correlation between the levelof physical activity and number of spontaneous falls.
Original languageEnglish
Title of host publicationWorld Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases
Subtitle of host publicationAbstractBook
Pages486
StatePublished - Apr 2019
EventWORLD CONGRESS ON OSTEOPOROSIS,
OSTEOARTHRITIS AND MUSCULOSKELETAL DISEASES
- Paris, France
Duration: 4 Apr 20197 Apr 2019

Conference

ConferenceWORLD CONGRESS ON OSTEOPOROSIS,
OSTEOARTHRITIS AND MUSCULOSKELETAL DISEASES
CountryFrance
CityParis
Period4/04/197/04/19

Scopus subject areas

  • Medicine(all)

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