{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T05:24:17Z","timestamp":1791091457314,"version":"4.1.0"},"reference-count":58,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003500","name":"Universit\u00e0 degli Studi di Padova","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003500","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Geriatr Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Hip fractures (HF) in older adults are a major public health issue due to their high incidence and association with mortality and long-term disability. Simple bedside measures reflecting nutritional and muscular status\u2014such as handgrip strength (HGS), arm circumference, and calf circumference\u2014may help identify patients at higher risk of adverse outcomes. This study compared the predictive value of these parameters for 1-year mortality in older adults hospitalized for hip fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective study on 295 patients aged\u2009\u226565\u00a0years admitted for fragility HF at the Azienda Ospedale-Universit\u00e0 Padova. Demographic, clinical, and anthropometric data were collected at admission, along with a comprehensive geriatric assessment. Twelve-month mortality was the primary outcome. Prognostic value was assessed using ROC curves, Kaplan\u2013Meier analysis, and multivariable Cox regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At 12\u00a0months, mortality was higher among patients with low arm (27.1%) and calf circumference (28.8%) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008 and\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.010), while no difference was observed for HGS. ROC curve analysis showed that arm (AUC\u2009=\u20090.704,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and calf circumference (AUC\u2009=\u20090.634,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006) were associated with mortality, unlike HGS (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.307). Kaplan\u2013Meier survival analysis confirmed lower survival in patients with arm and calf circumference under 20th percentile, defined, respectively, low arm and calf (log-rank\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003 and\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02, respectively). In Cox models, low arm circumference remained independently associated with mortality across all adjustments (HR\u2009=\u20092.86; 95% CI 1.45\u20135.64;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002), whereas the association for calf circumference lost significance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Arm circumference is a simple, cost-effective, and reliable bedside tool to help identify older adults at increased risk of mortality after HF.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s41999-025-01364-z","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T13:04:45Z","timestamp":1764335085000},"page":"117-127","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Arm 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