{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T02:25:49Z","timestamp":1779416749708,"version":"3.53.1"},"reference-count":40,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100030815","name":"Otsuka Pharmaceutical Factory","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100030815","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","clinicalnutritionespen.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Nutrition ESPEN"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.clnesp.2026.103115","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T17:15:10Z","timestamp":1773422110000},"page":"103115","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Prognostic significance of body mass index in hip fracture hospitalizations: A nationwide database study"],"prefix":"10.1016","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7239-9009","authenticated-orcid":false,"given":"Araki","family":"Saito","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuria","family":"Ishida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuro","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumiya","family":"Kawase","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayano","family":"Nagano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenta","family":"Murotani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7132-7818","authenticated-orcid":false,"given":"Keisuke","family":"Maeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.clnesp.2026.103115_bib1","doi-asserted-by":"crossref","DOI":"10.1186\/s10195-023-00715-5","article-title":"Factors associated with mortality after proximal femoral fracture","volume":"24","author":"Walter","year":"2023","journal-title":"J Orthop Traumatol"},{"key":"10.1016\/j.clnesp.2026.103115_bib2","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1111\/j.1447-0594.2012.00904.x","article-title":"More than half of hip fracture patients do not regain mobility in the first postoperative year","volume":"13","author":"Vochteloo","year":"2013","journal-title":"Geriatr Gerontol Int"},{"key":"10.1016\/j.clnesp.2026.103115_bib3","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1002\/jbmr.4881","article-title":"Hip fractures and aging: a global problem requiring coordinated global solutions","volume":"38","author":"Ebeling","year":"2023","journal-title":"J Bone Miner Res"},{"key":"10.1016\/j.clnesp.2026.103115_bib4","doi-asserted-by":"crossref","DOI":"10.1007\/s11657-022-01096-8","article-title":"Medical expenditures for fragility hip fracture in Japan: a study using the nationwide health insurance claims database","volume":"17","author":"Mori","year":"2022","journal-title":"Arch Osteoporosis"},{"key":"10.1016\/j.clnesp.2026.103115_bib5","doi-asserted-by":"crossref","DOI":"10.1007\/s11657-018-0448-2","article-title":"Estimated expenditures for hip fractures using merged healthcare insurance data for individuals aged \u2265 75 years and long-term care insurance claims data in Japan","volume":"13","author":"Mori","year":"2018","journal-title":"Arch Osteoporosis"},{"key":"10.1016\/j.clnesp.2026.103115_bib6","article-title":"Mortality following proximal femoral fractures in elderly patients: a large retrospective cohort study of incidence and risk factors","volume":"24","author":"Baghdadi","year":"2023","journal-title":"BMC Muscoskelet Disord"},{"key":"10.1016\/j.clnesp.2026.103115_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.injury.2025.112176","article-title":"High mortality among elderly with surgical treated femoral fracture in comparison to other surgical treated lower extremity fractures. A population-based register study from the Danish national patient registry","volume":"56","author":"Larsen","year":"2025","journal-title":"Injury"},{"key":"10.1016\/j.clnesp.2026.103115_bib8","article-title":"Effects of body mass index on mortality in elderly patients with hip fractures","volume":"103","author":"Park","year":"2024","journal-title":"Medicine (United States)"},{"key":"10.1016\/j.clnesp.2026.103115_bib9","doi-asserted-by":"crossref","DOI":"10.1007\/s11657-023-01293-z","article-title":"Risk factors for mortality after hip fracture surgery in Japan using the national database of health insurance claims and specific health checkups of Japan","volume":"18","author":"Nishimura","year":"2023","journal-title":"Arch Osteoporosis"},{"key":"10.1016\/j.clnesp.2026.103115_bib10","doi-asserted-by":"crossref","first-page":"1291","DOI":"10.1016\/j.jos.2021.07.015","article-title":"Patient body mass index modifies the association between waiting time for hip fracture surgery and in-hospital mortality: a multicenter retrospective cohort study","volume":"27","author":"Ogawa","year":"2022","journal-title":"J Orthop Sci"},{"key":"10.1016\/j.clnesp.2026.103115_bib11","first-page":"377","article-title":"Management of proximal femoral fractures","volume":"76","author":"Viru","year":"2022","journal-title":"Proc Latv Acad Sci Sect B Nat Exact Appl Sci"},{"key":"10.1016\/j.clnesp.2026.103115_bib12","doi-asserted-by":"crossref","first-page":"2231","DOI":"10.1359\/jbmr.2003.18.12.2231","article-title":"Gender differences in mortality after hip fracture: the role of infection","volume":"18","author":"Wehren","year":"2003","journal-title":"J Bone Miner Res"},{"key":"10.1016\/j.clnesp.2026.103115_bib13","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.archger.2014.10.020","article-title":"Dependence for basic and instrumental activities of daily living after hip fractures","volume":"60","author":"Gonz\u00e1lez-Zabaleta","year":"2015","journal-title":"Arch Gerontol Geriatr"},{"key":"10.1016\/j.clnesp.2026.103115_bib14","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0212000","article-title":"The use of Barthel index for the assessment of the functional recovery after osteoporotic hip fracture: one year follow-up","volume":"14","author":"Mayoral","year":"2019","journal-title":"PLoS One"},{"key":"10.1016\/j.clnesp.2026.103115_bib15","doi-asserted-by":"crossref","DOI":"10.3390\/nu10050555","article-title":"Nutritional status and nutritional treatment are related to outcomes and mortality in older adults with hip fracture","volume":"10","author":"Malafarina","year":"2018","journal-title":"Nutrients"},{"key":"10.1016\/j.clnesp.2026.103115_bib16","article-title":"Post-surgery interventions for hip fracture: a systematic review of randomized controlled trials","volume":"24","author":"Phang","year":"2023","journal-title":"BMC Muscoskelet Disord"},{"key":"10.1016\/j.clnesp.2026.103115_bib17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.clnu.2018.08.002","article-title":"GLIM criteria for the diagnosis of malnutrition \u2013 a consensus report from the global clinical nutrition community","volume":"38","author":"Cederholm","year":"2019","journal-title":"Clin Nutr"},{"key":"10.1016\/j.clnesp.2026.103115_bib18","doi-asserted-by":"crossref","first-page":"171","DOI":"10.4235\/agmr.23.0213","article-title":"Predicting mortality risks using body mass index and weight loss at admission in patients with heart failure","volume":"28","author":"Ishida","year":"2024","journal-title":"Ann Geriatr Med Res"},{"key":"10.1016\/j.clnesp.2026.103115_bib19","doi-asserted-by":"crossref","DOI":"10.1016\/j.nut.2023.112152","article-title":"Association of body mass index and weight change with death in patients with advanced cancer","volume":"115","author":"Ishida","year":"2023","journal-title":"Nutrition"},{"key":"10.1016\/j.clnesp.2026.103115_bib20","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1002\/jpen.1708","article-title":"Does low body mass index predict mortality in Asian hospitalized patients?","volume":"44","author":"Xue","year":"2020","journal-title":"J Parenter Enteral Nutr"},{"key":"10.1016\/j.clnesp.2026.103115_bib21","article-title":"Relationship of body mass index on activities of daily living in hospitalized patients with chronic obstructive pulmonary disease","volume":"81","author":"Tomohara-Ichishima","year":"2022","journal-title":"Respir Med Res"},{"key":"10.1016\/j.clnesp.2026.103115_bib22","doi-asserted-by":"crossref","DOI":"10.1186\/s12877-024-04733-8","article-title":"Patients risk for mortality at 90 days after proximal femur fracture \u2013 a retrospective study in a tertiary care hospital","volume":"24","author":"Postler","year":"2024","journal-title":"BMC Geriatr"},{"key":"10.1016\/j.clnesp.2026.103115_bib23","doi-asserted-by":"crossref","first-page":"4793","DOI":"10.1007\/s00402-023-04787-0","article-title":"Obese elderly patients with hip fractures may have better survival outcomes after surgery","volume":"143","author":"Wang","year":"2023","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.clnesp.2026.103115_bib24","doi-asserted-by":"crossref","DOI":"10.1016\/j.archger.2020.104009","article-title":"Body mass index and recovery of activities of daily living in older patients with femoral fracture: an analysis of a national inpatient database in Japan","volume":"87","author":"Nishioka","year":"2020","journal-title":"Arch Gerontol Geriatr"},{"key":"10.1016\/j.clnesp.2026.103115_bib25","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1002\/jgf2.367","article-title":"Data resource profile: JMDC claims databases sourced from medical institutions","volume":"21","author":"Nagai","year":"2020","journal-title":"J Gen Fam Med"},{"key":"10.1016\/j.clnesp.2026.103115_bib26","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/S0140-6736(03)15268-3","article-title":"Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies","volume":"363","author":"Nishida","year":"2004","journal-title":"Lancet"},{"key":"10.1016\/j.clnesp.2026.103115_bib27","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1093\/aje\/kwq433","article-title":"Updating and validating the charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries","volume":"173","author":"Quan","year":"2011","journal-title":"Am J Epidemiol"},{"key":"10.1016\/j.clnesp.2026.103115_bib28","first-page":"61","article-title":"Functional evaluation: the Barthel index","volume":"14","author":"Mahoney","year":"1965","journal-title":"Md State Med J"},{"key":"10.1016\/j.clnesp.2026.103115_bib29","first-page":"1198","volume":"vol. 83","author":"Little","year":"1988"},{"key":"10.1016\/j.clnesp.2026.103115_bib30","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1080\/13645579.2022.2049509","article-title":"Testing the missingness mechanism in longitudinal surveys: a case study using the health and retirement study","volume":"26","author":"Lu","year":"2023","journal-title":"Int J Soc Res Methodol"},{"key":"10.1016\/j.clnesp.2026.103115_bib31","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1080\/07853890.2018.1511918","article-title":"Implications of low muscle mass across the continuum of care: a narrative review","volume":"50","author":"Prado","year":"2018","journal-title":"Ann Med"},{"key":"10.1016\/j.clnesp.2026.103115_bib32","doi-asserted-by":"crossref","first-page":"1868","DOI":"10.1111\/febs.17302","article-title":"From fat storage to immune hubs: the emerging role of adipocytes in coordinating the immune response to infection","volume":"292","author":"Sinton","year":"2025","journal-title":"FEBS J"},{"key":"10.1016\/j.clnesp.2026.103115_bib33","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.nut.2018.11.005","article-title":"Sarcopenia is associated with worse recovery of physical function and dysphagia and a lower rate of home discharge in Japanese hospitalized adults undergoing convalescent rehabilitation","volume":"61","author":"Yoshimura","year":"2019","journal-title":"Nutrition"},{"key":"10.1016\/j.clnesp.2026.103115_bib34","doi-asserted-by":"crossref","DOI":"10.1016\/j.nut.2020.110928","article-title":"Using GLIM criteria, cutoff value for low BMI in Asian populations discriminates high or low muscle mass: a cross-sectional study","volume":"81","author":"Akazawa","year":"2021","journal-title":"Nutrition"},{"key":"10.1016\/j.clnesp.2026.103115_bib35","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.nut.2016.10.002","article-title":"Prevalence of low muscle mass according to body mass index in older adults","volume":"34","author":"Graf","year":"2017","journal-title":"Nutrition"},{"key":"10.1016\/j.clnesp.2026.103115_bib36","article-title":"Low muscle mass affect hip fracture treatment outcomes in older individuals: a single-institution case-control study","volume":"22","author":"Iida","year":"2021","journal-title":"BMC Muscoskelet Disord"},{"key":"10.1016\/j.clnesp.2026.103115_bib37","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1016\/j.jamda.2016.04.019","article-title":"Skeletal muscle regulates metabolism via interorgan crosstalk: roles in health and disease","volume":"17","author":"Argil\u00e9s","year":"2016","journal-title":"J Am Med Dir Assoc"},{"key":"10.1016\/j.clnesp.2026.103115_bib38","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1159\/000517345","article-title":"Impact of excess body weight on postsurgical complications","volume":"37","author":"Plassmeier","year":"2021","journal-title":"Visc Med"},{"key":"10.1016\/j.clnesp.2026.103115_bib39","doi-asserted-by":"crossref","first-page":"888","DOI":"10.2106\/JBJS.18.01249","article-title":"Obesity paradox holds true for patients with hip fracture: a registry-based cohort study","volume":"101","author":"Modig","year":"2019","journal-title":"J Bone Joint Surg"},{"issue":"7549","key":"10.1016\/j.clnesp.2026.103115_bib40","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1136\/bmj.332.7549.1080","article-title":"Statistics notes the cost of dichotomising continuous variables","volume":"332","author":"Altman","year":"2006","journal-title":"Br Med J"}],"container-title":["Clinical Nutrition ESPEN"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405457726002111?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405457726002111?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T01:39:53Z","timestamp":1779413993000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2405457726002111"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":40,"alternative-id":["S2405457726002111"],"URL":"https:\/\/doi.org\/10.1016\/j.clnesp.2026.103115","relation":{},"ISSN":["2405-4577"],"issn-type":[{"value":"2405-4577","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prognostic significance of body mass index in hip fracture hospitalizations: A nationwide database study","name":"articletitle","label":"Article Title"},{"value":"Clinical Nutrition ESPEN","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clnesp.2026.103115","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"103115"}}