{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T15:09:08Z","timestamp":1781968148860,"version":"3.54.5"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aims to examine the association between anterior thigh muscle thickness and the Barthel Index (BI) at discharge in older hip fracture patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single\u2010center prospective observational study was conducted at the Department of Orthopedic Surgery, Odawara Municipal Hospital (417 beds), Kanagawa, Japan. Patients aged \u2265\u200965\u2009years who underwent rehabilitation after surgical treatment between August 2023 and July 2024 were included. Anterior thigh muscle thickness, the sum of the rectus femoris and vastus intermedius, was measured within 3\u2009days post\u2010operatively on both sides via ultrasound and categorized into sex\u2010specific quartiles (Q1\u2013Q4). Logistic regression analysis was used to examine associations between quartiles (Q1\u2013Q3 vs. Q4) and the BI at discharge, adjusting for age, sex, body mass index, surgery waiting period, Hasegawa Dementia Scale\u2010Revised score, grip strength, prefracture walking aid use, energy intake ratio, and medications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 184 patients screened, 138 (mean age 83.9\u2009\u00b1\u20097.7\u2009years; BMI 20.4\u2009\u00b1\u20093.2\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) were analyzed. On the nonaffected side, the median (IQR) thickness was 9.7\u2009mm (4.3\u201313.2) in Q1 and 16.4\u2009mm (14.8\u201319.2) in Q3. Multivariable analysis revealed that, compared with Q4, Q1 (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u221221.141, 95% CI: \u221233.682 to \u22128.600,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and Q3 (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u221213.257, 95% CI: \u221225.211 to \u22121.303,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.030) significantly predicted lower BI scores at discharge. No significant associations were found for the affected side.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Lower nonaffected side muscle thickness is independently associated with functional status at discharge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70488","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T04:18:50Z","timestamp":1776917930000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A Low Anterior Thigh Muscle Thickness on the Nonaffected Side, but Not on the Affected Side, Predicts Lower Activities of Daily Living in Patients With Hip Fractures in Acute Care Settings"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7368-5234","authenticated-orcid":false,"given":"Ryunosuke","family":"Masuda","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Odawara Municipal Hospital  Odawara City Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuro","family":"Inoue","sequence":"additional","affiliation":[{"name":"Graduate School of Health and Welfare Niigata University of Health and Welfare  Niigata City Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyuki","family":"Oyama","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Odawara Municipal Hospital  Odawara City Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuya","family":"Ozawa","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Odawara Municipal Hospital  Odawara City Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoshi","family":"Shimoda","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Odawara Municipal Hospital  Odawara City Kanagawa Japan"},{"name":"Department of Rehabilitation Medicine Tokai University School of Medicine  Isehara City Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsuhiro","family":"Tsubaki","sequence":"additional","affiliation":[{"name":"Graduate School of Health and Welfare Niigata University of Health and Welfare  Niigata City Niigata 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