{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T21:54:21Z","timestamp":1793224461147,"version":"4.5.0"},"reference-count":46,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,7,23]],"date-time":"2012-07-23T00:00:00Z","timestamp":1343001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:p><jats:bold>Aim:\u2003<\/jats:bold> Sarcopenia\u2010related falls and fractures are becoming an emerging problem as a result of rapid aging worldwide. We aimed to investigate the prevalence of sarcopenia by estimating the muscle mass of the arms and legs of patients with and without hip fracture.<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold> This cross\u2010sectional study examined 357 patients immediately after a hip fracture (the HF group) and in 2511 patients from an outpatient clinic who did not have a hip fracture (the NF group) at single institution in Japan. We carried out whole\u2010body dual energy X\u2010ray absorptiometry to analyze body composition with skeletal muscle mass index (SMI; lean mass\u2003\/\u2003height<jats:sup>2<\/jats:sup>) and bone mineral density (BMD). We carried out stepwise logistic regression analysis to determine the factors associated with a hip fracture.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold> Lower appendicular SMI (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001), leg SMI (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001), and higher prevalence of sarcopenia (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001) were observed in the HF group after controlling for age and sex. The arm SMI was similar in both groups (<jats:italic>P<\/jats:italic>\u2003&gt;\u20030.95). In multivariate analysis, the presence of sarcopenia, older age and lower BMD were associated with the occurrence of a hip fracture (OR 1.476, <jats:italic>P<\/jats:italic>\u2003=\u20030.002; OR 1.103, <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001; OR 0.082, <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001; respectively).<\/jats:p><jats:p><jats:bold>Conclusion:\u2003<\/jats:bold> This study showed a higher prevalence of sarcopenia and more reduced leg muscle mass in patients after a hip fracture than in the outclinic patients who did not have hip fractures. The results imply sarcopenia can be a risk factor for a hip fracture. <jats:bold>Geriatr Gerontol Int 2013; 13: 413\u2013420<\/jats:bold>.<\/jats:p>","DOI":"10.1111\/j.1447-0594.2012.00918.x","type":"journal-article","created":{"date-parts":[[2012,7,23]],"date-time":"2012-07-23T06:39:14Z","timestamp":1343025554000},"page":"413-420","source":"Crossref","is-referenced-by-count":141,"title":["High prevalence of sarcopenia and reduced leg muscle mass in Japanese patients immediately after a hip 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