{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:09:20Z","timestamp":1792789760250,"version":"4.5.0"},"reference-count":30,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2024,6,29]],"date-time":"2024-06-29T00:00:00Z","timestamp":1719619200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Aichi Society for Physical Therapy to promote research","award":["24K20527"],"award-info":[{"award-number":["24K20527"]}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science Grant-in-Aid","doi-asserted-by":"publisher","award":["24K20527"],"award-info":[{"award-number":["24K20527"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>The outcome of total hip arthroplasty (THA) in patients with end-stage arthritis of the hip is associated with preoperative physical status. This study was performed to examine the relationship between the preoperative severity of sarcopenia and clinical outcomes after THA. This retrospective cohort study was performed among 306 consecutive patients (mean age: 63.7 \u00b1 12.9 years, 222 women) undergoing THA at a university hospital. The severity of sarcopenia was determined based on the skeletal muscle mass index (SMI), handgrip strength, and gait speed according to the criteria of the Asian Working Group for Sarcopenia 2019. The severe sarcopenia prevalence rate was 10.6%. Severe sarcopenia was significantly associated with the risk of delayed functional recovery (adjusted odds ratio, 2.82; 95% confidence interval, 1.03\u20137.72; p = 0.043) compared with the non-sarcopenia group after adjusting for pre-existing risk factors, including preoperative hip function and physical activity. The addition of SMI, handgrip strength, and gait speed to the model for risk of functional recovery delay significantly increased the area under the receiver operating characteristic curve (p = 0.038). Severe sarcopenia was significantly associated with poorer hip function and patient-reported outcomes at 6 months after surgery compared with the non-sarcopenia group. Severe sarcopenia was adversely associated with postoperative clinical outcomes in patients undergoing THA.<\/jats:p>","DOI":"10.3390\/nu16132085","type":"journal-article","created":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T04:53:27Z","timestamp":1719809607000},"page":"2085","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Preoperative Sarcopenia Severity and Clinical Outcomes after Total Hip Arthroplasty"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0077-9726","authenticated-orcid":false,"given":"Shinya","family":"Tanaka","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, Nagoya University Hospital, Nagoya 466-8560, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azusa","family":"Kayamoto","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Nagoya University Hospital, Nagoya 466-8560, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiaki","family":"Terai","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Nagoya University Hospital, Nagoya 466-8560, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5975-8014","authenticated-orcid":false,"given":"Shusuke","family":"Nojiri","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Nagoya University Hospital, Nagoya 466-8560, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Fugane","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Nagoya University Hospital, Nagoya 466-8560, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiro","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Nagoya University Hospital, Nagoya 466-8560, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoki","family":"Nagaya","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Nagoya University Hospital, Nagoya 466-8560, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masato","family":"Kako","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Toyota Memorial Hospital, Toyota 471-8513, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1324-6080","authenticated-orcid":false,"given":"Hiroki","family":"Iida","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Osawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiko","family":"Takegami","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7511-6388","authenticated-orcid":false,"given":"Yoshihiro","family":"Nishida","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Nagoya University Hospital, Nagoya 466-8560, Japan"},{"name":"Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,29]]},"reference":[{"key":"ref_1","first-page":"27","article-title":"Total hip arthroplasty: Areview of advances, advantages and limitations","volume":"8","author":"Liu","year":"2015","journal-title":"Int. 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