Functional Recovery after Hip Fracture as a Function of Body Mass Index

Abstract

Aims

To evaluate the association between body mass index (BMI) and functional recovery among hip fracture patients discharged from rehabilitation.

Methods

We retrospectively analyzed data from patients in a orthogeriatric unit who were classified into four groups: underweight (BMI <18.5 kg/m²), normal weight (18.5 to <25), overweight (25 to 30), and obese (≥30). Functional recovery was assessed using the Agence Technique de l’Information et de l’Hospitalization (ATIH) motor autonomy instrument and the Groupe Iso Ressource (GIR) scale.

Results

Among 295 hip fracture patients, upon discharge, the ATIH and GIR scores improved. According to the ATIH score, 36% of the patients were very dependent on discharge (vs. 68% on admission). According to the GIR score, the corresponding values were 28% and 53%. There were no significant differences in functional recovery between BMI groups.

Conclusions

In hip fracture patients, functional scores improved during hospitalization but were not influenced by the BMI.

Keywords:

• femoral neck fracture
• rehabilitation unit
• nutrition
• activities of daily living

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.