The Trochanteric Localization is a Mediator of Slower Short-Term Functional Recovery in Overweight and Obese Elderly Women with Recent Hip Fracture: The BREAK Study

Verfasser / Beitragende:
[Stefano Gonnelli, Carla Caffarelli, Stefania Rossi, Paola Siviero, Stefania Maggi, Gaetano Crepaldi, Ranuccio Nuti]
Ort, Verlag, Jahr:
2015
Enthalten in:
Calcified Tissue International, 97/6(2015-12-01), 560-567
Format:
Artikel (online)
ID: 605520496
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024 7 0 |a 10.1007/s00223-015-0049-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00223-015-0049-7 
245 0 4 |a The Trochanteric Localization is a Mediator of Slower Short-Term Functional Recovery in Overweight and Obese Elderly Women with Recent Hip Fracture: The BREAK Study  |h [Elektronische Daten]  |c [Stefano Gonnelli, Carla Caffarelli, Stefania Rossi, Paola Siviero, Stefania Maggi, Gaetano Crepaldi, Ranuccio Nuti] 
520 3 |a Abstracts: The hypothesis tested in this study, carried out on elderly Italian women with recent hip fracture, was to assess the extent to which the effect of a condition of being overweight/obese on short-term functional recovery as evaluated by the "time to permitted load” could be explained by a mediator variable (type of hip fracture). We studied 727 women aged 60years or over with a recent low trauma surgically treated hip fracture and for whom an information on post-surgery complications and on the time to permitted load was available. To assess for mediation, the statistical analyses were carried out following the procedure described by Baron and Kenny. In this study, 46% of women with hip fracture presented a time to permitted load of ≥10days. The women with a post-surgery time to permitted load of ≥10days showed a significantly higher proportion of trochanteric fracture localization (72.1 vs 42%), of total overweight/obesity (46.5 vs 36.8%) and of post-surgery complications (38.8 vs 18.8%). The mediating effect of hip fracture localization on the association between overweight/obesity and the time of permitted load was demonstrated and confirmed in a multivariate logistic regression model. This study, carried out using a "mediator” statistical analysis, suggests that in elderly women with hip fracture being overweight/obese is associated with a slower short-term functional recovery as evaluated by the time to permitted load and that this association is mediated by the trochanteric localization of hip fracture. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Hip fracture  |2 nationallicence 
690 7 |a Trochanteric fracture  |2 nationallicence 
690 7 |a Mediation analysis  |2 nationallicence 
690 7 |a Overweight  |2 nationallicence 
690 7 |a Obesity  |2 nationallicence 
690 7 |a Permitted load  |2 nationallicence 
700 1 |a Gonnelli  |D Stefano  |u Department of Medicine, Surgery and Neurosciences, University of Siena, Policlinico Le Scotte, Viale Bracci 2, 53100, Siena, Italy  |4 aut 
700 1 |a Caffarelli  |D Carla  |u Department of Medicine, Surgery and Neurosciences, University of Siena, Policlinico Le Scotte, Viale Bracci 2, 53100, Siena, Italy  |4 aut 
700 1 |a Rossi  |D Stefania  |u Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy  |4 aut 
700 1 |a Siviero  |D Paola  |u CNR Aging Branch, Institute of Neuroscience, Padua, Italy  |4 aut 
700 1 |a Maggi  |D Stefania  |u CNR Aging Branch, Institute of Neuroscience, Padua, Italy  |4 aut 
700 1 |a Crepaldi  |D Gaetano  |u CNR Aging Branch, Institute of Neuroscience, Padua, Italy  |4 aut 
700 1 |a Nuti  |D Ranuccio  |u Department of Medicine, Surgery and Neurosciences, University of Siena, Policlinico Le Scotte, Viale Bracci 2, 53100, Siena, Italy  |4 aut 
773 0 |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 97/6(2015-12-01), 560-567  |x 0171-967X  |q 97:6<560  |1 2015  |2 97  |o 223 
856 4 0 |u https://doi.org/10.1007/s00223-015-0049-7  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00223-015-0049-7  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gonnelli  |D Stefano  |u Department of Medicine, Surgery and Neurosciences, University of Siena, Policlinico Le Scotte, Viale Bracci 2, 53100, Siena, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Caffarelli  |D Carla  |u Department of Medicine, Surgery and Neurosciences, University of Siena, Policlinico Le Scotte, Viale Bracci 2, 53100, Siena, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rossi  |D Stefania  |u Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Siviero  |D Paola  |u CNR Aging Branch, Institute of Neuroscience, Padua, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Maggi  |D Stefania  |u CNR Aging Branch, Institute of Neuroscience, Padua, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Crepaldi  |D Gaetano  |u CNR Aging Branch, Institute of Neuroscience, Padua, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nuti  |D Ranuccio  |u Department of Medicine, Surgery and Neurosciences, University of Siena, Policlinico Le Scotte, Viale Bracci 2, 53100, Siena, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 97/6(2015-12-01), 560-567  |x 0171-967X  |q 97:6<560  |1 2015  |2 97  |o 223