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Association Between Body Mass Index and Functional Outcomes in Elderly Patients with Extra-articular Distal Radius Fracture: A Prospective Observational Study

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Abstract

Introduction

The association between body mass index (BMI) and functional outcomes is unknown in elderly individuals with distal radius fracture (DRF).

Objective

The aim of this study is to evaluate if there is association between BMI and functional outcomes in patients older than 60 years with DRF treated conservatively.

Materials and Methods

A prospective observational study was performed. A total of 228 patients with extra-articular DRF were prospectively recruited. All patients were categorized by their BMI as normal, overweight, or obese. Functional outcomes were assessed after cast removal and at 1-year follow-up. The Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH), and Patient-Rated Wrist Evaluation (PRWE) questionnaires were used to assess upper limb and wrist/hand function, respectively, while the Jamar Dynamometer was used to assess grip strength.

Results

Of the total number of patients, 184 were female (80.7%), 87 were overweight (38.2%), and 111 were obese (48.7%). After cast removal, the correlations between BMI and functional outcomes were DASH 0.06 (p = 0.578), PRWE 0.04 (p = 0.692), and grip strength − 0.02 (p = 0.763). At 1-year follow-up, the correlations were DASH 0.55 (p = 0.036), PRWE 0.32 (p = 0.041), and grip strength − 0.21 (p = 0.043).

Conclusion

This study suggests that at 1-year follow-up, there was a low-to-moderate association between BMI and poor functional outcomes in elderly patients with extra-articular DRF treated conservatively.

Level of Evidence

Level IV, observational prospective study.

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Funding

The authors received no financial support for the research, authorship, and/or publication of this article (Universidad de las Américas 4811).

Author information

Authors and Affiliations

  1. Rehabilitation in Health Research Center, CIRES, University of the Americas, Echaurren Street 140, 3rd floor, Santiago, Chile

    Héctor Gutiérrez-Espinoza, Cristian Olguín-Huerta & Felipe Araya-Quintanilla

  2. School of Health Sciences, Physiotherapy Department, Universidad Gabriela Mistral, Santiago, Chile

    Héctor Gutiérrez-Espinoza

  3. Departamento de Procesos Terapéuticos, Facultad de Ciencias de La Salud, Universidad Católica de Temuco, Temuco, Chile

    Iván Cuyul-Vásquez

  4. Sciences in Physical Activity Department, Universidad de Santiago, Libertador Bernardo O´Higgins Avenue 3363, Santiago, Chile

    Mario Ríos-Riquelme

  5. Departamento de Morfología, Facultad de Medicina, Universidad Andrés Bello, Republica Avenue 259, Santiago, Chile

    Juan Valenzuela-Fuenzalida

  6. Departamento de Ciencias Químicas y Biológicas, Facultad de Salud, Universidad Bernardo O’Higgins, Santiago, Chile

    Felipe Araya-Quintanilla

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  1. Héctor Gutiérrez-Espinoza
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  6. Felipe Araya-Quintanilla
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Contributions

HG-E, FA-Q, CO-H: study design. FA-Q, IC-V, MR-R: data collection and analysis. HG-E, FA-Q, CO-H, IC-V, MR-R, JV-F: manuscript preparation. HG-E, FA-Q, CO-H, IC-V, MR-R, JV-F: final approval.

Corresponding author

Correspondence to Felipe Araya-Quintanilla.

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Gutiérrez-Espinoza, H., Olguín-Huerta, C., Cuyul-Vásquez, I. et al. Association Between Body Mass Index and Functional Outcomes in Elderly Patients with Extra-articular Distal Radius Fracture: A Prospective Observational Study. JOIO 55, 1009–1014 (2021). https://doi.org/10.1007/s43465-021-00358-w

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  • DOI: https://doi.org/10.1007/s43465-021-00358-w

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