Risk Factors of Frailty in Patients with Distal Radius Fractures

Abstract

AIM: The aim of this study was to determine risk factors for the incidence of frailty in patients with distal radius fractures (DRFs). METHODS: In total, 116 patients (mean age, 66.3 +/- 7.7 years) with DRFs were recruited. The participants were categorized into two groups, "frail" and "non-frail," according to the presence or absence of frailty, respectively. The areal bone mineral densities (aBMDs) of the total hip, femoral neck, and lumbar spine were measured using dual-energy x-ray absorptiometry. The participants' levels of resilience, depression, anxiety, nutritional intake, oral health-related quality of life, and social support were evaluated by self-reported questionnaires. The participants' grip strength, gait speed, number of teeth present in their oral cavities, circumference of their upper arms and calves, and serum levels of vitamin D were also assessed. RESULTS: The participants in the "frail" group seemed to have lower aBMDs and muscle function and mass than those in the "non-frail" group. There were significant differences in grip strength, calf circumference, gait speed, and aBMD of the total hip, femoral neck, and lumbar spine between the groups. There were also significant differences in the levels of resilience and depression between the groups. A multivariate logistic regression analyses demonstrated that levels of sarcopenia, malnutritional status, and aBMDs of the total hip and femoral neck had significant relationships with the development of frailty in patients with DRFs. CONCLUSIONS: An interdisciplinary approach involving the management of osteoporosis, sarcopenia, oral health, social relationships, and psychological support would be required for the proper management of DRF patients in preventing frailty.