Aging Clinical and Experimental Research

, Volume 8, Issue 4, pp 282–286 | Cite as

Differences in body composition between female geriatric hip fracture patients and healthy controls: Body fat is more important as explanatory factor for the fracture than body weight and lean body mass

  • H. Galvard
  • S. Elmståhl
  • B. Elmståhl
  • S-M. Samuelsson
  • E. Robertsson
Original Article


Body weight and body composition change with advancing age. In elderly women, the loss of body weight is partially due to loss of body fat. We compared the body composition of 71 healthy female hip fracture patients and 51 controls. Body composition was estimated with an electrical impedance technique. The fracture patients had lower body weight, lean body mass, body fat, body fat percentage, body mass index and age than the control group. No significant differences were found between the different fracture groups, except for a higher mean age in patients with subtrochanteric fractures. Multivariate logistic regression analysis of body composition, body mass index, and age showed that the amount of body fat, when adjusted for age, had greater explanatory value for fracture, than body weight, lean body mass, and body mass index.

Key words

Body composition body fat case-control elderly women hip fracture 


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  1. 1.
    Cheng S., Suominen H., Heikkinen E.: Bone mineral density in relation to anthropometric properties, physical activity and smoking in 75 year old men and women. Aging Clin. Exp. Res. 5: 55–62, 1993.CrossRefGoogle Scholar
  2. 2.
    Steen B., Isaksson B., Svanborg A.: Body composition at 70, 75, 79, and 81. A longitudinal population study. In: Chandra R.K., (Ed.), Nutrition, immunity and illness in the elderly. Pergamon press, New York, 1985, pp. 49–52.Google Scholar
  3. 3.
    May H., Murphy S., Khaw K-T.: Age associated bone loss in men and women and its relationship to weight. Age Ageing 23: 235–240, 1994.PubMedCrossRefGoogle Scholar
  4. 4.
    Elmståhl S., Gärdsell P., Ringsberg K., Sernbo I.: Body composition and its relation to bone mass and fractures in an urban and rural population. Aging Clin. Exp. Res. 5: 47–54, 1993.CrossRefGoogle Scholar
  5. 5.
    Aloia J.F., Vaswani A.N., Seeman E., Yeh J.K., Ross P., Ellis K., Cohn S.H.: Determinants of bone mass in postmenopausal women. Arch. Intern. Med. 143: 1700–1704, 1983.PubMedCrossRefGoogle Scholar
  6. 6.
    Ribot C., Tremollieres F., Pouilles M.J., Bonneau M., Jeanmaire F., Louvet J.P.: Obesity and postmenopausal bone loss: the influence of obesity on vertebral density and bone turnover in postmenopausal women. Bone 8: 327–331, 1988.CrossRefGoogle Scholar
  7. 7.
    Doyle F., Brown L., La Chance C.: Relation between bone mass and muscle weight. Lancet I: 391–393, 1970.CrossRefGoogle Scholar
  8. 8.
    Östberg H., Gärdsell P., Elmståhl S.: Bone mass, body composition, postmenopausal bone fractures and health in women at the time of occupational retirement. Eur. J. Gerontol. 2: 5–12, 1993.Google Scholar
  9. 9.
    Galvard H., Samuelsson S-M.: Orthopedic or geriatric rehabilitation of hip fracture patients: A randomized prospective clinically controlled investigation in Malmö, Sweden. Aging Clin. Exp. Res. 7: 11–16, 1995.CrossRefGoogle Scholar
  10. 10.
    Lukaski H.C., Johnson P.E., Bolonchuk W.W., Lykken G.E.: Assessment of fat free mass using bioelectrical impedance measurements of the human body. Am. J. Clin. Nutr. 41: 810–817, 1985.PubMedGoogle Scholar
  11. 11.
    Steen B., Boseus I., Elmståhl S., Galvard H., Isaksson B., Robertsson E.: Body composition in the elderly estimated with an electrical impedance method. Compr. Gerontol. A 1: 102–105, 1987.Google Scholar
  12. 12.
    Wootton R., Bryson E., Elsasser U., Freeman H., Green J. R., Hesp R., Hudson E. A., Klenerman L., Smith T., Zanelli J.: Risk factors for fractured neck of femur in the elderly. Age Ageing 11: 160–168, 1982.PubMedCrossRefGoogle Scholar
  13. 13.
    Glauber H.S., Vollmer W.M., Nevitt M.C., Ensrud K.E., Orwoll E.S.: Body weight versus body fat distribution, adiposity, and frame size as predictors of bone density. J. Clin. Endocrinol. Metab. 80: 1118–1123, 1995.PubMedGoogle Scholar
  14. 14.
    Gärdsell P., Johnell O., Nilsson B.: Predicting fractures in women by using forearm bone densitometry. Calcif. Tissue Int. 44: 235–242, 1989.PubMedCrossRefGoogle Scholar
  15. 15.
    Riggs B.L., Wahner H.W., Seeman E.: Changes in bone mineral density of the proximal femur and spine with aging: Differences between the postmenopausal and senile oste-oporosis syndromes. J. Clin. Invest. 70: 716–723, 1982.PubMedCentralPubMedCrossRefGoogle Scholar
  16. 16.
    Cooper C., Barker D.J.P., Morris J., Briggs R.S.J.: Osteoporosis, falls, and age in fracture of the proximal femur. BMJ 295: 13–14, 1987.PubMedCrossRefGoogle Scholar
  17. 17.
    Eriksson S.A.V., Lindgren J.V.: Outcome of falls in women: Endogenous factors associated with fracture. Age Ageing 17: 361–364, 1989.Google Scholar
  18. 18.
    Boyce W. J., Vessey M.P.: Osteoporosis, falls and age in fracture of the proximal femur. BMJ 295: 444–445, 1987.CrossRefGoogle Scholar
  19. 19.
    Lauritzen J.B., Petersen M.M., Lund B.: Effect of external hip protectors on hip fractures. Lancet 341: 11–13, 1993.PubMedCrossRefGoogle Scholar
  20. 20.
    Melton L.J. III, Atkinson E.J., O’Fallon W.M., Wahner H.W., Riggs B.L.: Long-term fracture prediction by bone mineral assessed at different skeletal sites. J. Bone Min. Res. 8: 1227–1233, 1993.CrossRefGoogle Scholar
  21. 21.
    Greenspan S.L., Myers E.R., Maitland L.A., Kido T.H., Krasnow M.B., Hayes W.C.: Trochanteric bone mineral density is associated with type of hip fracture in the elderly. J. Bone Min. Res. 9: 1889–1893, 1994.CrossRefGoogle Scholar

Copyright information

© Springer Internal Publishing Switzerland 1996

Authors and Affiliations

  • H. Galvard
    • 1
  • S. Elmståhl
    • 1
  • B. Elmståhl
    • 2
  • S-M. Samuelsson
    • 1
  • E. Robertsson
    • 1
  1. 1.Department of Community Medicine, Section of Geriatric MedicineUniversity of Lund, Värnhem HospitalMalmöSweden
  2. 2.Diagnostic RadiologyLund University, Malmö University HospitalMalmöSweden

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