Objective To investigate the clinical relationship among sarcopenia(SP)and osteoporotic fractures(OF)in medium-elderly men patients.Methods Eighty-five patients among 50 to 70 years old with osteoporosis from February 2020 to February 2023 were enrolled in the study.Among them,64 patients were OF and 21 patients were non-OF(NOF).A total of 110 non-osteoporosis patients(NOP)who underwent physical examination in the same age group with the same exclusion criteria were selected as the control group.Appendicular skeletal muscle mass(ASM)was measured by dualenergy X-ray absorptiometry(DXA),and the appendicular skeletal muscle mass index(ASMI)was calculated.The daily walking speed was observed.Statistical software SPSS26.0 was used to process the data,and the results were recorded and analyzed.The correlation between SP and OF in medium-elderly men would be observed.Results The prevalence of SP in the OF group(71.88%)was higher than that in the NOF group(61.90%),and significantly higher than that in the NOP group(15.45%).The prevalence of OP(77.63%)in the SP group was significantly higher than that in the NOP group(22.37%),and the prevalence of OF(77.97%)was also significantly higher than in the NOF group(22.03%).The ASM,ASMI and the walking speed in the OP group were significantly lower than those in the NOP group.And besides,the ASM,ASMI and the walking speed in the OF group also were significantly lower than those in the NOF group,and the differences were statistically significant(P<0.05).Multivariate analysis showed that ASMI were independent risk factors of OF.Conclusion Middle aged and elderly male patients with SP are more prone to osteoporosis and OF.Preventing OF is very meaningful for improving the quality of life of patients and reducing the economic burden on families and society.
SarcopeniaOsteoporotic fracturesAppendicular skeletal muscle mass indexMedium-elderly men