Change of body composition, physical strength, and nutritional status of patients with mandibular fractures.

Hino, Shunsuke; Yamada, Miki; Iijima, Yosuke; Ohmuro, Miki; Araki, Ryuichiro; Kaneko, Takahiro; Odaka, Akio; Iizuka, Tateyuki; Horie, Norio (2021). Change of body composition, physical strength, and nutritional status of patients with mandibular fractures. Journal of cranio-maxillo-facial surgery, 49(4), pp. 292-297. Elsevier 10.1016/j.jcms.2021.01.023

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The aim was to determine changes in various parameters indicating physical conditions and nutritional status of patients during surgical and conservative treatment of mandibular fractures. A round by a nutrition support team was done once postoperatively for the surgical treatment group. For the conservative treatment group, three rounds were performed during the period of intermaxillary fixation. Data obtained from the rounds were compared between the groups. There were 29 patients surgically and 30 patients conservatively treated. A significant weight loss was observed in both groups postoperatively. The mean weight loss of the surgical treatment group measured at the postoperative round was 1.73 kg (SD ± 1.78) (P < 0.001) and that of the conservative treatment group at the third round was 2.74 kg (SD ± 2.35) (P < 0.001). During the entire treatment period, weight loss, body fat percentage, skeletal muscle percentage, grip strength and parameters indicating body composition and nutritional status of the conservative treatment group did not substantially differ from those of the surgical group. The influence of the conservative procedure on the nutritional condition of the patients seems to be limited and reversible at the end of the treatment. The weight loss observed here suggests that systematic nutrition support is necessary during both surgical and conservative treatment.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery

UniBE Contributor:

Iizuka, Tateyuki

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1010-5182

Publisher:

Elsevier

Language:

English

Submitter:

Caroline Dominique Zürcher

Date Deposited:

25 Jan 2022 10:36

Last Modified:

05 Dec 2022 16:00

Publisher DOI:

10.1016/j.jcms.2021.01.023

PubMed ID:

33589334

Uncontrolled Keywords:

Body composition Grip strength Mandibular fracture Nutritional status Serum data

BORIS DOI:

10.48350/163517

URI:

https://boris.unibe.ch/id/eprint/163517

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