| Objective To determine the prevalence of sarcopenia according to fracture sites and to evaluate the associated risk factors in female patients with osteoporotic fractures. Methods A total of 112 patients aged 50 years or older with an osteoporotic fracture (hip, spine, or wrist) were enrolled in this study. A diagnosis of sarcopenia was confirmed using whole-body densitometry for skeletal muscle mass measurement. Logistic regression analysis was used to analyze the risk factors for sarcopenia. Results Of 112 female patients treated for osteoporotic fractures between April 2015 and August 2017, sarcopenia was diagnosed in 42 cases (37.5%). Among those, 41.8% (18/43) had hip fractures, 36.7% (15/41) had spine fractures, and 32.1.6% (9/28) had distal radius fractures. Body mass index (BMI; P=0.005) and prevalence of chronic kidney disease (CKD; P=0.002) and rheumatoid arthritis (P=0.001) were significantly different between the groups. In multivariable analysis, BMI, CKD, and RA were associated with an increased risk of sarcopenia, and there were statistically significant differences (P<0.05). Conclusion This study evaluated the prevalence of sarcopenia according to the fracture site and identified associated risk factors such as BMI, CKD, and RA in patients with osteoporotic fractures. |