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Related Concept Videos

Fractures: Bone Repair01:27

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Pseudofracture: An Acute Peripheral Tissue Trauma Model
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Food Insecurity Is Common in the Orthopaedic Trauma Population.

Michael C Willey1, Erin C Owen, Lisa Reider

  • 1From the Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA (Willey, Miller, Temperly, Martin, Leary, Marsh, and Glass), Slocum Research and Education Foundation, Eugene, OR (Owen, Fitzpatrick, and Kirkpatrick), the Department of Health Policy and Management, Johns Hopkins Bloomberg school of Public Health, Baltimore, MD (Reider), and the Department of Orthopedic Surgery, Vanderbilt University Medical Center, Nashville, TN (Trochez, Wrenn, and Ponce).

The Journal of the American Academy of Orthopaedic Surgeons
|January 30, 2025
PubMed
Summary
This summary is machine-generated.

Food insecurity affects 11.5% of orthopaedic trauma patients, linked to lower diet quality. Interventions like nutrition support can improve healing outcomes for these patients.

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Area of Science:

  • Orthopaedic Surgery
  • Nutritional Science
  • Public Health

Background:

  • Food insecurity, defined as limited access to adequate food, is a significant concern in surgical populations.
  • It is associated with impaired wound healing and poorer recovery outcomes.
  • This study investigates its prevalence and risk factors within orthopaedic trauma patients.

Purpose of the Study:

  • To determine the incidence of food insecurity in the orthopaedic trauma population.
  • To identify demographic, socioeconomic, and injury-related risk factors associated with food insecurity.

Main Methods:

  • A survey of 703 orthopaedic trauma patients across three US regions within 6 months of fracture fixation.
  • Utilized the USDA Household Food Insecurity Survey (score ≥3 defined as food insecure).
  • Collected data on demographics, injury, treatment, household characteristics, and diet quality; logistic regression identified risk factors.

Main Results:

  • Food insecurity was present in 11.5% of households.
  • Associated factors included income <$50,000, tobacco use, Medicaid/no insurance, Hispanic ethnicity, younger age, multiple fractures, and greater travel time to grocery stores.
  • Food-insecure households reported lower daily intake of fruits, vegetables, and protein.

Conclusions:

  • Food insecurity is prevalent in orthopaedic trauma patients and correlates with reduced diet quality.
  • Nutrition supplementation and referral to assistance programs may mitigate malnutrition and improve healing.
  • Addressing food insecurity is crucial for optimizing recovery in trauma patients.