In conclusion , decrease in muscle strength and muscle mass in older patients is dependent on the type of admission .
HIGHLIGHTSPhysical inactivity during hospitalization is associated with detrimental outcome .Muscle strength and muscle mass decreased in electively admitted older patients .Muscle strength and muscle mass did not change in acutely admitted older patients
ABSTRACT Hospitalization may induce a decrease of muscle strength and muscle mass in older patients due to physical inactivity , malnutrition and diseases , negatively affecting health outcome .
We aim ed to examine the literature on change in muscle strength and muscle mass in older patients during hospitalization .
Preoperative home-based physical therapy versus usual care to improve functional health of frail older adults scheduled for elective total hip arthroplasty: a pilot randomized controlled trial.
OBJECTIVE To investigate the feasibility and preliminary effectiveness of a home-based intensive exercise program to improve physical health of frail elderly patients scheduled for elective total hip arthroplasty ( THA ) . DESIGN Single-blind pilot r and omized controlled trial . SETTING Patients ' homes and a general hospital in The Netherl and s. PARTICIPANTS Frail patients ( N=30 ) older than 65 years . INTERVENTION A preoperative , home-based program supervised by an experienced physical therapist to train functional activities and walking capacity . The control group received usual care consisting of 1 session of instructions . MAIN OUTCOME MEASURES Feasibility was determined on the basis of adherence to treatment , patient satisfaction , adverse events , walking distance ( measured with a pedometer ) , and intensity of exercise ( evaluated with the Borg scale ) . Preliminary pre- and postoperative effectiveness was determined by the Timed Up & Go ( TUG ) test , 6-minute walk test ( 6MWT ) , Chair Rise Time , and self-reported measures of functions , activities , and participation . RESULTS Patient satisfaction and adherence to the training were good ( median=5 on a 5-point Likert scale ) and no serious adverse events occurred . The Borg score during training was 14 ( range , 13 - 16 ) . Preoperative clinical relevant differences on the TUG test ( 2.9 s ; 95 % confidence interval [ CI ] , -0.9 to 6.6 ) and significant differences on the 6MWT ( 41 m ; 95 % CI , 8 to 74 ) were found between groups . CONCLUSIONS Intensive preoperative training at home is feasible for frail elderly patients waiting for THA and produces relevant changes in functional health . A larger multicenter r and omized controlled trial is in progress to investigate the (cost-)effectiveness of preoperative training
In conclusion , decrease in muscle strength and muscle mass in older patients is dependent on the type of admission .
HIGHLIGHTSPhysical inactivity during hospitalization is associated with detrimental outcome .Muscle strength and muscle mass decreased in electively admitted older patients .Muscle strength and muscle mass did not change in acutely admitted older patients
ABSTRACT Hospitalization may induce a decrease of muscle strength and muscle mass in older patients due to physical inactivity , malnutrition and diseases , negatively affecting health outcome .
We aim ed to examine the literature on change in muscle strength and muscle mass in older patients during hospitalization .