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 .
Positive effect of protein-supplemented hospital food on protein intake in patients at nutritional risk: a randomised controlled trial.
BACKGROUND New evidence indicates that increased dietary protein ingestion promotes health and recovery from illness , and also maintains functionality in older adults . The present study aim ed to investigate whether a novel food service concept with protein-supplementation would increase protein and energy intake in hospitalised patients at nutritional risk . METHODS A single-blinded r and omised controlled trial was conducted . Eighty-four participants at nutritional risk , recruited from the departments of Oncology , Orthopaedics and Urology , were included . The intervention group ( IG ) received the protein-supplemented food service concept . The control group ( CG ) received the st and ard hospital menu . Primary outcome comprised the number of patients achieving ≥75 % of energy and protein requirements . Secondary outcomes comprised mean energy and protein intake , body weight , h and grip strength and length of hospital stay . RESULTS In IG , 76 % versus 70 % CG patients reached ≥75 % of their energy requirements ( P = 0.57 ) ; 66 % IG versus 30 % CG patients reached ≥75 % of their protein requirements ( P = 0.001 ) . The risk ratio for achieving ≥75 % of protein requirements : 2.2 ( 95 % confidence interval = 1.3 - 3.7 ) ; number needed to treat = 3 ( 95 % confidence interval = 2 - 6 ) . IG had a higher mean intake of energy and protein when adjusted for body weight ( CG : 82 kJ kg(-1 ) versus IG : 103 kJ kg(-1 ) , P = 0.013 ; CG : 0.7 g protein kg(-1 ) versus 0.9 g protein kg(-1 ) , P = 0.003 ) . Body weight , h and grip strength and length of hospital stay did not differ between groups . CONCLUSIONS The novel food service concept had a significant positive impact on overall protein intake and on weight-adjusted energy intake in hospitalised patients at nutritional risk
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 .