Perioperative nutritional supplementation and skeletal muscle mass in older hip-fracture patients

Irene Fleur Kramer*, Taco J. Blokhuis, Lex B. Verdijk, Luc J. C. van Loon, Martijn Poeze

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

9 Citations (Web of Science)

Abstract

Older people with hip fractures are often malnourished at the time of fracture, which can have substantial influence on mortality and clinical outcomes, as well as functional outcome and quality of life. A close relationship between protein intake and muscle maintenance has been demonstrated. Skeletal muscle weakness is an independent risk factor for falls and fall-related injuries in the elderly and is an independent marker of prognosis. However, the effect of perioperative nutritional interventions on outcomes in elderly hip-fracture patients remains controversial. In this narrative review, an overview is presented of the existing literature on nutritional status and sarcopenia in elderly hip-fracture patients, clinical outcomes, and the effects of nutritional intervention on outcome and rehabilitation in this patient group.

Original languageEnglish
Pages (from-to)254-266
Number of pages13
JournalNutrition Reviews
Volume77
Issue number4
DOIs
Publication statusPublished - Apr 2019

Keywords

  • hip fracture
  • malnutrition
  • nutritional supplementation
  • protein
  • sarcopenia
  • QUALITY-OF-LIFE
  • GROWTH-FACTOR-I
  • ELDERLY-PATIENTS
  • PROTEIN-INTAKE
  • ENTERAL NUTRITION
  • RISK-FACTORS
  • HOSPITALIZED-PATIENTS
  • FUNCTIONAL RECOVERY
  • GERIATRIC-PATIENTS
  • METABOLIC STRESS

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