Effects of a physical and nutritional intervention program for frail elderly people over age 75. A randomized controlled pilot treatment trial

Rydwik, Elisabeth; Lammes, E.; Frändin, Kerstin; Akner, Gunnar

doi:10.1007/bf03324763

Cited by 70 publications

(160 citation statements)

References 38 publications

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“…[17][18][19][20] All four studies were randomized trials but three were small (n < 100). 17,18,20 Only one trial was blinded 17 and only one used intention-to-treat analysis.…”

Section: Nonpharmacologic Interventionsmentioning

confidence: 99%

“…[17][18][19][20] All four studies were randomized trials but three were small (n < 100). 17,18,20 Only one trial was blinded 17 and only one used intention-to-treat analysis. 18 A randomized, double-blind trial conducted in Denmark among 24 hospitalized patients compared differences in total nutrient intake between a diet that included a standard (4.2 kJ/ml) commercial liquid supplement and a diet incorporating a nutrient-dense (6.3 kJ/ml) supplement.…”

Section: Nonpharmacologic Interventionsmentioning

confidence: 99%

“…18 Fifty-eight older, community-dwelling individuals were randomized to one of the following four groups: a physical training program (involving aerobic, muscle strength and balance training), a nutritional intervention program (involving individually targeted advice and group sessions), a combination of the first two interventions, or a control group. At baseline and then again at 12 weeks, subjects were screened for physical performance.…”

Section: Nonpharmacologic Interventionsmentioning

confidence: 99%

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Unintentional weight loss in older adults

Stajkovic¹,

Aitken²,

Holroyd‐Leduc³

2011

Canadian Medical Association Journal

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A 73-year-old woman presents to your clinic complaining of unintentional weight loss. She reports having lost 15 lbs (6.8 kg) over the past year. Previously, her weight was 135 lbs (61.3 kg) and now it is 120 lbs (54.5 kg). She reports that she is eating three meals per day as usual.The patient's past medical history is notable for osteoporosis, a left hip fracture three years ago, osteoarthritis, hypothyroidism and hypercholesterolemia. She is taking levothyroxine, a statin and a bisphosphonate plus vitamin D and calcium. She recently started taking nonsteroidal anti-inflammatory medications (NSAIDs) as needed for knee pain. She is an exsmoker and does not drink alcohol. On examin ation, her weight was 121 lbs (55 kg), with a body mass index (BMI) of 22. She also had osteoarthritic changes in the knees. Results of investigations, including radiograph of the chest, complete blood count, electrolytes, creatinine, thyroid stimulating hormone and albumin are within normal limits.

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“…[17][18][19][20] All four studies were randomized trials but three were small (n < 100). 17,18,20 Only one trial was blinded 17 and only one used intention-to-treat analysis.…”

Section: Nonpharmacologic Interventionsmentioning

confidence: 99%

Section: Nonpharmacologic Interventionsmentioning

confidence: 99%

Section: Nonpharmacologic Interventionsmentioning

confidence: 99%

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Unintentional weight loss in older adults

Stajkovic¹,

Aitken²,

Holroyd‐Leduc³

2011

Canadian Medical Association Journal

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“…Authors that did not answer the first e-mail were contacted once more 10 days after the first e-mail. Articles that met inclusion criteria were selected (n=8 [27][28][29][30][31][32][33][34]). Studies in which full text was not available but that were possible candidates to meet inclusion criteria were preselected, and their authors were contacted by e-mail to provide full text.…”

Section: Methodsmentioning

confidence: 99%

Exercise and health in frail elderly people: a review of randomized controlled trials

Barreto

2009

Eur Rev Aging Phys Act

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Frailty is a physiological syndrome that increases the risk of poor health. Although some research has been conducted to study the benefits of physical exercise in frail elderly populations, different operational definitions of frailty have been used, and this makes the studies difficult to compare. The present review was aimed at examining the influence of exercise on health in frail older adults. Studies using randomized controlled trials that administered an exercise program to a frail elderly population and that had an operational definition of frailty were selected from publications between January 2000 and October 2008. Information about the study population, frailty criteria, exercise program, principles of exercise training, randomization procedures, main and secondary outcome measures, study follow-up, and control group characteristics was taken from these studies, and the results from a final sample of 28 articles are discussed. Exercise training seems to be a safe and effective tool for promoting and maintaining optimal health levels in a wide variety of vulnerable older adults. However, the lack of studies on a well-defined frail older adult sample with selection procedures based on current knowledge in this field does not allow us, at the present time, to conclude that exercise influences health in this population. Further research is needed to confirm the benefits of exercise on health in frail older adults. The study population must be selected based on current knowledge in the area of frailty, and the design of the exercise program must be based on principles of training

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“…As we have seen, it is also likely that the consequences of cardiac surgery, beyond its cardiovascular impact, are multidimensional ). It seems highly probable that an overall approach, like that proposed by geriatricians in another context (Rydwik et al, 2008), would contribute to improving the outcomes of individuals, not only in functional terms but also nutritional, psychological, social and even cognitive aspects.…”

Section: Contribution Of Geriatric Evaluation To Avr Decision-makingmentioning

confidence: 99%