Effects of combination of whey protein intake and rehabilitation on muscle strength and daily movements in patients with hip fracture in the early postoperative period

Niitsu, Masaya; Ichinose, Daisuke; Hirooka, Taku; Mitsutomi, Kazuhiko; Morimoto, Yoshitaka; Sarukawa, Junichiro; Nishikino, Shoichi; Yamauchi, K.; Yamazaki, Kaoru

doi:10.1016/j.clnu.2015.07.006

Cited by 27 publications

(17 citation statements)

References 25 publications

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“…Cases below the age of 18 years, with psychiatric disorders, patients who were difficult to cooperate with, coma patients who could not give nutrition history, patients fed enterally or parenterally, with vomiting symptoms, taking appetite-enhancing medications, and pregnant or breastfeeding patients were excluded from the study. [ 14 – 15 ]…”

Section: Methodsmentioning

confidence: 99%

Morbidity and mortality predictivity of nutritional assessment tools in the postoperative care unit

et al. 2016

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The aim was to evaluate the nutritional situation of patients admitted to the Postoperative Acute Care Unit using classic methods of objective anthropometry, systemic evaluation methods, and Nutrition Risk in Critically Ill (NUTRIC) score, and to compare them as a predictor of morbidity and mortality.At admission to the postoperative care unit, patients undergoing various surgeries were assessed for the following items: Subjective Global Assessment (SGA), Nutritional Risk Index (NRI), Nutritional Risk Screening (NRS)-2002, Mini Nutritional Assessment (MNA), Charlson comorbidity index (CCI), and NUTRIC score, anthropometric measurements, serum total protein, serum albumin, and lymphocyte count. Patients were monitored for postoperative complications until death or discharge. Correlation of complications with these parameters was also analyzed.A total of 152 patients were included in the study. In this study a positive correlation was determined between mortality and NRS-2002, SGA, CCI, Acute Physiology and Chronic Health Evaluation , Sepsis-related Organ Failure Assessment, and NUTRIC score, whereas a negative correlation was determined between mortality and NRI. There was a correlation between NUTRIC score and pneumonia, development of atrial fibrillation, delirium, renal failure, inotrope use, and duration of mechanical ventilation. In our study group of postoperative patients, MNA had no predictive properties for any complication, whereas SGA had no predictive properties for any complications other than duration of hospital stay and mortality.The NUTRIC score is an important indicator of mortality and morbidity in postoperative surgical patients. NRI correlated with many postoperative complications, and though SGA and NRS were correlated with mortality, they were not correlated with the majority of complications. MNA was determined not to have any correlation with any complication, mortality, and duration of hospital stay in our patient group.

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Section: Methodsmentioning

confidence: 99%

Morbidity and mortality predictivity of nutritional assessment tools in the postoperative care unit

et al. 2016

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“…Grundsätzlich stellt das knee extension peak torque für klinische Ernährungsstudien mit geriatrischen Patienten einen geeigneten Endpunkt dar. Eine Untersuchung zeigte, dass im Anschluss an eine Hüftoperation mit nachfolgender 2-wöchiger Rehabilitation die Seniorinnen mit zusätzlicher Ernährungsintervention (n = 15; 78,0 ± 6,3 Jahre; + 32,2 g Molkenprotein/ Tag) im Vergleich zur Kontrollgruppe (n = 17; 79,4 ± 8,4 Jahre) eine signifikant bessere Beinmuskelkraft sowohl auf der operierten (p = 0,02) als auch der nicht operierten Beinseite erlangten (p = 0,02) [42].…”

Section: Knee Extension Peak Torqueunclassified

“…Einerseits wird diskutiert, dass der Barthel-Index möglicherweise nicht spezifisch genug ist, um Veränderungen im Zuge einer Ernährungsintervention zu detektieren [35,87]. Andererseits zeigten Ernährungsstudien mit stationär aufgenommenen Senioren, dass sich bereits nach 2 -4 Wochen Ernährungsintervention eine signifikante Verbesserung dieses Parameters nachweisen lässt [42,85,88]. Der Ernährungszustand scheint eine entscheidende Rolle zu spielen, da sich teilweise für schwer mangelernährte, nicht jedoch für adäquat ernährte Patienten eine signifikante Verbesserung des Barthel-Indexes ermitteln ließ (p < 0,04) [85].…”

Section: Barthel-indexunclassified

Einsatz und Nutzen funktioneller Parameter als Endpunkte in klinischen Ernährungsstudien

Haß

Schwejda-Güttes

Kuhn

et al. 2018

Aktuel Ernahrungsmed

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Zusammenfassung Hintergrund Eine ausreichende Muskelkraft und -funktion stellt eine Grundvoraussetzung für die Teilhabe am alltäglichen Leben und der damit verbundenen Autonomie des Patienten dar. Der diagnostische und prognostische Einsatz funktioneller Parameter zur Einschätzung von Muskelkraft und -funktion gewinnt zunehmend an Bedeutung. Hinsichtlich des Nutzens dieser Parameter als Endpunkte in klinischen Ernährungsstudien besteht allerdings noch Klärungsbedarf. Material und Methoden Es wurde eine umfangreiche Literaturrecherche zur Extraktion und Evaluierung etablierter funktioneller Parameter in der medizinischen Literaturdatenbank Pubmed ausgeführt. Die folgenden, häufig in Ernährungsstudien angewendeten, 8 Parameter wurden detailliert aufgearbeitet und miteinander verglichen: Handgreifkraft, knee extension peak torque, Six-Minute-Walk Test (6MWT), Timed-Up-and-Go (TUG), Short Physical Performance Battery (SPPB), Physical Performance Test (PPT), Akzelerometrie und Barthel-Index. Ergebnisse und Schlussfolgerung Die Anwendung der funktionellen Parameter hat sich insbesondere in geriatrischen Ernährungsstudien bewährt. Hier zeigten sich neben der Handgreifkraft, dem SPPB und TUG auch das knee extension peak torque, der 6MWT sowie der Barthel-Index als geeignete funktionelle Endpunkte. Lediglich der PPT zeigte keine nennenswerten Vorteile gegenüber den in dieser Arbeit evaluierten funktionellen Parametern. Außerhalb der geriatrischen Population könnte die Akzelerometrie in der Onkologie als funktioneller Endpunkt in klinischen Ernährungsstudien herangezogen werden. Innerhalb der Intensivmedizin stellt die Nutzung funktioneller Parameter hinsichtlich der erforderlichen willkürlichen Muskelkraft derzeit noch eine Herausforderung dar.

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“…Thus, rehabilitation after treatment of the fracture is important. However, many elderly individuals with fractures exhibit a state of malnutrition, which affects the outcome of rehabilitation (1)(2)(3). Although it has been shown that nutritional management is an important part of rehabilitation, some patients exhibit appetite loss, and decreased food intake and show no progress during rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Good Rehabilitation Outcomes and Improved Nutritional Status After Treatment With the Japanese Herbal Medicine Ninjin'yoeito in an Elderly Patient With Hip Fracture and Sarcopenia: A Case Report

Morinaga

Nakamura²,

Hattanmaru³

et al. 2020

Front. Nutr.

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We report a case involving a 92-year-old man who successfully received treatment with ninjin'yoeito, a Japanese herbal medicine, during the rehabilitation phase after hip fracture surgery. The patient was diagnosed with a left femoral neck fracture and underwent surgery. Two weeks after surgery, he was admitted to a rehabilitation hospital. At that time, his height, weight, body fat percentage, muscle mass, and Functional Independence Measure (FIM) score were 167 cm, 61 kg, 34.1%, 38.2 kg, and 49, respectively. For 1 month after surgery (i.e., 2 weeks after admission to the rehabilitation facility), he received rikkunshito, a traditional Japanese herbal medicine also known as Kampo medicine, for appetite loss and underwent rehabilitation. However, his appetite loss showed no improvement, and rikkunshito (7.5 g/d) was replaced with ninjin'yoeito (7.5 g/d). Two months later, although the patient's body weight and body fat percentage decreased to 56.5 kg and 21.1%, respectively, his muscle mass increased to 38.9 kg. Nutritional status evaluation indicated an improvement in the level of proteins such as transferrin, prealbumin, and retinol-binding protein, which reflected an increase in food intake. The FIM score improved from 49 to 105. No side effects were observed. The findings from this case suggest that ninjin'yoeito, which includes Astragalus root and Schisandra fruit, may be an effective treatment option for sarcopenia or frailty with appetite loss and impaired activities of daily living in aged patients.

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Effects of combination of whey protein intake and rehabilitation on muscle strength and daily movements in patients with hip fracture in the early postoperative period

Cited by 27 publications

References 25 publications

Morbidity and mortality predictivity of nutritional assessment tools in the postoperative care unit

Morbidity and mortality predictivity of nutritional assessment tools in the postoperative care unit

Einsatz und Nutzen funktioneller Parameter als Endpunkte in klinischen Ernährungsstudien

Good Rehabilitation Outcomes and Improved Nutritional Status After Treatment With the Japanese Herbal Medicine Ninjin'yoeito in an Elderly Patient With Hip Fracture and Sarcopenia: A Case Report

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