Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Current Nutrition Reports
Erschienen in: Current Nutrition Reports 2/2016

14.04.2016 | Nutrition and Aging (MC Serra, Section Editor)

The Role of Diet and Nutritional Status in Recovery from Hip Fracture in the Elderly

verfasst von: Kelsey M. Mangano, Anne M. Kenny

Erschienen in: Current Nutrition Reports | Ausgabe 2/2016

Einloggen, um Zugang zu erhalten

Abstract

Malnutrition is a significant risk factor for poor functional recovery following hip fracture. General undernutrition can be assessed using nutrition assessment screening tools. Identification of nutritionally at risk individuals may prevent complications and poor recovery following a fracture. Simple nutritional supplementation has not resulted in meaningful changes in health outcomes following fracture. However, newer multidisciplinary approaches to improving nutritional status are showing improved health care outcomes. Data on the effectiveness of individual nutrients on hip fracture recovery are limited. Therefore, future studies on combined nutrition interventions (calories, protein, and individual nutrients) are warranted, using a multidisciplinary team approach, both acutely and at home following fracture.
Literatur
1.
Gullberg B, Johnell O, Kanis JA. World-wide projections for hip fracture. Osteoporos Int. 1997;7(5):407–13.CrossRefPubMed
2.
Cooper C, Campion G, Melton 3rd LJ. Hip fractures in the elderly: a world-wide projection. Osteoporos Int. 1992;2(6):285–9.CrossRefPubMed
3.
Tajeu GS, Delzell E, Smith W, et al. Death, debility, and destitution following hip fracture. J Gerontol A Biol Sci Med Sci. 2014;69(3):346–53.CrossRefPubMed
4.
5.
Cooper C, Atkinson EJ, Jacobsen SJ, O’Fallon WM, Melton 3rd LJ. Population-based study of survival after osteoporotic fractures. Am J Epidemiol. 1993;137(9):1001–5.PubMed
6.
Leibson CL, Tosteson AN, Gabriel SE, Ransom JE, Melton LJ. Mortality, disability, and nursing home use for persons with and without hip fracture: a population-based study. J Am Geriatr Soc. 2002;50(10):1644–50.CrossRefPubMed
7.
Morin S, Lix LM, Azimaee M, Metge C, Caetano P, Leslie WD. Mortality rates after incident non-traumatic fractures in older men and women. Osteoporos Int. 2011;22(9):2439–48.CrossRefPubMed
8.
Cree M, Soskolne CL, Belseck E, et al. Mortality and institutionalization following hip fracture. J Am Geriatr Soc. 2000;48(3):283–8.CrossRefPubMed
9.
Magaziner J, Simonsick EM, Kashner TM, Hebel JR, Kenzora JE. Predictors of functional recovery one year following hospital discharge for hip fracture: a prospective study. J Gerontol. 1990;45(3):M101–7.CrossRefPubMed
10.
Schroder HM, Petersen KK, Erlandsen M. Occurrence and incidence of the second hip fracture. Clin Orthop Relat Res. 1993;289:166–9.PubMed
11.
Jean S, Bessette L, Belzile EL, et al. Direct medical resource utilization associated with osteoporosis-related nonvertebral fractures in postmenopausal women. J Bone Miner Res. 2013;28(2):360–71.CrossRefPubMed
12.
Fiatarone Singh MA, Singh NA, Hansen RD, et al. Methodology and baseline characteristics for the Sarcopenia and Hip Fracture study: a 5-year prospective study. J Gerontol A Biol Sci Med Sci. 2009;64(5):568–74.CrossRefPubMed
13.
Nematy M, Hickson M, Brynes AE, Ruxton CH, Frost GS. Vulnerable patients with a fractured neck of femur: nutritional status and support in hospital. J Hum Nutr Diet. 2006;19(3):209–18.CrossRefPubMed
14.
Lumbers M, Driver LT, Howland RJ, Older MW, Williams CM. Nutritional status and clinical outcome in elderly female surgical orthopaedic patients. Clin Nutr. 1996;15(3):101–7.CrossRefPubMed
15.
Paillaud E, Bories PN, Le Parco JC, Campillo B. Nutritional status and energy expenditure in elderly patients with recent hip fracture during a 2-month follow-up. Br J Nutr. 2000;83(2):97–103.PubMed
16.•
Smith T, Pelpola K, Ball M, Ong A, Myint PK. Pre-operative indicators for mortality following hip fracture surgery: a systematic review and meta-analysis. Age Ageing. 2014;43(4):464–71. Up to date assessment of 53 studies assessing risk factors for mortality following hip fracture. While nutrition was not directly identified, many of the associated factors are also associated with high risk for malnutrtion including advanced age, resident of care faclity, pre-fracture mobility, comorbidities.CrossRefPubMed
17.
Lumbers M, New SA, Gibson S, Murphy MC. Nutritional status in elderly female hip fracture patients: comparison with an age-matched home living group attending day centres. Br J Nutr. 2001;85(6):733–40.CrossRefPubMed
18.
Bell J, Bauer J, Capra S, Pulle CR. Barriers to nutritional intake in patients with acute hip fracture: time to treat malnutrition as a disease and food as a medicine? Can J Physiol Pharmacol. 2013;91(6):489–95.CrossRefPubMed
19.
Heuberger RA, Caudell K. Polypharmacy and nutritional status in older adults: a cross-sectional study. Drugs Aging. 2011;28(4):315–23.CrossRefPubMed
20.
Avenell A, Handoll HH. Nutritional supplementation for hip fracture aftercare in older people. Cochrane Database Syst Rev. 2010;1:CD001880.PubMed
21.••
Bell JJ, Pulle RC, Crouch AM, Kuys SS, Ferrier RL, Whitehouse SL. Impact of malnutrition on 12-month mortality following acute hip fracture. ANZ J Surg. 2016. A prospective study assessing nutritional status measured by the Subjective Global Assessment screen independently predicted 12 month mortality following hip fracture as did admission from residential care and pulmonary emboli.
22.
Bell JJ, Bauer JD, Capra S, Pulle RC. Concurrent and predictive evaluation of malnutrition diagnostic measures in hip fracture inpatients: a diagnostic accuracy study. Eur J Clin Nutr. 2014;68(3):358–62.CrossRefPubMed
23.•
Goisser S, Schrader E, Singler K, et al. Malnutrition according to Mini Nutritional Assessment is associated with severe functional impairment in geriatric patients before and up to 6 months after hip fracture. J Am Med Dir Assoc. 2015;16(8):661–7. An observatinal study of 98 individuals sustaing a hip fracture. Those malnourished or at risk for malnutrition had more ADL limitations than those with normal nutrtional status measured by MNA. The trajectory of recovery did not differ in the risk groups. No intervention was implemented.CrossRefPubMed
24.
Mudge AM, Ross LJ, Young AM, Isenring EA, Banks MD. Helping understand nutritional gaps in the elderly (HUNGER): a prospective study of patient factors associated with inadequate nutritional intake in older medical inpatients. Clin Nutr. 2011;30(3):320–5.CrossRefPubMed
25.
Gumieiro DN, Rafacho BP, Goncalves AF, et al. Mini Nutritional Assessment predicts gait status and mortality 6 months after hip fracture. Br J Nutr. 2013;109(9):1657–61.CrossRefPubMed
26.
Li HJ, Cheng HS, Liang J, Wu CC, Shyu YI. Functional recovery of older people with hip fracture: does malnutrition make a difference? J Adv Nurs. 2013;69(8):1691–703.CrossRefPubMed
27.
Bell JJ, Bauer JD, Capra S, Pulle RC. Quick and easy is not without cost: implications of poorly performing nutrition screening tools in hip fracture. J Am Geriatr Soc. 2014;62(2):237–43.CrossRefPubMed
28.••
Bell JJ, Bauer JD, Capra S, Pulle RC. Multidisciplinary, multi-modal nutritional care in acute hip fracture inpatients—results of a pragmatic intervention. Clin Nutr. 2014;33(6):1101–7. A multidisciplinary, multi-modal action intervention in the hospital to address barriers to nutrition resulted in improvement in less loss in nutritional status and ability to be discharged home. The study had only 35 people in each intervention so that data on mortality and other outcomes are lacking.CrossRefPubMed
29.
Tappenden KA, Quatrara B, Parkhurst ML, Malone AM, Fanjiang G, Ziegler TR. Critical role of nutrition in improving quality of care: an interdisciplinary call to action to address adult hospital malnutrition. JPEN J Parenter Enteral Nutr. 2013;37(4):482–97.CrossRefPubMed
30.
Duncan DG, Beck SJ, Hood K, Johansen A. Using dietetic assistants to improve the outcome of hip fracture: a randomised controlled trial of nutritional support in an acute trauma ward. Age Ageing. 2006;35(2):148–53.CrossRefPubMed
31.
Hoekstra JC, Goosen JH, de Wolf GS, Verheyen CC. Effectiveness of multidisciplinary nutritional care on nutritional intake, nutritional status and quality of life in patients with hip fractures: a controlled prospective cohort study. Clin Nutr. 2011;30(4):455–61.CrossRefPubMed
32.
Miller MD, Daniels LA, Bannerman E, Crotty M. Adherence to nutrition supplements among patients with a fall-related lower limb fracture. Nutr Clin Pract. 2005;20(5):569–78.CrossRefPubMed
33.
Reider L, Hawkes W, Hebel JR, et al. The association between body mass index, weight loss and physical function in the year following a hip fracture. J Nutr Health Aging. 2013;17(1):91–5.CrossRefPubMedPubMedCentral
34.
Tidermark J, Ponzer S, Carlsson P, et al. Effects of protein-rich supplementation and nandrolone in lean elderly women with femoral neck fractures. Clin Nutr. 2004;23(4):587–96.CrossRefPubMed
35.
Kerstetter JE, Bihuniak JD, Brindisi J, et al. The effect of a whey protein supplement on bone mass in older Caucasian adults. J Clin Endocrinol Metab. 2015;100(6):2214–22.CrossRefPubMed
36.
Mangano KM, Sahni S, Kerstetter JE. Dietary protein is beneficial to bone health under conditions of adequate calcium intake: an update on clinical research. Curr Opin Clin Nutr Metab Care. 2014;17(1):69–74.PubMedPubMedCentral
37.
Cao JJ, Johnson LK, Hunt JR. A diet high in meat protein and potential renal acid load increases fractional calcium absorption and urinary calcium excretion without affecting markers of bone resorption or formation in postmenopausal women. J Nutr. 2011;141(3):391–7.CrossRefPubMed
38.
Hunt JR, Johnson LK, Fariba Roughead ZK. Dietary protein and calcium interact to influence calcium retention: a controlled feeding study. Am J Clin Nutr. 2009;89(5):1357–65.CrossRefPubMed
39.
Bonjour JP, Schurch MA, Chevalley T, Ammann P, Rizzoli R. Protein intake, IGF-1 and osteoporosis. Osteoporos Int. 1997;7 Suppl 3:S36–42.CrossRefPubMed
40.
Dillon EL, Sheffield-Moore M, Paddon-Jones D, et al. Amino acid supplementation increases lean body mass, basal muscle protein synthesis, and insulin-like growth factor-I expression in older women. J Clin Endocrinol Metab. 2009;94(5):1630–7.CrossRefPubMedPubMedCentral
41.
McLean RR, Mangano KM, Hannan MT, Kiel DP, Sahni S. Dietary protein intake is protective against loss of grip strength among older adults in the Framingham Offspring Cohort. J Gerontol A Biol Sci Med Sci. 2015.
42.
Hannan MT, Tucker KL, Dawson-Hughes B, Cupples LA, Felson DT, Kiel DP. Effect of dietary protein on bone loss in elderly men and women: the Framingham Osteoporosis Study. J Bone Miner Res. 2000;15(12):2504–12.CrossRefPubMed
43.
Misra D, Berry SD, Broe KE, et al. Does dietary protein reduce hip fracture risk in elders? The Framingham Osteoporosis Study. Osteoporos Int. 2011;22(1):345–9.CrossRefPubMedPubMedCentral
44.
Sahni S, Cupples LA, McLean RR, et al. Protective effect of high protein and calcium intake on the risk of hip fracture in the Framingham offspring cohort. J Bone Miner Res. 2010;25(12):2770–6.CrossRefPubMedPubMedCentral
45.
Porter KH, Johnson MA. Dietary protein supplementation and recovery from femoral fracture. Nutr Rev. 1998;56(11):337–40.CrossRefPubMed
46.
Mangano KM, Sahni S, Kerstetter JE, Kenny AM, Hannan MT. Polyunsaturated Fatty Acids and Their Relation with Bone and Muscle Health in Adults. Curr Osteoporos Rep. 2013.
47.
Farina EK, Kiel DP, Roubenoff R, Schaefer EJ, Cupples LA, Tucker KL. Protective effects of fish intake and interactive effects of long-chain polyunsaturated fatty acid intakes on hip bone mineral density in older adults: the Framingham Osteoporosis Study. Am J Clin Nutr. 2011;93(5):1142–51.CrossRefPubMedPubMedCentral
48.
Farina EK, Kiel DP, Roubenoff R, Schaefer EJ, Cupples LA, Tucker KL. Plasma phosphatidylcholine concentrations of polyunsaturated fatty acids are differentially associated with hip bone mineral density and hip fracture in older adults: the Framingham Osteoporosis Study. J Bone Miner Res. 2012;27(5):1222–30.CrossRefPubMedPubMedCentral
49.
Lappe J, Kunz I, Bendik I, et al. Effect of a combination of genistein, polyunsaturated fatty acids and vitamins D3 and K1 on bone mineral density in postmenopausal women: a randomized, placebo-controlled, double-blind pilot study. Eur J Nutr. 2013;52(1):203–15.CrossRefPubMedPubMedCentral
50.
Fan F, Xue WQ, Wu BH, et al. Higher fish intake is associated with a lower risk of hip fractures in Chinese men and women: a matched case-control study. PLoS One. 2013;8(2):e56849.CrossRefPubMedPubMedCentral
51.
Suzuki T, Yoshida H, Hashimoto T, et al. Case-control study of risk factors for hip fractures in the Japanese elderly by a Mediterranean Osteoporosis Study (MEDOS) questionnaire. Bone. 1997;21(5):461–7.CrossRefPubMed
52.
Virtanen JK, Mozaffarian D, Cauley JA, Mukamal KJ, Robbins J, Siscovick DS. Fish consumption, bone mineral density, and risk of hip fracture among older adults: the cardiovascular health study. J Bone Miner Res. 2010;25(9):1972–9.CrossRefPubMedPubMedCentral
53.
Virtanen JK, Mozaffarian D, Willett WC, Feskanich D. Dietary intake of polyunsaturated fatty acids and risk of hip fracture in men and women. Osteoporos Int. 2012;23(11):2615–24.CrossRefPubMedPubMedCentral
54.
Orchard TS, Cauley JA, Frank GC, et al. Fatty acid consumption and risk of fracture in the Women’s Health Initiative. Am J Clin Nutr. 2010;92(6):1452–60.CrossRefPubMedPubMedCentral
55.
Rodondi A, Ammann P, Ghilardi-Beuret S, Rizzoli R. Zinc increases the effects of essential amino acids-whey protein supplements in frail elderly. J Nutr Health Aging. 2009;13(6):491–7.CrossRefPubMed
56.
Pioli G, Lauretani F, Pellicciotti F, et al. Modifiable and non-modifiable risk factors affecting walking recovery after hip fracture. Osteoporos Int. 2016.
57.
D’Adamo CR, Miller RR, Hicks GE, et al. Serum vitamin E concentrations and recovery of physical function during the year after hip fracture. J Gerontol A Biol Sci Med Sci. 2011;66(7):784–93.CrossRefPubMed
Metadaten
Titel
The Role of Diet and Nutritional Status in Recovery from Hip Fracture in the Elderly
verfasst von
Kelsey M. Mangano
Anne M. Kenny
Publikationsdatum
14.04.2016
Verlag
Springer US
Erschienen in
Current Nutrition Reports / Ausgabe 2/2016
Elektronische ISSN: 2161-3311
DOI
https://doi.org/10.1007/s13668-016-0164-8

Weitere Artikel der Ausgabe 2/2016

Current Nutrition Reports 2/2016 Zur Ausgabe

Nutrition and Aging (MC Serra, Section Editor)

Muscle Building and Maintenance in the Elderly: the Use of Protein

Nutrition and Aging (MC Serra, Section Editor)

Dietary Patterns and Depression in Community-Dwelling Older Adults: State of the Evidence

Nutrition and Aging (MC Serra, Section Editor)

Weight Regain Following Intentional Weight Loss in Older Adults

Nutrition and Aging (MC Serra, Section Editor)

The Role of Vitamin K in Chronic Aging Diseases: Inflammation, Cardiovascular Disease, and Osteoarthritis

Nutrition and Aging (MC Serra, Section Editor)

The Effects of Dietary Omega-3s on Muscle Composition and Quality in Older Adults

Nutrition and Aging (MC Serra, Section Editor)

Dietary Management of Glycemic Control in Older Adults

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

RAS-Blocker bei Hyperkaliämie möglichst nicht sofort absetzen

14.05.2024 Hyperkaliämie Nachrichten

Bei ausgeprägter Nierenfunktionsstörung steigen unter der Einnahme von Renin-Angiotensin-System(RAS)-Hemmstoffen nicht selten die Serumkaliumspiegel. Was in diesem Fall zu tun ist, erklärte Prof. Jürgen Floege beim diesjährigen Allgemeinmedizin-Update-Seminar.

Gestationsdiabetes: In der zweiten Schwangerschaft folgenreicher als in der ersten

13.05.2024 Gestationsdiabetes Nachrichten

Das Risiko, nach einem Gestationsdiabetes einen Typ-2-Diabetes zu entwickeln, hängt nicht nur von der Zahl, sondern auch von der Reihenfolge der betroffenen Schwangerschaften ab.

Labor, CT-Anthropometrie zeigen Risiko für Pankreaskrebs

13.05.2024 Pankreaskarzinom Nachrichten

Gerade bei aggressiven Malignomen wie dem duktalen Adenokarzinom des Pankreas könnte Früherkennung die Therapiechancen verbessern. Noch jedoch klafft hier eine Lücke. Ein Studienteam hat einen Weg gesucht, sie zu schließen.

Battle of Experts: Sport vs. Spritze bei Adipositas und Typ-2-Diabetes

11.05.2024 DDG-Jahrestagung 2024 Kongressbericht

Im Battle of Experts traten zwei Experten auf dem Diabeteskongress gegeneinander an: Die eine vertrat die Auffassung „Sport statt Spritze“ bei Adipositas und Typ-2-Diabetes, der andere forderte „Spritze statt Sport!“ Am Ende waren sie sich aber einig: Die Kombination aus beidem erzielt die besten Ergebnisse.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise