About this trial
Hip fractures often lead to functional limitations, loss of independence, weight loss and decreased well-being. Only half of the patients regain their functional level and 24% die within the following year. Financial consequences are significant due to costly surgery and long-term care. Hip fracture incidence is expected to increase sharply due to the ageing population, reducing accessibility to and quality of rehabilitation care. Therefore, optimizing treatment is essential.
Previous protein and exercise studies showed improved muscle and bone health in healthy or frail community-dwelling older adults, but effects in older hip fracture patients are not known. Better rehabilitation may improve bone and muscle health, nutritional status, quality of life, lower costs and lower burden for healthcare.
The overall objective is to investigate the effectiveness, costs and cost-effectiveness of a protein-enriched diet and resistance exercise for 3 months compared to usual care on bone and muscle health, and quality of life in older adults recovering from an acute hip fracture.
Eligibility criteria
Qualifiers
Age ≥ 65 years
Acute hip fracture
Able to give written informed consent
Mentally competent, as judged by the treating physician
Disqualifiers
None
Trial design
Treatments tested in this trial
- Protein-enriched diet
- Progressive resistance exercise
Treatment groups
Sponsors and collaborators
Wageningen University
Lead sponsor
Rijnstate Hospital
Collaborator
Gelderse Vallei Hospital
Collaborator
HAN University of Applied Sciences
Collaborator
Liemerije Revalidatiezorg
Collaborator
Opella Revalidatiezorg
Collaborator
Pleyade Revalidatiezorg
Collaborator
Attent Zorg en Behandeling
Collaborator
Alliantie Voeding in de Zorg
Collaborator
Osteoporosis Association
Collaborator