Preventing Hospital Associated Disability in Older Patients: Individualized Nutrition and Exercise Strategy
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorBispebjerg Hospital
About this trial
Aproximately a third of persons older than 70 years lose physical function and ability to take care of themselves during a stay at a hospital. This is associated to an increased risk of readmission and mortality. Earlier research has shown that insufficient nutrition and physical activity during hospital stay, leading to a loss in muscle mass and strength, plays an important role in this fall in functionality. This study aims to examine if a structured and supervised resistance and mobility exercise intervention, can prevent this fall in functional ability during hospital stay among older patients. The Impact of nutritional status will be investigated by registrering caloric, protein and hydtrational intake during the study period.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Hospitalized at the geriatric ward
Speak Danish or English
Ability to give informed consent
Disqualifiers
Moderate to severe Dementia
Manifest delirium
Trial design
Design model
Parallel
Treatments tested in this trial
Exercise
Other interventionThe participants in the intervention group will recieve supervised exercise two times 30 minutes each day during hospitalization. The first exercise pass consists of resistance exercise, and can be performed supine in bed, sitting on the edge of the bed, and in a close-by exercise area, based on participants mobility level. The second exercise pass consists of mobility exercise, aiming to transfer the participant from supine in the bed to sitting position, transfer to chair, walking with or without walking aids or walking on stairs.
Treatment groups
360 Participants
are divided into 2 treatment groupsGroup A: ControlNo intervention 0 interventions
Group B: Exercise interventionExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Changes in activities of daily living (ADL) function, by Barthel index-100
describes the level of independence in activities of daily living, score of 0 equals total dependence and a score of 100 equals total independence
Time frame
From enrollment to discharge/transfer from the geriatric care unit (aproximately 5 days), measured again 1 month after discharge.Secondary outcomes
1
Changes in mobility by Cumulated Ambulation Score
Cumulated Ambulation Score (assesed mobility, 0 (lowest)-6(highest))
Time frame
From enrollment to discharge/transfer from the geriatric care unit (aproximately 5 days), measured again 1 month after discharge2
Changes in Knee extension strength,
(Knee extension strength, maximal voluntary contraction, newton meter)
Time frame
From enrollment to discharge/transfer from the geriatric care unit (aproximately 5 days), measured again 1 month after discharge.3
Changes in Hand Grip Strength
Hand grip strength, kilogram
Time frame
From enrollment to discharge/transfer from the geriatric care unit (aproximately 5 days), measured again 1 month after discharge.4
Changes in Sit-to-stand performance
Sit-to-stand test, number of repetitions in 30 seconds, continous scale
Time frame
From enrollment to discharge/transfer from the geriatric care unit (aproximately 5 days), measured again 1 month after discharge.Sponsors and contacts
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Source ClinicalTrials.gov