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In-hospital dietary intake and the course of mobilization among older patients with hip fracture in the post-surgical period

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Key summary points

AbstractSection Aim

To assess the association between in-hospital dietary intake and the course of mobilization of hip-fractured older patients in the post-surgical period until hospital discharge.

AbstractSection Findings

In hip-fracture older patients, energy-protein intake and Charlson Comorbidity Index are the main factors associated with poor mobilization in the post-surgical period.

AbstractSection Message

The worldwide epidemic of hip fractures and its impact on the subject health and functionality demands to design effective strategies to manage this situation, focused on early detection of nutritional deficits to avoid muscle wasting and enhancement of fast mobilization after hip-fractured surgery.

Abstract

Background and purpose

Most older persons who suffer hip-fracture are frail and show comorbidities and functional deterioration, with poor short and long-term prognosis, high morbidity rates, and premature death. The aim of this work was to assess the association between in-hospital dietary intake and the course of mobilization of hip-fractured older patients in the post-surgical period until hospital discharge.

Methods

Prospective, observational, cohort study, n = 90 hip-fracture ≥ 65 years old patients. Pfeiffer questionnaire, Barthel Index, Charlson Comorbidity Index, Mini Nutritional Assessment, mobilization and dietary assessment, body mass index, arm and calf circumferences and blood analytical determinations. The mobilization progress was assessed measuring the ability to sit down and walking, at 2nd and 3rd–4th days post-surgery until discharge, respectively.

Results

Charlson Comorbidity Index was associated with ability to sit down, and energy intake was associated with ability to walk. Energy and protein intake is an important factor influencing mobilization success in older patients after surgery. Poor mobilization is related to high Charlson Comorbidity Index.

Conclusions

In hip-fractured older patients, energy-protein intake and comorbidities assessed by Charlson Comorbidity Index are the main factors associated with poor mobilization in the post-surgical period.

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Funding

University of Cádiz and Public Health Care of Andalucía (Spain) have supported the project.

Author information

Authors and Affiliations

  1. Department of Surgery-Traumatology, University Hospital of Puerto Real, Cádiz, Spain

    José C. Rodríguez-Bocanegra

  2. Department of Clinical Biochemistry, University Hospital of Puerto Real, Cádiz, Spain

    Consuelo Cañavate-Solano

  3. Faculty of Nursing and Physiotherapy, University of Cádiz, Cádiz, Spain

    Celia Cruz-Cobo

  4. Research Group on Community Nutrition and Oxidative Stress, University of the Balearic Islands and CIBEROBN, Palma De Mallorca, Spain

    Maria M. Bibiloni & Josep A. Tur

  5. Research Group on Nutrition: Molecular, Pathophysiological and Social Issues, University of Cádiz, Avda. Ana de Viya, 52-11009, Cádiz, Spain

    María J. Santi-Cano

Authors
  1. José C. Rodríguez-Bocanegra
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  2. Consuelo Cañavate-Solano
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  3. Celia Cruz-Cobo
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  4. Maria M. Bibiloni
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  5. Josep A. Tur
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  6. María J. Santi-Cano
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Corresponding author

Correspondence to María J. Santi-Cano.

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Conflict of interest

The authors declare that they have no conflict of interests and they follow the Committee on Publication Ethics (COPE) guidelines.

Ethical approval

The study was conducted according to the guidelines laid down in the Declaration of Helsinki and all procedures were approved by the University Hospital of Puerto Real Clinical Research Ethics Committee (Cádiz, Spain; ref. no. 11_20).

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Written informed consent was obtained from all participants.

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Rodríguez-Bocanegra, J.C., Cañavate-Solano, C., Cruz-Cobo, C. et al. In-hospital dietary intake and the course of mobilization among older patients with hip fracture in the post-surgical period. Eur Geriatr Med 11, 535–543 (2020). https://doi.org/10.1007/s41999-019-00282-1

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  • DOI: https://doi.org/10.1007/s41999-019-00282-1

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