Malnutrition Clinical Trial
Official title:
Nutrition Intervention and Physical Training in Malnourished, Frail, Community-dwelling, Elderly Subjects Carried Out by Trained Lay "Buddies"
Background: In elderly subjects frailty and malnutrition are very common and can lead to
serious health hazards, increase mortality, morbidity, dependency, institutionalization and
a reduced quality of life. In Austria, the prevalence of frailty and malnutrition are
increasing steadily and are becoming a challenge for our social system. Physical training
and adequate nutrition can invert it.
Methods/Design: In this randomized, controlled trial 80 malnourished, frail,
community-dwelling patients (≥ 65 years) are recruited. Additionally, 80 lay volunteers (≥
50 years) named buddies are recruited and subsequently trained regarding health enhancing
physical activity and nutrition in three standardized training sessions. These buddies visit
the malnourished, frail subjects at home twice a week for about one hour during an initial
period of 10-12 weeks. While participants allocated to the intervention group (n=40) conduct
intervention to improve their fluid intake, their protein and energy intake, perform
strength training and try to increase their baseline activities, the control group (n=40)
only gets home visits without any special intervention. After 10-12 weeks, both, the
intervention and the control group, receive the nutrition intervention and the physical
training. Health, nutrition and frailty status, physical fitness and body composition and
chronic inflammation of buddies and frails are recorded before the intervention, after 10-12
weeks, and after 6 and 12 months.
Discussion: To the investigators knowledge this trial is the first of its kind to provide
nutrition and physical activity intervention to malnourished, frail, community-dwelling
subjects by trained lay buddies, in which the health status of buddies is also expected to
improve. This study assesses the effectiveness of such an intervention. If successful, the
intervention offers new perspectives for the management of frailty and malnutrition.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label
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