Cited by 127Hip and Femur FracturesNutrition and Health in AgingBone health and osteoporosis research

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Effects of protein-rich supplementation and nandrolone in lean elderly women with femoral neck fractures

Tidermark, Jan, Ponzer, Sari, Carlsson, Pronoti, Söderqvist, Anita, Brismar, Kerstin, Tengstrand, Birgitta, Cederholm, Tommy·2004·Clinical Nutrition

DOI 10.1016/j.clnu.2003.10.006

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Abstract

Aim To evaluate the effects of a protein-rich liquid supplementation, alone or in combination with the anabolic steroid nandrolone decanoate, on body composition, activities of daily living (ADL) status and the health-related quality of life (HRQoL) after a femoral neck fracture. Methods Sixty women, aged 83 +/- 5 years (mean +/- SD), BMI < 24 kg/m2 (20.4 +/- 2 kg/m2 ) and capable of co-operating, with a femoral neck fracture treated with internal fixation, were randomised to open treatment during 6 months with a protein-rich liquid formula alone (PR, Fortimel, 200 ml/day, 20 g protein/day) or in combination with nandrolone decanoate (PR/N, Deca-Durabol 25 mg i.m./3 weeks) or to a control group (C). The patients were re-examined after 6 and 12 months regarding body weight (BW), lean body mass (LBM, DXA), ADL status according to Katz, HRQoL according to EQ 5-D and fracture healing. Results LBM decreased in the C (-1.2 +/- 2 kg) and PR groups (-1.2 +/- 1 kg) but remained the same in the PR/N group (0.3 +/- 1 kg) (P < 0.05 between groups). ADL remained at a high level in the two intervention groups but declined significantly in the C group (P < 0.005 between groups). The decline in HRQoL was least pronounced in the PR/N group at 6 months (P < 0.05 between groups). Patients with fracture healing complications lost more BW (P < 0.05) and LBM (P < 0.01) than patients with uneventful fracture healing. Conclusion Protein-rich liquid supplementation in combination with nandrolone given for 6 months to lean elderly women after a femoral neck fracture may positively affect LBM, ADL and HRQoL.

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Authors: Tidermark, J., Ponzer, S., Carlsson, P., Söderqvist, A., Brismar, K., Tengstrand, B., & Cederholm, T.
Affiliations: Karolinska Institutet (SE)
Karolinska University Hospital (SE)
Corresponding author: Tidermark, Jan
ORCID: Ponzer, Sari
Brismar, Kerstin
Cederholm, Tommy
Venue: Clinical Nutrition
Publisher: Elsevier BV
Published: 2004-08
Volume: 23
Issue: 4
Pages: 587-596
ISSN: 0261-5614 (ISSN-L)
DOI: 10.1016/j.clnu.2003.10.006
OpenAlex: W2057430676
Cited by: 127
References: 49
Citations by year: 2026: 3 · 2025: 6 · 2024: 3 · 2023: 7 · 2022: 6 · 2021: 5 · 2020: 3 · 2019: 6 · 2018: 9 · 2017: 4 · 2016: 4 · 2015: 5 · 2014: 2 · 2013: 7 · 2012: 6
FWCI: 6.09
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Nutrition (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Hip and Femur Fractures
Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
Keywords: femoral neck fracture, nandrolone decanoate, lean body mass, body composition, activities of daily living, health-related quality of life, fracture healing complications, internal fixation, anabolic steroids
MeSH terms: Activities of Daily Living, Aged, Aged, 80 and over, Body Composition, Dietary Proteins, Female, Femoral Neck Fractures, Food, Formulated, Humans, Nandrolone, Nutritional Status, Quality of Life, Nutrition Assessment, Treatment Outcome, Fracture Healing, Anabolic Agents

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Effects of protein-rich supplementation and nandrolone in lean elderly women with femoral neck fractures

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