| Summary: | - Effect of clinical nutrition and physiotherapy in acutely ill geriatric patients on self-sufficiency and physical condition - prospective longitudinal study Background & aims: Acute internal disease of the elderly often leads to loss of muscle mass and self-sufficiency. Reversal of muscle tissue, especially in geriatric patients, is very difficult and thus can an acute illness leads to necessity a second person helping a form of subsequent social care at home or in institutions aftercare. The aim of our study was to determine whether an active approach based on early physiotherapy and nutritional supplementation legs to influence the development of sarcopenia and patient's self- sufficiency during the acute illness. Methods: Two hundred patients, older than 78 years, admitted to geriatric department with acute illness were enrolled in a prospective, randomized, controlled study. Patients were randomized to the control group (standard treatment, n = 100) and the intervention group (n = 100). The intervention consisted of the administration of nutritional supplements (600 kcal, 20 g protein daily) added to the standard diet and simultaneous intensive rehabilitation therapy. Patients were followed-up for 2 years after discharge. The tolerance of nutritional supplements and its effect on the...
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