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Nutritional Optimization and Bone Health Management for Older Adults Undergoing Hip Fracture Surgery

Early Phase 1
Active, not recruiting
Conditions
Hip Fractures
Interventions
Registration Number
NCT05971173
Lead Sponsor
The University of Texas Health Science Center at San Antonio
Brief Summary

The overall objective of this pilot study is to test a comprehensive nutritional intervention in elderly patients diagnosed with hip fracture, which the study team believe will reduce functional decline, morbidity and mortality.

Detailed Description

This collaborative pilot study is led by a PI who is a board-certified orthopaedic surgeon with extensive experience in the care of older adults with hip fractures. In addition, the multidisciplinary study team includes a research health scientist with vast experience in nutrition, preventive health, and gerontology. The study team will also be supported by a physical therapist and researcher in the field of rehabilitation of older adults with musculoskeletal disorders. Furthermore, an occupational therapist with expertise in rehabilitation science, conduct of pilot studies, and analysis of interview data will play an important role in this study. Moreover, the statistical analyses will be performed by an expert statistical consultant from our institution, who will be reimbursed on a fee for service basis.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
40
Inclusion Criteria
  1. Provision of signed and dated informed consent form
  2. Male or female, aged 65-89 years
  3. Closed fracture of the proximal femur including the anatomic areas of femoral neck, intertrochanteric and subtrochanteric region
  4. Patient indicated for surgical treatment (surgical fixation or arthroplasty) as per orthopaedic surgeon
  5. Ability to take oral medication and be willing to adhere to the study drug regimen and to the nutritional guidance provided by nutritional experts.
Exclusion Criteria
  1. Patients with open fractures
  2. Surgical treatment other than surgical fixation or arthroplasty, such as proximal femur resection
  3. Known allergic reactions to components of the study drugs or who do not tolerate oral nutritional supplementation (e.g. total parenteral nutrition or food allergies)
  4. Decisional impairment
  5. Prisoners

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Nutritional SupplementsJuvenJuven and Centrum Silver 50+ will be administered to this group
Nutritional SupplementsCentrum Silver 50+Juven and Centrum Silver 50+ will be administered to this group
Primary Outcome Measures
NameTimeMethod
Assessment of surgical complications at 26 weeks26 weeks (post surgery)

Number of subjects that experienced any complications post surgery

Secondary Outcome Measures
NameTimeMethod
Hospital Readmissions26 weeks (post surgery)

Number of hospital re-admissions

Secondary fractures26 weeks (post surgery)

Number of secondary fractures that occurred post surgery

Grip strengthBaseline to 26 weeks

Change in grip strength from pre- to post-surgery using a hand dynamometer and measured in pounds

Quality of Life Survey (Short-form 36 Health (SF-36))Baseline to 26 weeks

Change in Health related quality of life (QOL) survey, a 36 item survey. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability.

Trial Locations

Locations (2)

University Health System

🇺🇸

San Antonio, Texas, United States

UT Health San Antonio Department of Orthopedics

🇺🇸

San Antonio, Texas, United States

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