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Protein Intake Plus Neuromuscular Electrical Stimulation on Muscle Mass in Hospitalized Elderly

Not Applicable
Recruiting
Conditions
Atrophy, Muscular
Interventions
Dietary Supplement: Placebo (isocaloric supplement)
Dietary Supplement: Protein supplementation
Device: Sham for neuromuscular electrostimulation.
Device: Neuromuscular electrostimulation.
Registration Number
NCT05008705
Lead Sponsor
University of Sao Paulo General Hospital
Brief Summary

This study aims to investigate the effects of supplementation of protein plus sessions of electrostimulation on muscle mass, length of hospital stay, readmission and mortality of hospitalized elderly.

Detailed Description

Hospitalized elderly people show malnutrition, physical inactivity, and pronounced systemic inflammation which may be exacerbated the catabolic state and promote drastic muscle wasting during the hospitalization and, thus increasing the length of stay, morbidity, and mortality. Therefore, the aim of this study is to investigate the effects of supplementation of protein plus sessions of electrostimulation on muscle mass, length of hospital stay, readmission, and mortality of hospitalized elderly.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
40
Inclusion Criteria
  • both sex;
  • 65 years and older;
  • hospital stay less than 48 hours;
Exclusion Criteria
  • cancer in the last 5 years;
  • delirium;
  • cognitive deficit that impossibility the patient to read and sign the informed consent form;
  • neurological disease;
  • neurodegenerative muscular disease;
  • impossibility to receive the intervention.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo (isocaloric supplement)Patients allocated to this arm will be submitted to a placebo intervention (isocaloric supplement plus sham for neuromuscular electrostimulation).
InterventionProtein supplementationPatients allocated to this arm will be submitted to intervention (protein supplementation plus neuromuscular electrostimulation).
PlaceboSham for neuromuscular electrostimulation.Patients allocated to this arm will be submitted to a placebo intervention (isocaloric supplement plus sham for neuromuscular electrostimulation).
InterventionNeuromuscular electrostimulation.Patients allocated to this arm will be submitted to intervention (protein supplementation plus neuromuscular electrostimulation).
Primary Outcome Measures
NameTimeMethod
Vastus Lateralis Muscle Cross-sectional AreaFrom date of admission until the date of medical discharge. Up to 30 days.

Vastus Lateralis Muscle Cross-sectional Area will be assessed through ultrasound

Secondary Outcome Measures
NameTimeMethod
Muscle functionFrom date of admission until the date of medical discharge. Up to 30 days.

Muscle function evaluated trough battery of test

Length of hospital stayFrom date of admission until the date of medical discharge. Up to 30 days.

Length of hospital stay will be the time (in days) until medical discharge.

Nutritional statusFrom date of admission until the date of medical discharge. Up to 30 days.

Nutritional status will be assessed through nutritional records during hospital stay

Handgrip strengthFrom date of admission until the date of medical discharge. Up to 30 days.

Strength will be evaluated using handgrip strength test

Health costs6 months post-medical discharge

Health costs will be estimated by means of the questionnaire with questions about the use of health services or equipment.

Functional independenceFrom date of admission until the date of medical discharge. Up to 30 days.

Functional independence will be assessed using Barthel Index

MortalityFrom date of admission until the date of medical discharge. Up to 30 days.

Mortality rate in percent

Hospital readmission post-medical discharge6 months post-medical discharge

Hospital readmission post-medical discharge will be the number of times that he is admitted in the hospital post-medical discharge.

Trial Locations

Locations (1)

University of Sao Paulo

🇧🇷

São Paulo, Brazil

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