Food habits and appetite of elderly women at the time of a femoral neck fracture and after nutritional and anabolic support
Article first published online: 14 MAR 2005
Journal of Human Nutrition and Dietetics
Volume 18, Issue 2, pages 117–120, April 2005
How to Cite
Carlsson, P., Tidermark, J., Ponzer, S., Söderqvist, A. and Cederholm, T. (2005), Food habits and appetite of elderly women at the time of a femoral neck fracture and after nutritional and anabolic support. Journal of Human Nutrition and Dietetics, 18: 117–120. doi: 10.1111/j.1365-277X.2005.00594.x
- Issue published online: 14 MAR 2005
- Article first published online: 14 MAR 2005
- dietary assessment;
- hip fracture;
Objective To study appetite and food choices in lean elderly women at the time of a femoral neck fracture and after 6 months of nutritional and anabolic intervention.
Subjects and methods Forty-five nondemented women >70 years of age (mean ± SD: 83 ± 5 years) with a recent hip fracture and body mass index <24 kg/m2 (mean: 20.5 ± 2.3) were interviewed about their appetite and dietary habits prior to fracture. The patients were randomized to treatment with a protein-rich liquid supplement (PR; 200 kcal and 20 g protein day−1) alone or in combination with nandrolone decanoate injections (PR/N) 25 mg i.m. every third week or to a control group (C). A second interview was conducted 6 months later.
Results Reduced appetite before the fracture was reported by 60%. Half of the patients did not have dessert with any of their daily meals, one-third used low-fat margarines and one-third drank water with their meals. The estimated mean daily energy intake was 6.4 ± 1.2 MJ (1541 ± 304 kcal) indicating that three of four subjects did not meet their energy needs. At 6 months, 40% reported reduced appetite. There was no difference in the change of appetite between the three randomized groups. Still, half of the subjects appeared to not meet their energy needs. Protein intake increased in the PR and PR/N groups, in contrast to the controls (P = 0.002).
Conclusion Reduced appetite and insufficient energy intake was recorded in lean elderly women with a femoral neck fracture. Nutritional supplementation alone or in combination with an anabolic steroid increased protein intake without adversely affecting appetite.