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January 23, 2026Pilot and Feasibility Studies2 citationsOpen Access

Oral nutritional supplements for older hip fracture patients at nutritional risk (NUTRI-MUSCLES)—a feasibility trial for a two-armed RCT

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AJA. JensenENE. D. NinhITI. Tetens

Key Points

  • This research aims to assess the feasibility of using oral nutritional supplements for older hip fracture patients at nutritional risk.
  • Single-site, open labeled, parallel, two-arm randomized controlled feasibility trial
  • Participants aged ≥ 65 years with nutritional risk and hip fractures
  • Intervention group received two bottles of oral nutritional supplements daily for 12 weeks after discharge
  • Control group received standard care
  • Outcome data collection included handgrip strength, quality of life, and other assessments.
  • 39% of screened patients met inclusion criteria
  • 40% recruitment rate, averaging 2.3 participants per week
  • 76% retention rate of participants in the study
  • Compliance to supplements was 62%, averaging 1.3 supplements per day
  • Data collection completeness was ≥ 80% for most outcomes except baseline 30-s chair-stand test.

Abstract

Abstract Background Malnutrition is prevalent in older hip fracture patients and increases the risk of postoperative complications and loss of physical function. Adequate energy and protein intake during rehabilitation can enhance recovery but treatment can be challenging. The primary objective was to assess feasibility, defined as eligibility, recruitment rate, retention in the study, compliance to the intervention and completeness of outcome data collection. Methods This single-site, open labelled, parallel, two-arm randomized controlled feasibility trial took place at Orthopaedic Surgical ward at Herlev Hospital, Denmark. Participants were ≥ 65 years at nutritional risk admitted with a hip fracture. The intervention group received two bottles of oral nutritional supplements daily for 12 weeks after discharge. The control group received standard care. Results Of 134 patients screened, 52 (39%) met inclusion criteria and 21 (40%) were recruited, corresponding to 2.3 participants per week. Preliminary findings showed a retention rate of 16 out of 21 (76%). Compliance to the oral nutritional supplements was 62% reflecting an intake of 1.3 oral nutritional supplementation per day. Data collection was high, with ≥ 80% completeness for most outcomes (handgrip strength, calf circumference, frailty, quality of life, activities of daily living, 24-h recall, blood measures), except for the baseline 30-s chair-stand test. Conclusion The trial methods were feasible with sufficient eligibility, recruitment rate, retention in the study and outcome data collection. Compliance was lower than expected highlighting the need for strategies to improve adherence in the definitive trial. Trials registration ClinicalTrials.gov identifier: NCT05556876. Date of registration: 2022.23.09. URL: https://clinicaltrials.gov/study/NCT05556876 .

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Cite This Study

Jensen et al. (2026) studied this question.

synapsesocial.com/papers/69730fc4c8125b09b0d1f7dchttps://doi.org/10.1186/s40814-026-01763-4
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