Hip fracture is a big health concern in older adults, and can lead to increased risk of death, reduced level of independence \& mobility, reduced quality of life, and higher likelihood of admission to nursing homes. Frailty is a medical condition associated with ageing that results in a reduced ability to do daily tasks. A frail older adult is also less able to recover well from conditions that may affect their wellbeing (for example, infections, falls resulting in injuries or hospital admissions). Frailty is common in older adults with hip fractures. There has been increasing research showing that frailty can be slowed down and improved by a combination of nutritional supplementation and exercise. However, most of the research in this area has been in frail older adults living at home or in nursing homes. The exercise or nutritional programs in these studies tend to be carried out over weeks or months. There are very few studies looking at older adults in hospital and how exercise and nutrition help with frailty over shorter periods of time, even more so in patients who have sustained an injury. There is, however, very little research in hospital based frailty programs in older patients who have suffered major trauma. It is well known that standing up and starting to walk soon after a hip fracture improves time to recovery, reduces hospital length of stay and death. Hence, physiotherapy on the first day after hip fracture surgery is now recommended. However, there needs to be more research to aid in developing physiotherapy and exercise programs that are safe and doable in the care of hip fracture patients despite limited resources in our healthcare system. Similarly, although malnutrition is common in frail older adults with hip fractures, the benefits of nutritional supplementation in these patients is not fully understood. It is known that having a hip fracture puts a person at risk of muscle breakdown and increasing protein intake is recommended to help reduce this risk. Research on exercise and nutrition based frailty programs specific to hip fracture patients is strongly needed, specifically the development of that are doable and safe in the hospital setting that can help improve outcomes in hip fracture patients after surgery. The investigators believe that a multicomponent exercise and nutrition based frailty program will be safe, doable and acceptable in frail older adults after hip fracture surgery.
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Eligibility Rate
Timeframe: Through study completion, an average of 6 months
Recruitment Rate
Timeframe: Through study completion, an average of 6 months
Number of drop outs
Timeframe: Through study completion, an average fo 6 months
Number of intervention related adverse events
Timeframe: Through study completion, an average of 6 months
Compliance to prescribed duration of exercise sessions
Timeframe: Through completion of intervention, an average of 3 weeks up to a maximum of 6 weeks
Patient Acceptability of Intervention
Timeframe: Through study completion, an average of 6 months
Nursing staff acceptability of intervention delivery
Timeframe: Through study completion, an average of 6 months
Compliance with prescribed intensity
Timeframe: Through completion of intervention, an average of 3 weeks up to a maximum of 6 weeks
Attendance rate
Timeframe: Through completion of intervention, an average of 3 weeks up to a maximum of 6 weeks
Compliance rate to prescribed nutritional intervention
Timeframe: Through completion of intervention, an average of 3 weeks up to a maximum of 6 weeks