Abstract
Anabolic steroids for rehabilitation after hip fracture in older people.
Highlights
Hip fracture occurs predominantly in older people, many of whom are frail and undernourished
Given that the available data points to the potential for more promising outcomes with a combined anabolic steroid and nutritional supplement intervention, we suggest that future research should focus on evaluating this combination
This review considers the evidence for the use of anabolic steroids aimed at improving outcomes after hip fracture in older people
Summary
Hip fracture occurs predominantly in older people, many of whom are frail and undernourished. The synthetic derivatives of the male hormone testosterone, have been used in combination with exercise to improve muscle mass and strength in athletes They may have similar effects in older people who are recovering from hip fracture. People sustaining hip fracture use extensive health system resources (Braithwaite 2003), and many patients require continued support and care services. After their initial treatment, people who have had a hip fracture are at high risk for re-hospitalisation (Wolinsky 1997), refracture (Johnell 1985) and institutionalisation (Rosell 2003; Tajeu 2013). There is some evidence that functional recovery after hip fracture is the main determinant of longterm mortality (Dubljanin-Raspopovi 2013)
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