Improved physical disability and nutritional status by bovine colostrum supplementation in adults with traumatic peri-trochanteric femoral fracture: A randomized, controlled, clinical trial.
- 2024-03
- Injury 55(3)
- Faezeh Gouhari
- Reza Zandi
- Amir Mehrvar
- Shahin Talebi
- Zahra Vahdat Shariatpanahi
- PubMed: 38042695
- DOI: 10.1016/j.injury.2023.111253
Study Design
- Type
- Randomized Controlled Trial (RCT)
- Sample size
- n = 48
- Population
- 94 adults with femur fracture after surgery
- Methods
- Randomized controlled trial; intervention group received 45 g colostrum daily, control group received 15 g whey protein daily for 21 days
- Duration
- 21 days
Objectives
Patients with femur fracture after surgery are at risk of malnutrition, weight loss, disability, and mobility complications. In the present study the role of colostrum supplementation on physical disability, and some nutritional variables after surgery has been investigated.Research methods & procedures
Patients were randomly assigned to two groups. The intervention group received 45 g colostrum and the control group received 15 g whey protein daily for 21 days (each containing 12 g of protein). The trend comparison during 30 days of variables including weight, appetite, serum albumin level, hemoglobin and lymphocytes between the two groups was modeled with the generalized estimation equation. Moreover, the trend comparison during 90 days of Oswestry Disability Index (ODI) between the two groups was calculated.Results
The basic characteristics were the same between the two groups (colostrum, n = 46; control, n = 48). Protein intake was the same in both groups during the study period. There was a significant difference in weight gain (ß = 0.32, 95 % CI: 0.09-0.54; P = 0.005) within 30 days after operation between the colostrum and control groups in favor of the increase in the colostrum group. Compared to the control group, patients in the colostrum group had a 0.31 score more appetite (P < 0.001), 0.17 g/dL higher serum albumin level (P = 0.001), 0.5 mg/dL higher hemoglobin level and 440 more blood lymphocytes (P < 0.001) during the 30 days of intervention. Regarding physical function disability, patients in the colostrum group had about 4 ODI scores lower than the control group during the study period.Conclusion
Colostrum supplement can increase appetite, hemoglobin, serum albumin level and the number of blood lymphocytes more than the control group. It can also accelerate weight gain and physical performance after surgery.Research Insights
Compared to the control group, patients in the colostrum group had a 0.31 score more appetite (P < 0.001)
- Effect
- Beneficial
- Effect size
- Small
- Dose
- 45 g/day
Compared to the control group, patients in the colostrum group had ... 440 more blood lymphocytes (P < 0.001)
- Effect
- Beneficial
- Effect size
- Small
- Dose
- 45 g/day
Compared to the control group, patients in the colostrum group had ... 0.5 mg/dL higher hemoglobin level
- Effect
- Beneficial
- Effect size
- Small
- Dose
- 45 g/day
Compared to the control group, patients in the colostrum group had ... 0.17 g/dL higher serum albumin level (P = 0.001)
- Effect
- Beneficial
- Effect size
- Small
- Dose
- 45 g/day
There was a significant difference in weight gain (ß = 0.32, 95 % CI: 0.09-0.54; P = 0.005) within 30 days after operation between the colostrum and control groups in favor of the increase in the colostrum group.
- Effect
- Beneficial
- Effect size
- Small
- Dose
- 45 g/day
Regarding physical function disability, patients in the colostrum group had about 4 ODI scores lower than the control group during the study period.
- Effect
- Beneficial
- Effect size
- Small
- Dose
- 45 g/day