Rydwik 2008.
Methods | Randomised controlled trial. Duration 12 weeks intervention, and a further 6 months follow‐up. | |
Participants | Frail elderly (n = 96), aged over 75 years with unintentional weight loss >5% and/or BMI <20 kg/m2 and low physical activity level. 32 dropouts. |
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Interventions | Dietary counselling to increase energy intake (n = 22) versus dietary counselling plus exercise training versus exercise training alone, versus control (n = 19). | |
Outcomes | weight*, BMI*, TSF*, energy intake*, muscle strength, balance, time‐to‐up‐and‐go, walking speed. | |
Notes | Data on dietary counselling group and control group will be used. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Further details needed. |
Allocation concealment (selection bias) | Unclear risk | Further details needed. |
Blinding (performance bias and detection bias) Clinical outcomes | Unclear risk | Not stated. |
Blinding (performance bias and detection bias) Functional outcomes | Unclear risk | Not stated. |
Blinding (performance bias and detection bias) Nutritional outcomes | Unclear risk | Not stated. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | 32 dropouts, 7 in the dietary counselling group, 11 in the dietary counselling plus exercise, 4 in the exercise alone group and 10 in the control group. |
Selective reporting (reporting bias) | High risk | All specified outcomes reported apart from TSF. The data was requested from the authors but unavailable. Data on mean change in weight and energy intake were reported without a standard deviation and so have been obtained from the author. |
Other bias | Low risk | Baseline variables given, groups similar at baseline. |