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. 2011 Sep 7;2011(9):CD002008. doi: 10.1002/14651858.CD002008.pub4

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.
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.