title: Improving protein and vitamin D status of obese patients participating in physical rehabilitation.
abstract: OBJECTIVE
  Sarcopenia and vitamin D deficiency increase risk of disability outcomes associated with a million hip and knee replacements annually. The purpose of the present study was to identify protein and vitamin D inadequacy in arthroplasty patients, and observe the effect of supplementation on metabolic markers on protein and vitamin D status.
  
  
  METHODS
  One hundred and eighty obese arthroplasty patients admitted for inpatient rehabilitation, positive for protein and vitamin D insufficiency, received supplemental protein and vitamin D.
  
  
  CONCLUSIONS
  Following supplementation, normalization of protein and vitamin D status was achieved. Nutrient supplementation during physical rehabilitation provided an efficient and effective means to reverse nutrient deficiency in an obese, orthopedic population.
  
  
  CONCLUSIONS
  Inpatient physical rehabilitation is an opportune environment for nurses to provide education and intervention of nutrient supplementation, which may lessen consequences of sarcopenic obesity and related frailty disorders.
authors: College of Nursing, University of Cincinnati, OH, USA. jbear7777@gmail.com
authors: Janine T
authors: JT
authors: Baer
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000451:nursing / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000178:diet therapy* / Q000451:nursing / Q000534:rehabilitation; D011446:Prospective Studies; D011502:Protein-Energy Malnutrition / Q000178:diet therapy* / Q000451:nursing / Q000534:rehabilitation; D019145:Rehabilitation Nursing / Q000379:methods*; D055948:Sarcopenia / Q000178:diet therapy* / Q000451:nursing; D014808:Vitamin D Deficiency / Q000178:diet therapy* / Q000451:nursing / Q000534:rehabilitation