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Sarcopenia after influenza — SCE Geriatric Medicine MCQ

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ModerateNutritionSarcopenia after influenzaSCE Geriatric Medicine

A 92-year-old woman has become bedbound after influenza. She has lost 4 kg in a month, calf circumference is low and she requires two people to stand. Albumin is 29 g/L, vitamin D is deficient and CRP has normalised. She wants to regain transfers so she can return to her care home. What is the most appropriate management?

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Correct answer: D — Progressive resistance and balance rehabilitation with nutritional optimisation and vitamin D replacement

Sarcopenia and post-illness deconditioning require combined resistance/balance exercise, adequate protein and energy intake, vitamin D correction when deficient and goal-based rehabilitation. Nutrition without loading muscle is less effective for functional recovery. A permanent hoist decision may be necessary later but is premature without rehabilitation. The pearl is that sarcopenia is a treatable contributor to dependency, not simply ageing.

Reference: BGS CGA guidance; EWGSOP2 sarcopenia consensus; NICE nutrition support guidance