Recovering after illness or a hospital stay
Reviewed by Dr Namrata Bagaria, MBBS, MPH (Harvard)Last reviewed
A week in bed costs more strength at 70 than most people expect, and the weeks afterwards decide how much of it comes back.
Step by step
Step 1: Understand what the bed rest actually cost
Muscle is lost strikingly fast when it is not used, and far faster at 70 than at 40. A week or two in bed can take strength that took months to build, which is why some people never quite return to how they were. Knowing that is the reason to start early.
Learn more: Muscle strength and ageingStep 2: Start moving sooner than feels natural
Within whatever your doctor has agreed, begin gently and early rather than waiting to feel ready. Sitting up, standing, walking to the next room. Waiting until you feel strong enough is the trap, because strength returns through use, not through rest.
Learn more: Movement as a community habitStep 3: Eat properly, especially protein
Appetite disappears after illness exactly when your body most needs building material. Small, frequent and protein-containing beats waiting for hunger: curd, dal, eggs, paneer, milk. Under-eating now is what turns a short illness into a long decline.
Learn more: Eating before and after a classStep 4: Expect to feel low, and do not sit with it alone
Illness, disrupted sleep and sudden dependence flatten people, and it is rarely mentioned on the way out of hospital. Company helps genuinely. So does a small daily routine, and something in the diary to return to.
Learn more: Meaning and belonging in healthy ageingStep 5: Rebuild deliberately rather than drifting
Recovery does not happen by waiting; it happens by asking a little more of yourself each week. Sit-to-stands, a slightly longer walk, getting back to your class as soon as it is safe. Tell whoever leads it what you have been through so they can adjust.
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Sources
The guidance on this page draws on the following.
Aging changes in the bones, muscles and joints(opens in a new tab)
MedlinePlus, US National Library of Medicine · 2024
Supports: How quickly muscle is lost during bed rest and illness.
Protein intake and exercise for optimal muscle function with aging(opens in a new tab)
Clinical Nutrition (ESPEN Expert Group) · 2014
Supports: The protein needed alongside movement to rebuild muscle.
