79 elderly patients with femoral neck or trochanteric hip fractures were randomized to a group receiving protein-rich supplementation and weekly bisphosphonates, weekly bisphosphonates alone, or a control group; all three groups received calcium and vitamin D supplementation. The purpose of this randomized controlled trial was to compare these treatments in terms of their effect on body composition, hand-grip strength, and quality of life. The results displayed no significant differences between groups in body composition changes, hand-grip strength, or quality of life during the 1 year follow-up period. The quality of life decreased in all groups, most notably in the control and bisphosphonate groups.