scholarly journals Comparison of protein intake per eating occasion, food sources of protein and general characteristics between community-dwelling older adults with a low and high protein intake

2019 ◽  
Vol 29 ◽  
pp. 165-174 ◽  
Author(s):  
Linda M. Hengeveld ◽  
Anouk D.A. Pelgröm ◽  
Marjolein Visser ◽  
Jolanda M.A. Boer ◽  
Annemien Haveman-Nies ◽  
...  
Keyword(s):  
Older Adults ◽  
Protein Intake ◽  
Community Dwelling ◽  
High Protein ◽  
Food Sources ◽  
High Protein Intake ◽  
Eating Occasion ◽  
Community Dwelling Older Adults

Protein intake characteristics of community-dwelling older adults with a low versus high protein intake

2018 ◽  
Vol 37 ◽  
pp. S249
Author(s):  
L.M. Hengeveld ◽  
A.D.A. Pelgröm ◽  
M. Visser ◽  
J.M.A. Boer ◽  
A. Haveman-Nies ◽  
...  
Keyword(s):  
Older Adults ◽  
Protein Intake ◽  
Community Dwelling ◽  
High Protein ◽  
High Protein Intake ◽  
Community Dwelling Older Adults

scholarly journals Protein intake pattern over the day and its association with low total protein intake in Dutch community-dwelling older adults

2020 ◽  
pp. 1-13
Author(s):  
Teuni H Rooijackers ◽  
Marga C Ocké ◽  
Linda M Hengeveld ◽  
Marjolein Visser ◽  
Jolanda MA Boer
Keyword(s):  
Older Adults ◽  
Total Protein ◽  
Protein Intake ◽  
Community Dwelling ◽  
High Protein ◽  
Cross Sectional ◽  
High Protein Intake ◽  
Total Protein Intake ◽  
Low Protein ◽  
Dietary Record

Abstract Objective: Investigate protein intake patterns over the day and their association with total protein intake in older adults. Design: Cross-sectional study utilising the dietary data collected through two non-consecutive, dietary record-assisted 24-h recalls. Days with low protein intake (n 290) were defined using the RDA (<0·8 g protein/kg adjusted BW/d). For each day, the amount and proportion of protein ingested at every hour of the day and during morning, mid-day and evening hours was calculated. Amounts and proportions were compared between low and high protein intake days and related to total protein intake and risk of low protein intake. Setting: Community. Participants: 739 Dutch community-dwelling adults ≥70 years. Results: The mean protein intake was 76·3 (sd 0·7) g/d. At each hour of the day, the amount of protein ingested was higher on days with a high protein intake than on days with a low protein intake and associated with a higher total protein intake. The proportion of protein ingested during morning hours was higher (22 v. 17 %, P < 0·0001) on days with a low protein intake, and a higher proportion of protein ingested during morning hours was associated with a lower total protein intake (P < 0·0001) and a higher odds of low protein intake (OR 1·04, 95 % CI 1·03, 1·06). For the proportion of protein intake during mid-day or evening hours, opposite but weaker associations were found. Conclusions: In this sample, timing of protein intake was associated with total protein intake. Additional studies need to clarify the importance of these findings to optimise protein intake.

scholarly journals The provision of recipes and single-use herb/spice packets to increase egg and protein intake in community-dwelling older adults: a randomised controlled trial

2020 ◽  
pp. 1-14
Author(s):  
E van den Heuvel ◽  
JL Murphy ◽  
KM Appleton
Keyword(s):  
Older Adults ◽  
Lean Body Mass ◽  
Body Mass ◽  
Protein Intake ◽  
Community Dwelling ◽  
High Protein ◽  
Single Use ◽  
Randomised Controlled ◽  
The Impact ◽  
Community Dwelling Older Adults

Abstract Objective: This study investigated the impact of recipe and single-use herb/spice packet provision on egg intake and protein intake in community-dwelling individuals aged over 55 years. Design: Using a randomised-controlled intervention design, 100 older adults were randomised to receive (n 53) or not receive (n 47) high-protein egg-based recipes and herb/spice packets through the post for 12 weeks, from June to December 2016. Egg intake, protein intake, adverse events, lean body mass and functional measures of lean body mass were measured at baseline, after the 12 weeks and after a further 12 weeks. Setting: Bournemouth, UK. Participants: Community-dwelling older adults. Results: Intention-to-treat data were analysed using regression, controlling for various demographic and lifestyle characteristics. Ninety-three individuals (intervention, n 50; control, n 43) completed assessments at all three time points. Egg intakes increased by end of intervention in both groups (mean: 4–5 eggs/month). After a further 12 weeks, higher egg intakes were sustained in the intervention group, while egg intakes in the control group returned to baseline levels (between-group difference: β = −0·124, P = 0·047). No differences were found in other measures (largest β = −0·106, P = 0·12). Conclusions: The provision of high-protein egg-based recipes and single-use herb/spice packets over 12 weeks increased egg intakes up to 12 weeks after end of intervention. Other factors may explain increased egg intakes during the intervention, but the sustained effects most plausibly result directly from recipe provision. Limited effects in other measures suggest that the recipes may have replaced as opposed to added to existing protein intakes.

scholarly journals Effectiveness and acceptance of commercially available protein-rich meals and dairy products in increasing protein intake of community-dwelling older adults

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Joost O. Linschooten ◽  
Janne Beelen ◽  
Jos Borkent ◽  
Marian A. E. de van der Schueren ◽  
Annet J. C. Roodenburg
Keyword(s):  
Older Adults ◽  
Focus Groups ◽  
Healthy Eating ◽  
Dairy Products ◽  
Protein Intake ◽  
Community Dwelling ◽  
High Protein ◽  
Eating Attitude ◽  
Group I ◽  
Main Meal

AbstractIntroductionHome-delivered hot meals and dairy could possibly prevent community-dwelling (CD) older adults from becoming malnourished when they are no longer able to cook themselves. Ideally, these products contribute to an intake of 1.2 grams of protein per kg bodyweight per day (g/kg BW/d) and ≥ 25 grams of protein per main meal. This study evaluated the effectiveness of these products on protein intake and explored the acceptance of these products.MethodsThe study was a single-blind RCT with CD older adults switching from self-prepared to commercially-available home-delivered hot meals and dairy products during 28 days. The intervention group (I) received meals and dairy products high in (≥ 20EN%) protein; the control group (C) received standard meals and dairy products low(er) in protein. Dietary intake was measured at baseline, two weeks (T1) and four weeks (T2) by a three-day food diary. After study completion, 25 participants (aged > 80y, 16 female/9 male) participated in focus groups discussing information on healthy eating, attitude towards high protein products, product acceptance.ResultsNinety-eight CD older adults (mean age: 80.4 years ± 6.8). Baseline protein intake was 1.09 (SE 0.05) (I) and 0.99 (SE 0.05) (C) g/kg BW/d. During the trial, protein intake of I remained stable at 1.12 g/kg BW/d (SE 0.05) while intake decreased in C to 0.87 (SE 0.03). More I participants reached the threshold of ≥ 25 grams protein at dinner compared to C but not at breakfast and lunch. In the focus groups, participants indicated to be aware of the importance of healthy eating (less salt and less fat). However, knowledge on high-protein products was low and participants did not know why intake of protein should be increased. Less social interaction was indicated as one of the main causes of deterioration of eating behaviour. Further, participants indicated that they primarily would like to enjoy eating instead of focusing on functionality. The ready-made meals were generally considered to be too large and low in vegetables.ConclusionsSwitching from self-prepared meals to ready-made meals carries the risk of a decreasing protein intake in CD older adults. To stimulate a healthy dietary pattern, focus should be on behavioural change and knowledge improvement. Besides awareness for healthy eating, food enjoyment is essential. Finally, meal composition could be improved to enhance acceptance.

Dairy products to increase protein intake in community-dwelling older adults

2020 ◽  
Vol 40 ◽  
pp. 585
Author(s):  
J. Borkent ◽  
J. Linschooten ◽  
S. Verlaan ◽  
A. Roodenburg ◽  
M. de van der Schueren
Keyword(s):  
Older Adults ◽  
Dairy Products ◽  
Protein Intake ◽  
Community Dwelling ◽  
Increase Protein Intake ◽  
Community Dwelling Older Adults

scholarly journals Effectiveness and cost-effectiveness of personalised dietary advice aiming at increasing protein intake on physical functioning in community-dwelling older adults with lower habitual protein intake: rationale and design of the PROMISS randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e040637
Author(s):  
Ilse Reinders ◽  
Hanneke A H Wijnhoven ◽  
Satu K Jyväkorpi ◽  
Merja H Suominen ◽  
Riikka Niskanen ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Functioning ◽  
Protein Intake ◽  
Intervention Group ◽  
Community Dwelling ◽  
Dietary Advice ◽  
Control Group ◽  
Randomised Controlled ◽  
Community Dwelling Older Adults ◽  
Habitual Protein Intake

IntroductionShort-term metabolic and observational studies suggest that protein intake above the recommended dietary allowance of 0.83 g/kg body weight (BW)/day may support preservation of lean body mass and physical function in old age, but evidence from randomised controlled trials is inconclusive.Methods and analysisThe PRevention Of Malnutrition In Senior Subjects in the EU (PROMISS) trial examines the effect of personalised dietary advice aiming at increasing protein intake with or without advice regarding timing of protein intake to close proximity of usual physical activity, on change in physical functioning after 6 months among community-dwelling older adults (≥65 years) with a habitual protein intake of <1.0 g/kg adjusted (a)BW/day. Participants (n=264) will be recruited in Finland and the Netherlands, and will be randomised into three groups; two intervention groups and one control group. Intervention group 1 (n=88) receives personalised dietary advice and protein-enriched food products in order to increase their protein intake to at least 1.2 g/kg aBW/day. Intervention group 2 (n=88) receives the same advice as described for intervention group 1, and in addition advice to consume 7.5–10 g protein through protein-(en)rich(ed) foods within half an hour after performing usual physical activity. The control group (n=88) receives no intervention. All participants will be invited to attend lectures not related to health. The primary outcome is a 6-month change in physical functioning measured by change in walk time using a 400 m walk test. Secondary outcomes are: 6-month change in the Short Physical Performance Battery score, muscle strength, body composition, self-reported mobility limitations, quality of life, incidence of frailty, incidence of sarcopenia risk and incidence of malnutrition. We also investigate cost-effectiveness by change in healthcare costs.DiscussionThe PROMISS trial will provide evidence whether increasing protein intake, and additionally optimising the timing of protein intake, has a positive effect on the course of physical functioning after 6 months among community-dwelling older adults with a habitual protein intake of <1.0 g/kg aBW/day.Ethics and disseminationThe study has been approved by the Ethics Committee of the Helsinki University Central Hospital, Finland (ID of the approval: HUS/1530/2018) and The Medical Ethical Committee of the Amsterdam UMC, location VUmc, Amsterdam, the Netherlands (ID of the approval: 2018.399). All participants provided written informed consent prior to being enrolled onto the study. Results will be submitted for publication in peer-reviewed journals and will be made available to stakeholders (ie, older adults, healthcare professionals and industry).Trial registration numberClinicalTrials.gov Registry (NCT03712306).

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