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 Protein Intake among Community-Dwelling Older Adults: The Influence of (Pre-) Motivational Determinants

Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 293
Author(s):  
Marije H. Verwijs ◽  
Annemien Haveman-Nies ◽  
Jos W. Borkent ◽  
Joost O. Linschooten ◽  
Annet J. C. Roodenburg ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Protein Intake ◽  
Community Dwelling ◽  
Online Questionnaire ◽  
Behavioral Determinants ◽  
Low Protein ◽  
Personal Approach ◽  
Increase Protein Intake ◽  
Community Dwelling Older Adults

An adequate protein intake is important for healthy ageing, yet nearly 50% of Dutch community-dwelling older adults do not meet protein recommendations. This study explores protein intake in relation to eight behavioral determinants (I-Change model) among Dutch community-dwelling older adults. Data were collected through an online questionnaire from October 2019–October 2020. Protein intake was assessed by the Protein Screener 55+, indicating a high/low chance of a low protein intake (<1.0 g/kg body weight/day). The behavioral determinants of cognizance, knowledge, risk perception, perceived cues, attitude, social support, self-efficacy and intention were assessed by evaluating statements on a 7-point Likert scale. A total of 824 Dutch community-dwelling older adults were included, recruited via online newsletters, newspapers and by personal approach. Poisson regression was performed to calculate quartile-based prevalence ratios (PRs). Almost 40% of 824 respondents had a high chance of a low protein intake. Univariate analyses indicated that lower scores for all different behavioral determinants were associated with a higher chance of a low protein intake. Independent associations were observed for knowledge (Q4 OR = 0.71) and social support (Q4 OR = 0.71). Results of this study can be used in future interventions aiming to increase protein intake in which focus should lie on increasing knowledge and social support.

The effectiveness of protein-rich ready-made meals and dairy products in increasing protein intake of community-dwelling older adults after switching from self-prepared to ready-made meals

2018 ◽  
Vol 37 ◽  
pp. S5
Author(s):  
J.W. Borkent ◽  
J. Beelen ◽  
J.O. Linschooten ◽  
A.J.C. Roodenburg ◽  
M.A.E. de van der Schueren
Keyword(s):  
Older Adults ◽  
Dairy Products ◽  
Protein Intake ◽  
Community Dwelling ◽  
Protein Rich ◽  
Community Dwelling Older Adults

scholarly journals The ConsuMEER study: a randomised trial towards the effectiveness of protein-rich ready-made meals and protein-rich dairy products in increasing protein intake of community-dwelling older adults after switching from self-prepared meals towards ready-made meals

2019 ◽  
Vol 8 ◽  
Author(s):  
Jos W. Borkent ◽  
Janne Beelen ◽  
Joost O. Linschooten ◽  
Annet J. C. Roodenburg ◽  
Marian A. E. de van der Schueren
Keyword(s):  
Older Adults ◽  
G Protein ◽  
Dairy Products ◽  
Protein Intake ◽  
Randomised Trial ◽  
Intervention Group ◽  
Community Dwelling ◽  
Control Group ◽  
Protein Rich ◽  
Community Dwelling Older Adults

AbstractThe risk of undernutrition in older community-dwelling adults increases when they are no longer able to shop or cook themselves. Home-delivered products could then possibly prevent them from becoming undernourished. This single-blind randomised trial tested the effectiveness of home-delivered protein-rich ready-made meals and dairy products in reaching the recommended intake of 1·2 g protein/kg body weight (BW) per d and ≥25 g of protein per meal. Community-dwelling older adults (n 98; mean age 80·4 (sd 6·8) years) switched from self-prepared to home-delivered hot meals and dairy products for 28 d. The intervention group received ready-made meals and dairy products high in protein; the control group received products lower in protein. Dietary intake was measured at baseline, after 2 weeks (T1), and after 4 weeks (T2). Multilevel analyses (providing one combined outcome for T1 and T2) and logistic regressions were performed. Average baseline protein intake was 1·09 (se 0·05) g protein/kg BW per d in the intervention group and 0·99 (se 0·05) g protein/kg BW per d in the control group. During the trial, protein intake of the intervention group was 1·12 (se 0·05) g protein/kg BW per d compared with 0·87 (se 0·03) g protein/kg BW per d in the control group (between-group differences P &lt; 0·05). More participants of the intervention group reached the threshold of ≥25 g protein at dinner compared with the control group (intervention T1: 84·8 %, T2: 88·4 % v. control T1: 42·9 %, T2: 40·5 %; P &lt; 0·05), but not at breakfast and lunch. Our findings suggest that switching from self-prepared meals to ready-made meals carries the risk of a decreasing protein intake, unless extra attention is given to protein-rich choices.

scholarly journals Digitally Supported Dietary Protein Counseling Changes Dietary Protein Intake, Sources, and Distribution in Community-Dwelling Older Adults

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 502
Author(s):  
Jantine van den Helder ◽  
Sjors Verlaan ◽  
Michael Tieland ◽  
Jorinde Scholten ◽  
Sumit Mehra ◽  
...  
Keyword(s):  
Older Adults ◽  
Dietary Protein ◽  
Dairy Products ◽  
Protein Intake ◽  
Community Dwelling ◽  
Animal Protein ◽  
Dietary Protein Intake ◽  
Protein Sources ◽  
Dietary Counselling ◽  
Community Dwelling Older Adults

Digitally supported dietary counselling may be helpful in increasing the protein intake in combined exercise and nutritional interventions in community-dwelling older adults. To study the effect of this approach, 212 older adults (72.2 ± 6.3 years) were randomised in three groups: control, exercise, or exercise plus dietary counselling. The dietary counselling during the 6-month intervention was a blended approach of face-to-face contacts and videoconferencing, and it was discontinued for a 6-month follow-up. Dietary protein intake, sources, product groups, resulting amino acid intake, and intake per eating occasion were assessed by a 3-day dietary record. The dietary counselling group was able to increase the protein intake by 32% at 6 months, and the intake remained 16% increased at 12 months. Protein intake mainly consisted of animal protein sources: dairy products, followed by fish and meat. This resulted in significantly more intake of essential amino acids, including leucine. The protein intake was distributed evenly over the day, resulting in more meals that reached the protein and leucine targets. Digitally supported dietary counselling was effective in increasing protein intake both per meal and per day in a lifestyle intervention in community-dwelling older adults. This was predominantly achieved by consuming more animal protein sources, particularly dairy products, and especially during breakfast and lunch.

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.

scholarly journals Personalized Protein Supplementation Improves Total Protein, Leucine, and Energy Intake in (Pre)Sarcopenic Community-Dwelling Older Adults in the ENHANce RCT

2021 ◽  
Vol 8 ◽  
Author(s):  
Lenore Dedeyne ◽  
Jolan Dupont ◽  
Sabine Verschueren ◽  
Katrien Koppo ◽  
Jos Tournoy ◽  
...  
Keyword(s):  
Older Adults ◽  
Dietary Intake ◽  
Energy Intake ◽  
Body Mass ◽  
Dietary Protein ◽  
Total Protein ◽  
Protein Intake ◽  
Protein Supplementation ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

Recommendations concerning protein quantity, source, and leucine intake for older adults are difficult to reach by regular dietary intake. This randomized clinical trial assesses in sarcopenic community-dwelling older adults (i) the regular (non-supplemented) daily protein and leucine intake; and (ii) the effect of personalized protein supplementation (aiming for an evenly distributed total protein intake of 1.5 g·kg−1·d−1 of body mass, accounting for energy intake) on regular and total (dietary and supplemental) intake. A preliminary feasibility study in participants of the ongoing Exercise and Nutrition for Healthy AgeiNg (ENHANce) study was performed with the objective to assess the intake and distribution of regular dietary protein and leucine, protein source and energy intake in (pre)sarcopenic community-dwelling older adults. Moreover, this study aimed to assess if personalized protein supplementation was feasible without negatively affecting regular dietary intake. ENHANce (NCT03649698) is a 5-armed RCT that assesses the effect of anabolic interventions on physical performance in (pre)sarcopenic older adults. In August 2019, n = 51 participants were included in ENHANce with complete available data on dietary intake at screening and thus eligible for inclusion in present analysis. Of these, n = 35 participants completed the intervention period of ENHANce at the moment of analysis, allowing an exploration of the effect of supplementation on regular dietary intake. The regular dietary protein intake of 51 (pre)sarcopenic adults (73.6 ± 6.5 years) was 1.06 ± 0.3 g·kg−1·d−1 of body mass. Protein supplementation (n = 20) improved total protein intake to 1.55 ± 0.3 g·kg−1·d−1 of body mass (P &lt; 0.001) without affecting regular dietary protein (P = 0.176) or energy intake (P = 0.167). Placebo supplementation (n = 15) did not affect regular dietary protein intake (P = 0.910) but decreased regular dietary energy intake (P = 0.047). Regular leucine intake was unevenly distributed over the day, but increased by supplementation at breakfast (P &lt; 0.001) and dinner (P = 0.010) to at least 2.46 g leucine·meal−1, without reducing regular dietary leucine intake (P = 0.103). Animal-based protein intake—the main protein source—was not affected by supplementation (P = 0.358). Personalized protein supplementation ensured an adequate quantity and even distribution of protein and leucine over the day, without affecting regular dietary protein or energy intake.

Digitally supported dietary counseling increases protein intake in community dwelling older adults: Preliminary results of the vitamin RCT

2018 ◽  
Vol 37 ◽  
pp. S162
Author(s):  
J. van den Helder ◽  
C. van Dronkelaar ◽  
M. Tieland ◽  
S. Mehra ◽  
B. Visser ◽  
...  
Keyword(s):  
Older Adults ◽  
Protein Intake ◽  
Community Dwelling ◽  
Dietary Counseling ◽  
Preliminary Results ◽  
Community Dwelling Older Adults
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