scholarly journals INCREASING PROTEIN INTAKE TO HELP OLDER ADULTS INCREASE MUSCLE STRENGTH AND FUNCTION: A PILOT, SINGLE-ARM INVESTIGATION USING COACHING AND A PER-MEAL PROTEIN PRESCRIPTION

2020 ◽  
pp. 1-5
Author(s):  
S.S. Gropper ◽  
M. Exantus ◽  
K.L. Jackson ◽  
S.M. Spiers ◽  
E.R. Vieira ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Nutrition Education ◽  
Protein Intake ◽  
South Florida ◽  
Control Group ◽  
Timed Up And Go ◽  
Meal Protein ◽  
Pilot Investigation ◽  
And Function ◽  
Chair Rise

Objective: To evaluate the effects of nutrition education, diet coaching, and a protein prescription (PP) on protein intake, and associations with muscle strength and function. Design: Prospective pretest posttest single-arm study. Setting: Urban area, East coast of South Florida. Participants: 20 white, non-Hispanic adults, aged 73.3 + 10.4 years. Intervention: 10-week telephone-based diet coaching, nutrition education and a per-meal PP. Measurements: Protein and energy intakes, weight, grip strength (GS), and 5-chair-rise (5CR), timed up and go (TUG), 3-meter walk (3mW) tests at baseline and 10 weeks. Results: Pre to 10-week post values significantly improved (p<0.05) for protein intake/kg body weight (0.8 + 0.3 to 1.2 + 0.3g), protein intake/meal (17.2 ± 4.8g to 26.4 ± 6.g), protein intake/100 kcal (3.74 + 1.16 to 5.97 + 0.98g), GS (22.4 to 23.4kg), and times for TUG (10 to 8sec), 3mW (4 to 3sec), and 5CR (13 to 11sec). Conclusions: Given the positive findings of this unique pilot investigation, additional studies, which include a larger more diverse group of participants and provide for control group(s), are needed to better investigate the effectiveness of this approach and its effects on muscle strength and function.

scholarly journals Effectiveness of a Per-Meal Protein Prescription and Nutrition Education with versus without Diet Coaching on Dietary Protein Intake and Muscle Health in Middle-Aged Women

Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 375
Author(s):  
Kelley L. Jackson ◽  
Sareen S. Gropper ◽  
Dennis Hunt ◽  
Deborah D’Avolio ◽  
David Newman
Keyword(s):  
Nutrition Education ◽  
Dietary Protein ◽  
Protein Intake ◽  
Dietary Protein Intake ◽  
Speed Test ◽  
Significant Difference ◽  
Meal Protein ◽  
Muscle Health ◽  
Chair Rise ◽  
The Impact

Sufficient dietary protein intake is vital to maintaining muscle health with aging. Yet protein intake among adults is often inadequate. This study’s main objective was to examine the impact of nutrition education (NE) and a per-meal protein prescription (PRx) with versus without diet coaching on protein intake. A secondary objective examined its effects on muscle health. Participants included 53 women, age 45–64 years. All participants received NE and PRx; those randomized to coached-group received 10-weeks of diet coaching. Assessments included: protein intake at baseline, weeks 4 and 12 and muscle health (muscle mass, grip strength, five-chair rise test, 4 mgait speed test). The Chi-square test examined percentages of participants meeting PRx between groups. Repeated measures analysis of variance assessed within group and intervention effects on protein intake and muscle health parameters. Protein intake (g/kg body weight) increased (p < 0.001): not-coached (n = 28) 0.8 ± 0.2 to 1.2 ± 0.3 and coached (n = 25) 1.0 ± 0.2 to 1.4 ± 0.3 with no significant difference between groups. A greater percentage of coached-group participants met (p = 0.04) breakfast (72%) and met (p < 0.001) three-meal (76%) PRx versus not-coached participants (25% and 53%, respectively). Participants in both groups exhibited significantly (p < 0.001) improved times for the five-chair rise test and 4 mgait speed test. Diet coaching in conjunction with a PRx and NE should be considered to assist individuals in improving protein intake through self-selection of protein-rich foods.

DIETARY PROTEIN TO MAINTAIN MUSCLE MASS IN AGING: A CASE FOR PER-MEAL PROTEIN RECOMMENDATIONS

2016 ◽  
pp. 1-10
Author(s):  
C.H. MURPHY ◽  
S.Y. OIKAWA ◽  
S.M. PHILLIPS
Keyword(s):  
Muscle Mass ◽  
Dietary Protein ◽  
Protein Intake ◽  
Muscle Protein ◽  
Muscle Protein Synthesis ◽  
Dietary Advice ◽  
Age Related ◽  
Meal Protein ◽  
Single Meal ◽  
And Function

It is well accepted that daily protein intake is an important dietary consideration to limit and treat age-related declines in muscle mass, strength, and function. Furthermore, we propose that there is a growing appreciation for the need to consider protein intake on a per-meal basis rather than simply focusing on the total daily protein intake. The existence of a saturable dose-response relationship between muscle protein synthesis (MPS) and the quantity of protein consumed in a single meal/bolus provides the rationale for promoting an even/balanced pattern of daily protein intake. We hypothesize that a balanced/even protein intake pattern with the ingestion a quantity of protein shown to optimally stimulate MPS at each meal may be an effective strategy to alleviate sarcopenic muscle loss. In this review we examine the available evidence supporting the influence of dietary protein intake pattern on muscle protein turnover, muscle mass, and muscle function. We present several practical considerations that, it is proposed, should be taken into account when translating a per-meal protein recommendation into dietary advice for older adults.

scholarly journals Feldenkrais Movement Lessons Improve Older Adults’ Awareness, Comfort, and Function

2017 ◽  
Vol 3 ◽  
pp. 233372141772401 ◽  
Author(s):  
Carolyn F. Palmer
Keyword(s):  
Older Adults ◽  
Intervention Study ◽  
Control Group ◽  
Original Sample ◽  
Forward Movement ◽  
Timed Up And Go ◽  
Functional Reach ◽  
Optimal Score ◽  
And Function ◽  
Base Of Support

This prospective controlled intervention study assessed Feldenkrais Moving Forward movement lessons for older adults. Participants ( N = 87 returning from original sample of 124; median age = 76 years) were assigned to movement ( n = 51) or waitlist control ( n = 36) groups. The movement groups took twelve 60-min lessons across either 6 or 12 weeks, to compare lesson density. Pretests and posttests included Base of Support, Timed Up and Go, Tandem Stance, Functional Reach, modified OPTIMAL, and questions about individual priorities and outcomes. Results included significant correlations between lessons attended and both improved Functional Reach and improved OPTIMAL score. A significantly higher proportion of the movement (vs. control) group reported positive changes at the posttest in both prioritized and newly identified activities. These results show that Feldenkrais lessons are helpful to older adults for promoting balance, mobility, and confidence.

scholarly journals Pengaruh Komik Isi Piringku terhadap Asupan Karbohidrat dan Protein pada Anak Gizi Lebih

2020 ◽  
Vol 5 (1) ◽  
pp. 16
Author(s):  
Joyeti Darni ◽  
Eva Agustina
Keyword(s):  
Treatment Group ◽  
Nutrition Education ◽  
Protein Intake ◽  
Eating Habits ◽  
Research Result ◽  
Carbohydrate Intake ◽  
Simple Random Sample ◽  
Control Group ◽  
P Value ◽  
Before And After

Background: Communication, Information and Education (IEC) of nutrition for school children can shape children's eating habits from an early age in order to achieve a better individual situation in the future. Comics are able to display simple stories and writing in colloquial so that they are easy to understand. Research Methods. This is a quasi experimental study with control group pretest-posttest design. Subjects were taken with a simple random sample of 60 students who were divided into two groups, the first group was given education with comic Isi Piringku and the second group was given education without comic Isi Piringku. The carbohydrate and protein intake data in two groups were analyzed using the paired t-test. Research Result. The analysis showed that the highest protein intake enhancement occurred in the treatment group with a delta of 16.7 g, while the control group was 6.2 points. The carbohydrate intake before treatment was 191,9 g and increased after given comic Isi  Piringku by 193,4 g. The results of different test showed that there were significant differences in the enhancement of protein intake before and after the provision of nutrition education between the control group and the treatment group with  p value <0.05, carbohydrate intake was not significantly different before and after treatment.

scholarly journals RANDOMIZED PROSPECTIVE STUDY ON THE TREATMENT OF FEMORO-PATELLAR OSTEOARTHRITIS USING BRACING

2019 ◽  
Vol 27 (2) ◽  
pp. 85-91 ◽  
Author(s):  
Gustavo Jum Yamamoto ◽  
Guilherme Pereira Ocampos ◽  
Maria Candidade Miranda Luzo ◽  
Cleidnéia Aparecida Clemente da Silva ◽  
Fabiane Elize Sabino de Farias ◽  
...  
Keyword(s):  
Drug Use ◽  
Patellofemoral Joint ◽  
Control Group ◽  
Walk Test ◽  
Patellofemoral Osteoarthritis ◽  
Level Of Evidence ◽  
Timed Up And Go ◽  
The Third ◽  
Sit To Stand ◽  
And Function

ABSTRACT Objective: To compare the effect of a brace designed to stabilize the patellofemoral joint to that of a patella-shaped neoprene sleeve with patella cut out in patients with patellofemoral osteoarthritis. Methods: Fifty-seven patients with femoro-patellar osteoarthritis were allocated to two groups: patients with femoro-patellar functional brace and those with a neoprene knee with a patellar orifice. Both groups underwent clinical treatment of osteoarthritis and used medications daily 1 month before and up to 3 months after brace placement. They were evaluated with the WOMAC and Lequesne questionnaires and performed five times sit to stand test, Timed Up and Go test, and six minutes walk test immediately before and 1 and 3 months after brace placement. Results: Both groups had improved pain, stiffness, and function with no difference between groups. Drug use decreased in both groups in the first month but increased in the third month. Naproxen use was progressively higher in the control group. Conclusion: Both knee orthoses improved pain and function and altered drug use only in the first month. Functional knee brace provided analgesia without increased use of naproxen. Level of Evidence IB, Randomized clinical trial

Getting Grounded Gracefully©: Effectiveness and Acceptability of Feldenkrais in Improving Balance

2009 ◽  
Vol 17 (1) ◽  
pp. 57-76 ◽  
Author(s):  
Freda Vrantsidis ◽  
Keith D. Hill ◽  
Kirsten Moore ◽  
Robert Webb ◽  
Susan Hunt ◽  
...  
Keyword(s):  
Older People ◽  
Repeated Measures ◽  
Intervention Group ◽  
Control Group ◽  
Timed Up And Go ◽  
Feldenkrais Method ◽  
Strong Trend ◽  
Repeated Measures Analysis ◽  
And Function ◽  
Weekly Group

The Getting Grounded Gracefully© program, based on the Awareness Through Movement lessons of the Feldenkrais method, was designed to improve balance and function in older people. Fifty-five participants (mean age 75, 85% women) were randomized to an intervention (twice-weekly group classes over 8 wk) or a control group (continued with their usual activity) after being assessed at baseline and then reassessed 8 wk later. Significant improvement was identified for the intervention group relative to the control group using ANOVA between-groups repeated-measures analysis for the Modified Falls Efficacy Scale score (p= .003) and gait speed (p= .028), and a strong trend was evident in the timed up-and-go (p= .056). High class attendance (88%) and survey feedback indicate that the program was viewed positively by participants and might therefore be acceptable to other older people. Further investigation of the Getting Grounded Gracefully program is warranted.

scholarly journals Edukasi gizi pada ibu oleh kader terlatih meningkatkan asupan energi dan protein pada balita

2020 ◽  
Vol 5 (2) ◽  
pp. 156
Author(s):  
Faza Muhammad Abdillah ◽  
Sulistiyawati Sulistiyawati ◽  
Bunga Astria Paramashanti
Keyword(s):  
Nutrition Education ◽  
Protein Intake ◽  
Child Nutrition ◽  
Maternal Nutrition ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Control Group ◽  
Post Intervention ◽  
Quasi Experimental ◽  
Long Term Impact

Child nutrition can have a long-term impact on the development of future human capital, particularly in relation to cognitive capability, productivity, and economic development. We aimed to investigate the influence of maternal nutrition education on energy and protein intakes of children in community feeding centers. This study used a quasi-experimental design with pre- and post-intervention control group. A total of 38 child-mother pairs were involved in this research. Mothers in the intervention group received nutritional education delivered by trained cadres for eight sessions in a period of four weeks. Nutritional intake data collection using 24-hour recall. Data were analyzed used the Dependent T-test and Wilcoxon test.  The results showed that nutrition education by trained cadres had a statistically significant effect on increasing energy intake (p= 0,000) and also on protein intake (p= 0,001) in children under-five. Educating mothers about child nutrition significantly increased child energy and protein intake. Involving trained cadres as the educators may result in an effective intervention to improve child dietary intake.

scholarly journals EFFECT OF ß-HYDROXY-ß-METHYLBUTYRATE (HMB) ON MUSCLE STRENGTH IN OLDER ADULTS WITH LOW PHYSICAL FUNCTION

2019 ◽  
pp. 1-7
Author(s):  
K. Kinoshita ◽  
S. Satake ◽  
Y. Matsui ◽  
S. Kawashima ◽  
H. Arai
Keyword(s):  
Older Adults ◽  
Muscle Strength ◽  
Physical Function ◽  
Grip Strength ◽  
Muscle Mass ◽  
Repeated Measures ◽  
Controlled Trial ◽  
Control Period ◽  
Control Group ◽  
Timed Up And Go

Objectives: To evaluate the effects of β-hydroxy-β-methylbutyrate (HMB) on muscle strength, physical performance, and muscle mass without additional exercise training in older adults with low physical function. Design: Randomized, controlled trial (Open-label study). Setting: Outpatients. Participants: 34 senior outpatients with low physical function who do not exercise regularly. Intervention: 2.4 g of HMB (3.0 g of calcium β-hydroxy-β-methylbutyrate [CaHMB]) per day was given for 60 days, and subjects in the control group were asked to engage in daily activities as normal. Measurements: Weakness or low function was defined by the Asian Working Group for Sarcopenia criteria, then the participants were assigned to the HMB group or the control group. All participants underwent several evaluations such as grip strength, the timed up and go test, the 5-times chair stand test (5CS), and skeletal muscle mass index by the bioimpedance method at baseline and at the end of intervention or control period. Results: An intragroup comparison of pre- to post-treatment values showed significant improvement in grip strength and the 5CS in the HMB group (grip strength: HMB, 16.6±6.1 kg to 18.2±6.4 kg, P=.001; control, 16.5±4.3 kg to 16.7±4.7 kg, P=.729; 5CS: HMB, 11.0 [8.8-13.0] s to 10.1 [8.5-12.6] s, P=.011; control, 11.1 [8.6-13.8] s to 10.0 [8.8-11.3] s, P=.246). Two-way repeated measures analysis of variance (ANOVA) used to compare the HMB and control groups showed a significant improvement in grip strength in the HMB group compared with the control group (P=.029). Conclusion: A supplementation of HMB without additional exercise may improve muscle strength in older patients with low muscle strength.

scholarly journals The Effect of Nutrition Education Using Pocketbook Media on Iron and Protein Intake

2021 ◽  
Vol 9 (E) ◽  
pp. 936-939
Author(s):  
Osman Syarief ◽  
Anisya Rezky Dwiayu ◽  
Gurid P. E. Mulyo ◽  
Roro Nur Fauziyah ◽  
Mimin Aminah ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Protein Intake ◽  
T Test ◽  
Control Group ◽  
Iron Intake ◽  
Teenage Girls ◽  
Nutritional Anemia ◽  
Paired Samples ◽  
Significant Difference ◽  
Quasi Experimental

The provision of nutrition education for teenage girls is an alternative to increase protein and iron intake to prevent anemia. This study aims to determine nutrition education's effect using pocketbook media on protein and iron intake in teenage girls. The research design used was quasi-experimental with a control group pre and post-test design. Sampling was done by the purposive sampling method—statistical analysis using Paired Samples T-test, Wilcoxon, Independent Samples T-test, and Mann Whitney. This study indicates an influence of nutrition education using pocketbook media on protein intake (p = 0.000) and iron (p = 0.000) in the treatment group. There is no effect of nutrition education using PowerPoint on protein intake (p = 0.326) and substances iron (p = 0.52) in the control group. Statistically, there was a significant difference between protein intake (p = 0.000) and iron (p = 0.001) of the treatment and control groups. It is recommended that UKS and students work together to conduct nutrition education routinely so that the nutrition information delivered can be given to all students in the school to prevent nutritional anemia.

IL-10-592 A/C Gene Polymorphism and Cytokine Levels are Associated with Susceptibility to Drug Resistance in Tuberculosis

2020 ◽  
Vol 8 (3) ◽  
pp. 103-112
Author(s):  
Atefeh SADEGHI SHERMEH ◽  
Majid KHOSHMIRSAFA ◽  
Ali-Akbar DELBANDI ◽  
Payam TABARSI ◽  
Esmaeil MORTAZ ◽  
...  
Keyword(s):  
Serum Levels ◽  
World Health ◽  
Control Group ◽  
Drug Resistant ◽  
Nucleotide Polymorphisms ◽  
Genotype Frequencies ◽  
Cytokine Levels ◽  
Ifn Γ ◽  
Health Organization ◽  
And Function

Introduction: Tuberculosis (TB) and especially resistant forms of it have a substantial economic burden on the community health system for diagnosis and treatment each year. Thus, investigation of this field is a priority for the world health organization (WHO). Cytokines play important roles in the relationship between the immune system and tuberculosis. Genetic variations especially single nucleotide polymorphisms (SNPs) impact cytokine levels and function against TB. Material and Methods: In this research SNPs in IFN-γ (+874 T/A) and IL-10 (-592 A/C) genes, and the effects of these SNPs on cytokine levels in a total of 87 tuberculosis patients and 100 healthy controls (HCs) were studied. TB patients divided into two groups: 1) 67 drug-sensitive (DS-TB) and 2) 20 drug-resistant (DR-TB) according to drug sensitivity test using polymerase chain reaction (PCR). For the genotyping of two SNPs, the PCR-based method was used and IFN-γ and IL-10 levels were measured by ELISA in pulmonary tuberculosis (PTB) and control group. Results: In -592A/C SNP, only two genotypes (AA, AC) were observed and both genotypes showed statistically significant differences between DR-TB and HCs (p=0.011). IL-10 serum levels in PTB patients were higher than HCs (p=0.02). The serum levels of IFN-γ were significantly higher in DS-TB patients than that of the other two groups (p<0.001); however, no significant differences were observed for allele and genotype frequencies in IFN-γ +874. Conclusions: Our results suggest that the SNP at -592 position of IL-10 gene may be associated with the susceptibility to DR-TB. However, further investigation is necessary. Keywords: Polymorphism, IFN-γ, IL-10, tuberculosis, drug-resistant tuberculosis

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