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.

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 Development and validation of a short food questionnaire to screen for low protein intake in community-dwelling older adults: The Protein Screener 55+ (Pro55+)

PLoS ONE ◽  
2018 ◽  
Vol 13 (5) ◽  
pp. e0196406 ◽  
Author(s):  
Hanneke A. H. Wijnhoven ◽  
Liset E. M. Elstgeest ◽  
Henrica C. W. de Vet ◽  
Mary Nicolaou ◽  
Marieke B. Snijder ◽  
...  
Keyword(s):  
Older Adults ◽  
Protein Intake ◽  
Community Dwelling ◽  
Low Protein ◽  
Development And Validation ◽  
Community Dwelling Older Adults

scholarly journals The protein gap: increasing protein intake in the diet of community-dwelling older adults – A simulation study

2021 ◽  
pp. 1-23
Author(s):  
Marije H. Verwijs ◽  
Marian A.E. de van der Schueren ◽  
Marga C. Ocké ◽  
Jacco Ditewig ◽  
Joost O. Linschooten ◽  
...  
Keyword(s):  
Older Adults ◽  
Protein Intake ◽  
Community Dwelling ◽  
Alcoholic Beverages ◽  
Food Groups ◽  
Low Protein ◽  
Food Consumption Survey ◽  
Protein Rich ◽  
Community Dwelling Older Adults ◽  
Habitual Protein Intake

Abstract Objective: Approximately 50% of Dutch community-dwelling older adults does not meet protein recommendations. This study assesses the effect of replacing low protein foods with protein-rich alternatives on protein intake of Dutch community-dwelling older adults. Design: The Dutch National Food Consumption Survey – Older Adults 2010-2012 was used for scenario modelling. Dietary intake was estimated for 727 adults aged 70+ based on two 24-h recalls. Commonly consumed products were replaced by comparable products rich in protein (scenario 1), foods enriched in protein (scenario 2), and a combination of both (scenario 3). Replacement scenarios were confined to participants whose dietary protein intake was <1.0g/kg BW/day (n=391). Habitual protein intake of all older adults was estimated, adjusting for effects of within-person variation in the 2-days intake data. Results: Mean protein intake of the total population increased from 1.0 to 1.2 g/kg BW/day (scenarios 1 and 2) and to 1.3 g/kg BW/day (scenario 3). The percentage of participants with intakes of ≥1.0 g/kg BW/day increased from 47.1% to 91.4%, 90.2%, and 94.6% respectively in scenarios 1, 2 and 3. The largest increases in protein intake were due to replacements in food groups Yoghurt, cream desserts and pudding, Potatoes, vegetables and legumes and Non-alcoholic beverages and milk in scenario 1 and Bread; Yoghurt, cream desserts and pudding and Soups in scenario 2. Conclusions: This simulation model shows that replacing low protein foods with comparable alternatives rich in protein can increase the protein intake of Dutch community-dwelling older adults considerably. Results can be used as a basis for nutritional counseling.

scholarly journals Low awareness of community-dwelling older adults on the importance of dietary protein: new insights from four qualitative studies

2021 ◽  
Vol 10 ◽  
Author(s):  
Joost O. Linschooten ◽  
Marije H. Verwijs ◽  
Janne Beelen ◽  
Marian A. E. de van der Schueren ◽  
Annet J. C. Roodenburg
Keyword(s):  
Older Adults ◽  
Focus Groups ◽  
Healthy Eating ◽  
Dietary Protein ◽  
Protein Intake ◽  
Eating Behaviour ◽  
Community Dwelling ◽  
Low Protein ◽  
Protein Rich ◽  
Community Dwelling Older Adults

Abstract Meeting the recommended daily protein intake can be a challenge for community-dwelling older adults (CDOA). In order to understand why, we studied attitudes towards protein-rich products and healthy eating in general; identified needs and preferences, barriers and promotors and knowledge regarding dietary behaviour and implementation of high protein products. Attitudes towards protein-rich products and healthy eating were evaluated in focus groups (study 1, n 17). To gain insights in the needs and preferences of older adults with regard to meals and meal products (study 2, n 30), visual information on eating behaviour was assessed using photovoicing and verified in post-photovoice interviews. In studies 3 and 4, semi-structured interviews were conducted to identify protein consumption-related barriers, opportunities (n 20) and knowledge and communication channels (n 40), respectively. Risk of low protein intake was assessed using ProteinScreener55+ (Pro55+) in studies 2–4 (n 90). Focus groups showed that participants were unaware of potential inadequate dietary protein. Photovoicing showed that sixteen of thirty participants mainly consumed traditional Dutch products. In post-photovoice interviews, participants indicated that they were satisfied with their current eating behaviour. Barriers for adequate use of protein-rich products were ‘lack of knowledge’, ‘resistance to change habits’ and ‘no urge to receive dietary advice’. Promotors were ‘trust in professionals’ and ‘product offers’. Sixty-two percent had a low risk of low protein intake. CDOA feel low urgency to increase protein intake, possibly linked to low knowledge levels. A challenge for professionals would be to motivate older adults to change their eating pattern, to optimise protein intake.

Relationship Between Frailty and Depression Among Community-Dwelling Older Adults: The Mediating and Moderating Role of Social Support

2020 ◽  
Vol 60 (8) ◽  
pp. 1466-1475 ◽  
Author(s):  
Yaru Jin ◽  
Huaxin Si ◽  
Xiaoxia Qiao ◽  
Xiaoyu Tian ◽  
Xinyi Liu ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Rating Scale ◽  
Depression Scale ◽  
Community Dwelling ◽  
Linear Regression Models ◽  
Frailty Phenotype ◽  
Community Dwelling Older Adults ◽  
The Relationship

Abstract Background and Objectives Frailty is associated with depression in older adults and reduces their social support. However, the mechanism underlying such relationship remains unclear. We aim to examine whether social support acts as a mediator or moderator in the relationship between frailty and depression. Research Design and Methods This cross-sectional study was conducted among 1,779 community-dwelling older adults aged 60 and older. Frailty, social support, and depressive symptoms were measured by the Physical Frailty Phenotype, Social Support Rating Scale, and five-item Geriatric Depression Scale, respectively. Data were also collected on age, gender, years of schooling, monthly income, cognitive function, number of chronic diseases, physical function, and pain. Results Linear regression models showed that subjective support and support utilization, but not objective support, mediated and moderated the relationship between frailty and depressive symptoms. The Johnson–Neyman technique determined a threshold of 30 for subjective support, but not for support utilization, beyond which the detrimental effect of frailty on depressive symptoms was offset. Discussion and Implications Social support underlies the association of frailty with depression, and its protective role varies by type. Interventions on depression should address improving perceptions and utilization of social support among frail older adults rather than simply providing them with objective support.

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