With the European population growing older, the challenge is to keep an increasing number of seniors across all European countries healthy and active. In Europe, between 13.5 % and 29.7 % of older adults living at home are malnourished or at risk of protein energy malnutrition. PROMISS aims to better understand and ultimately prevent protein energy malnutrition in seniors. Thereby, PROMISS will contribute to improve active and healthy ageing.

Project information

Nutrition for healthy ageing


29th March 2019

Effects of dietary patterns and low protein intake on sarcopenia risk in the very old: The Newcastle 85+ Study

Antoneta Granic, Nuno Mendonça, Avan A. Sayer, Tom R. Hill, Karen Davies, Mario Siervo, John C. Mathers, Carol Jagger

Clinical Nutrition 2019 Jan 10. doi.org/10.1016/j.clnu.2019.01.009 [Epub ahead of print].


Sarcopenia is a progressive loss of muscle mass and muscle strength that may lead to disability, falls, and hospitalisation. The very old, those aged 85 years and older, are the fastest growing age group in most western societies and are at especially high risk of sarcopenia. Onset of sarcopenia may be partly explained by diet. Therefore, we aimed to explore the role of dietary patterns and protein intake in the risk of sarcopenia over 3 years. Our study, the Newcastle 85+, was based in North East England, and involved more than 750 people aged 85 years old. These participants had their diet estimated by a 24 hour multiple pass recall (people are asked what foods and drinks they consumed in the past 24 hours) on two different days of the week and from this, dietary patterns were derived. Sarcopenia was measured over 3 years according to a muscle mass index, gait speed and grip strength. We identified three dietary patterns: ‘Low Red Meat’, ‘Traditional British’ and ‘Low Butter’ that varied by unsaturated fat spreads/oils, butter, red meat, gravy and potato consumption. We found that very old adults who had a dietary pattern high in foods characteristic of a traditional British diet (high butter, red meat, gravy and potato consumption, and high fat and energy intake), especially compared to a low butter dietary pattern (high in unsaturated fat spreads/oils, fibre, percentage of energy from protein and starch) had an increased risk of sarcopenia even when overall protein intake was good. These results add to the limited literature on the role of the whole diet in sarcopenia in very old adults.

You can also read the scientific article here.


PROMISS Newsletter #3 – March 2019

Over 20 million older citizens are at risk of protein malnutrition in Europe, whose consequences on health are serious and often irreversible.

Based on the outcomes of our research, PROMISS will develop optimised, sustainable and evidence-based dietary and physical activity strategies, which are currently tested in the Netherlands and Finland for effectiveness and cost-effectiveness in a long-term intervention study.

The project will show whether these strategies together with new food concepts and products will prevent malnutrition and support active and healthy ageing.

In this newsletter:

  • A sneak peek of PROMISS research (p. 2-5)
    • Consumers’ habits and their consequences
    • Enriched bread with raisins and apple pie
    • Protein rich soups
    • Towards tailored dietary strategies
    • Daily sedentary time and physical activity among Dutch older adults
  • Nutrition and appetite under the magnifying glass (p. 6-7)
    • The Protein Screener 55+: interview with Dr. Hanneke Wijnhoven
  • What comes next? (p. 7-8)
    • Read about what keeps our team busy in the coming months

Enjoy reading the third PROMISS newsletter here.

13th March 2019

Over 80 top experts already confirmed to speak at the 15th EuGMS International Congress

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Over 20 million older citizens are at risk of protein malnutrition in Europe, whose consequences on health are serious and often irreversible. Enjoy reading the third PROMISS newsletter of this H2020 project here: promiss-vu.eu/promiss-newsle… pic.twitter.com/X3bizmTy0A

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