De Europese bevolking wordt steeds ouder, waardoor de uitdaging ontstaat om het toenemende aantal oudere volwassenen in alle Europese landen gezond en actief te houden. In Europa is tussen een vijfde en de helft van de thuiswonende ouderen ondervoed of loopt het risico op ondervoeding op het gebied van proteïne-energie. PROMISS is gericht op een beter begrip en uiteindelijk het voorkomen van eiwit-energie ondervoeding bij oudere volwassenen. Daarbij zal PROMISS bijdragen aan het verbeteren van actief en gezond ouder worden.
Voeding voor gezond ouder worden
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Publications overview by year
- Fluitman, KS et al. (2017) The intestinal microbiota, energy balance, and malnutrition: emphasis on the role of short-chain fatty acids
- Houston, DK et al. (2017) Protein Intake and Mobility Limitation in Community-Dwelling Older Adults: the Health ABC Study
- Van der Meij, B et al. (2017) Poor Appetite and Dietary Intake in Community-Dwelling Older Adults
- Granic, A et al. (2018) Low protein intake, muscle strength and physical performance in the very old: The Newcastle 85+ Study
- Medonca, N et al. (2018) Prevalence and determinants of low protein intake in very old adults: insights from the Newcastle 85+ Study
- Hengeveld, L et al. (2018) Prospective associations of poor diet quality with long-term incidence of protein-energy malnutrition in community-dwelling older adults: the Health, Aging, and Body Composition (Health ABC) Study
- Fluitman, KS et al. (2018) Potential of butyrate to influence food intake in mice and men
- Wijnhoven, HAH et al. (2018) Development and validation of a short food questionnaire to screen for low protein intake in community-dwelling older adults: The Protein Screener 55+ (Pro55+)
- Mendonca, N et al. (2018) Protein Intake and Disability Trajectories in Very Old Adults: The Newcastle 85+ Study
- Hengeveld, L et al. (2019a) 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
- Van Ballegooijen, AJ et al. (2019) Daily sedentary time and physical activity as assessed by accelerometry and their correlates in older adults
- Granic, A et al. (2019) Effects of dietary patterns and low protein intake on sarcopenia risk in the very old: The Newcastle 85+ study
- Hung, Y et al. (2019) Appetite and Protein Intake Strata of Older Adults in the European Union: Socio-Demographic and Health Characteristics, Diet-Related and Physical Activity Behaviours
- Van der Lubbe, LM et al. (2019) Designing a system with persuasive communication to improve diet compliance for elderly users
- Mendonca, N et al. (2019a) Contribution of protein intake and its interaction with physical activity to transitions between disability states and to death in very old adults: the Newcastle 85+ Study
- Hengeveld, L et al. (2019b) Prospective Associations of Diet Quality With Incident Frailty in Older Adults: The Health, Aging, and Body Composition Study
- Grasso, A et al. (2019) Older Consumers’ Readiness to Accept Alternative, More Sustainable Protein Sources in the European Union
- Fluitman, KS et al. (2019) The Association of Olfactory Function with BMI, Appetite, and Prospective Weight Change in Dutch Community-Dwelling Older Adults
- Kiesswetter, E et al. (2019) Oral health determinants of incident malnutrition in community-dwelling older adults
- Mendonca, N et al. (2019b) Protein intake and transitions between frailty states and to death in very old adults: the Newcastle 85+ study
- Kiesswetter, E et al. (2020) Association of oral health with body weight: a prospective study in community-dwelling older adults
- Reinders, I et al. (2020a) Two dietary advice strategies to increase protein intake among community-dwelling older adults: A feasibility study
- Rooijackers, TH et al. (2020) Protein intake pattern over the day and its association with low total protein intake in Dutch community-dwelling older adults
- Elstgeest, LEM et al. (2020) Sex-and race-specific associations of protein intake with change in muscle mass and physical function in older adults: the Health, Aging, and Body Composition (Health ABC) Study
- Hengeveld, L et al. (2020) Prevalence of protein intake below recommended in community‐dwelling older adults: a meta‐analysis across cohorts from the PROMISS consortium
- Van der Lubbe, L et al. (2020) Integrating gamification into a system to improve diet compliance for elderly users
- Chang, M et al. (2020) A poor appetite or ability to eat and its association with physical function amongst community-dwelling older adults: age, gene/environment susceptibility-Reykjavik study
- Reinders, I et al. (2020b) 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
- Grasso, A et al. (2021a) Protein for a Healthy Future: How to Increase Protein Intake in an Environmentally Sustainable Way in Older Adults in the Netherlands
- Broeckhoven, I et al. (2021) Consumer valuation of carbon labeled protein-enriched burgers in European older adults
- Tsai, LT et al. (2021) Associations between objectively measured physical activity, sedentary behaviour and time in bed among 75+ community-dwelling Danish older adults
- Visser, M et al. (2021) Protein Knowledge of Older Adults and Identification of Subgroups with Poor Knowledge
- Fluitman, K et al. (2021) Poor Taste and Smell Are Associated with Poor Appetite, Macronutrient Intake, and Dietary Quality but Not with Undernutrition in Older Adults
- Grasso, A et al. (2021b) Understanding meat consumption in later life: A segmentation of older consumers in the EU
- Mendonca, N et al. (2021) Low protein intake, physical activity and physical function in European and North American community-dwelling older adults: a pooled analysis of four longitudinal aging cohorts
- van der Lubbe, L et al. (2021) Experiences with using persuasive technology in a diet trial for older adults
- Lourida, I at al. (2021), Association of daily physical activity and sedentary behaviour with protein intake patterns in older adults: a multi-study analysis across five countries
- Hengeveld, L.M et al. (2021), Prospective associations of protein intake parameters with muscle strenght and physical performance in community-dwelling older men and women from the Quebec NuAgge cohort
Prospective associations of protein intake parameters with muscle strength and physical performance in community-dwelling older men and women from the Quebec NuAge cohort
Am J Clin Nutr. 2021 Apr 6;113(4):972-983. doi: 10.1093/ajcn/nqaa360.
Dietary protein has been related to muscle function in aging. Beyond total intake, parameters such as protein distribution across meals might also be important.
The research aimed to examine prospective associations of different protein intake parameters with muscle strength and physical performance in community-dwelling older men and women.
In total, 524 men and 574 women aged 67-84 y at baseline (T1) were followed annually for 3 y (T2, T3, T4). Outcomes included handgrip strength (kPa), knee extensor strength (kg), and physical performance (Timed Up and Go, s) at T4, and their 3-y changes (T4 minus T1). Protein intake parameters were assessed using nine 24-h recalls collected over 3 y (T1, T2, T3) and included daily total intake (g/d), number of protein-providing meals and snacks, and protein distribution across meals (expressed as CV). Associations were examined by multivariable linear regression models including all protein intake parameters simultaneously. Also, the optimal protein dose (g) per meal for the maximum effect size of total daily intake was determined.
Results: Higher daily protein intake was associated with better knee extensor strength and physical performance at T4 in both sexes and less physical performance decline in women. Optimal protein doses per meal were 30-35 g in men and 35-50 g in women for these outcomes. In men, more uneven protein distribution was associated with better physical performance at T4 and less handgrip strength decline. In women, a higher number of protein-providing snacks was associated with better handgrip strength and knee extensor strength at T4 and less handgrip strength decline. In neither sex was number of protein-providing meals associated with outcomes.
Conclusions: Higher daily protein intake, up to 30-50 g protein/meal, may contribute to better knee extensor strength and physical performance in generally well-functioning older men and women. More aspects of protein intake may contribute to muscle strength and physical performance than solely the daily quantity, notably the protein dose per meal.
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