Changes in Dietary Intake and Adherence to the NU-AGE Diet Following a One-Year Dietary Intervention among European Older Adults-Results of the NU-AGE Randomized Trial

A.M. Berendsen, O. van de Rest, E.J.M. Feskens, Aurelia Santoro, R. Ostan, Barbara Pietruszka, A. Brzozowska, A. Stelmaszczyk-Kusz, A. Jennings, Rachel Gillings, A. Cassidy, A. Caille, Elodie Caumon, Corinne Malpuech-Brugère, Claudio Franceschi, C.P.G.M. de Groot

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Abstract

Background: The Mediterranean Diet has been proposed as an effective strategy to reduce inflammaging, a chronic low grade inflammatory status, and thus, to slow down the aging process. We evaluated whether a Mediterranean-like dietary pattern specifically targeting dietary recommendations of people aged over 65 years (NU-AGE diet) could be effective to shift dietary intake of older adults towards a healthful diet. Methods: Adults aged 65–80 years across five EU-centers were randomly assigned to a NU-AGE diet group or control group. The diet group followed one year of NU-AGE dietary intervention specifying consumption of 15 food groups plus the use of a vitamin D supplement. Participants in the diet group received counselling and individually tailored dietary advice, food products and a vitamin D supplement. Dietary intake was assessed by means of seven-day food records at baseline and one-year follow-up. A continuous NU-AGE index (0–160 points) was developed to assess NU-AGE diet adherence. Results: In total 1296 participants were randomized and 1141 participants completed the intervention (571 intervention, 570 control). After one year, the diet group improved mean intake of 13 out of 16 NU-AGE dietary components (p < 0.05), with a significant increase in total NU-AGE index (difference in mean change = 21.3 ± 15.9 points, p < 0.01). Conclusions: The NU-AGE dietary intervention, based on dietary recommendations for older adults, consisting of individual dietary counselling, free healthy foods and a vitamin D supplement, may be a feasible strategy to improve dietary intake in an aging European population.
LanguageEnglish
Article number1905
JournalNutrients
Volume10
DOIs
Publication statusPublished - 4 Dec 2018

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food intake
Diet
diet
vitamin D
Vitamin D
Food
dietary recommendations
Counseling
Mediterranean Diet
diet counseling
Mediterranean diet
counseling
food records
food groups
eating habits
foods
Control Groups
Population

Cite this

Berendsen, A.M. ; van de Rest, O. ; Feskens, E.J.M. ; Santoro, Aurelia ; Ostan, R. ; Pietruszka, Barbara ; Brzozowska, A. ; Stelmaszczyk-Kusz, A. ; Jennings, A. ; Gillings, Rachel ; Cassidy, A. ; Caille, A. ; Caumon, Elodie ; Malpuech-Brugère, Corinne ; Franceschi, Claudio ; de Groot, C.P.G.M. / Changes in Dietary Intake and Adherence to the NU-AGE Diet Following a One-Year Dietary Intervention among European Older Adults-Results of the NU-AGE Randomized Trial. In: Nutrients. 2018 ; Vol. 10.
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title = "Changes in Dietary Intake and Adherence to the NU-AGE Diet Following a One-Year Dietary Intervention among European Older Adults-Results of the NU-AGE Randomized Trial",
abstract = "Background: The Mediterranean Diet has been proposed as an effective strategy to reduce inflammaging, a chronic low grade inflammatory status, and thus, to slow down the aging process. We evaluated whether a Mediterranean-like dietary pattern specifically targeting dietary recommendations of people aged over 65 years (NU-AGE diet) could be effective to shift dietary intake of older adults towards a healthful diet. Methods: Adults aged 65–80 years across five EU-centers were randomly assigned to a NU-AGE diet group or control group. The diet group followed one year of NU-AGE dietary intervention specifying consumption of 15 food groups plus the use of a vitamin D supplement. Participants in the diet group received counselling and individually tailored dietary advice, food products and a vitamin D supplement. Dietary intake was assessed by means of seven-day food records at baseline and one-year follow-up. A continuous NU-AGE index (0–160 points) was developed to assess NU-AGE diet adherence. Results: In total 1296 participants were randomized and 1141 participants completed the intervention (571 intervention, 570 control). After one year, the diet group improved mean intake of 13 out of 16 NU-AGE dietary components (p < 0.05), with a significant increase in total NU-AGE index (difference in mean change = 21.3 ± 15.9 points, p < 0.01). Conclusions: The NU-AGE dietary intervention, based on dietary recommendations for older adults, consisting of individual dietary counselling, free healthy foods and a vitamin D supplement, may be a feasible strategy to improve dietary intake in an aging European population.",
author = "A.M. Berendsen and {van de Rest}, O. and E.J.M. Feskens and Aurelia Santoro and R. Ostan and Barbara Pietruszka and A. Brzozowska and A. Stelmaszczyk-Kusz and A. Jennings and Rachel Gillings and A. Cassidy and A. Caille and Elodie Caumon and Corinne Malpuech-Brug{\`e}re and Claudio Franceschi and {de Groot}, C.P.G.M.",
year = "2018",
month = "12",
day = "4",
doi = "10.3390/nu10121905",
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Berendsen, AM, van de Rest, O, Feskens, EJM, Santoro, A, Ostan, R, Pietruszka, B, Brzozowska, A, Stelmaszczyk-Kusz, A, Jennings, A, Gillings, R, Cassidy, A, Caille, A, Caumon, E, Malpuech-Brugère, C, Franceschi, C & de Groot, CPGM 2018, 'Changes in Dietary Intake and Adherence to the NU-AGE Diet Following a One-Year Dietary Intervention among European Older Adults-Results of the NU-AGE Randomized Trial', Nutrients, vol. 10, 1905. https://doi.org/10.3390/nu10121905

Changes in Dietary Intake and Adherence to the NU-AGE Diet Following a One-Year Dietary Intervention among European Older Adults-Results of the NU-AGE Randomized Trial. / Berendsen, A.M.; van de Rest, O.; Feskens, E.J.M.; Santoro, Aurelia; Ostan, R.; Pietruszka, Barbara; Brzozowska, A.; Stelmaszczyk-Kusz, A.; Jennings, A.; Gillings, Rachel; Cassidy, A.; Caille, A.; Caumon, Elodie; Malpuech-Brugère, Corinne; Franceschi, Claudio; de Groot, C.P.G.M.

In: Nutrients, Vol. 10, 1905, 04.12.2018.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Changes in Dietary Intake and Adherence to the NU-AGE Diet Following a One-Year Dietary Intervention among European Older Adults-Results of the NU-AGE Randomized Trial

AU - Berendsen, A.M.

AU - van de Rest, O.

AU - Feskens, E.J.M.

AU - Santoro, Aurelia

AU - Ostan, R.

AU - Pietruszka, Barbara

AU - Brzozowska, A.

AU - Stelmaszczyk-Kusz, A.

AU - Jennings, A.

AU - Gillings, Rachel

AU - Cassidy, A.

AU - Caille, A.

AU - Caumon, Elodie

AU - Malpuech-Brugère, Corinne

AU - Franceschi, Claudio

AU - de Groot, C.P.G.M.

PY - 2018/12/4

Y1 - 2018/12/4

N2 - Background: The Mediterranean Diet has been proposed as an effective strategy to reduce inflammaging, a chronic low grade inflammatory status, and thus, to slow down the aging process. We evaluated whether a Mediterranean-like dietary pattern specifically targeting dietary recommendations of people aged over 65 years (NU-AGE diet) could be effective to shift dietary intake of older adults towards a healthful diet. Methods: Adults aged 65–80 years across five EU-centers were randomly assigned to a NU-AGE diet group or control group. The diet group followed one year of NU-AGE dietary intervention specifying consumption of 15 food groups plus the use of a vitamin D supplement. Participants in the diet group received counselling and individually tailored dietary advice, food products and a vitamin D supplement. Dietary intake was assessed by means of seven-day food records at baseline and one-year follow-up. A continuous NU-AGE index (0–160 points) was developed to assess NU-AGE diet adherence. Results: In total 1296 participants were randomized and 1141 participants completed the intervention (571 intervention, 570 control). After one year, the diet group improved mean intake of 13 out of 16 NU-AGE dietary components (p < 0.05), with a significant increase in total NU-AGE index (difference in mean change = 21.3 ± 15.9 points, p < 0.01). Conclusions: The NU-AGE dietary intervention, based on dietary recommendations for older adults, consisting of individual dietary counselling, free healthy foods and a vitamin D supplement, may be a feasible strategy to improve dietary intake in an aging European population.

AB - Background: The Mediterranean Diet has been proposed as an effective strategy to reduce inflammaging, a chronic low grade inflammatory status, and thus, to slow down the aging process. We evaluated whether a Mediterranean-like dietary pattern specifically targeting dietary recommendations of people aged over 65 years (NU-AGE diet) could be effective to shift dietary intake of older adults towards a healthful diet. Methods: Adults aged 65–80 years across five EU-centers were randomly assigned to a NU-AGE diet group or control group. The diet group followed one year of NU-AGE dietary intervention specifying consumption of 15 food groups plus the use of a vitamin D supplement. Participants in the diet group received counselling and individually tailored dietary advice, food products and a vitamin D supplement. Dietary intake was assessed by means of seven-day food records at baseline and one-year follow-up. A continuous NU-AGE index (0–160 points) was developed to assess NU-AGE diet adherence. Results: In total 1296 participants were randomized and 1141 participants completed the intervention (571 intervention, 570 control). After one year, the diet group improved mean intake of 13 out of 16 NU-AGE dietary components (p < 0.05), with a significant increase in total NU-AGE index (difference in mean change = 21.3 ± 15.9 points, p < 0.01). Conclusions: The NU-AGE dietary intervention, based on dietary recommendations for older adults, consisting of individual dietary counselling, free healthy foods and a vitamin D supplement, may be a feasible strategy to improve dietary intake in an aging European population.

U2 - 10.3390/nu10121905

DO - 10.3390/nu10121905

M3 - Article

VL - 10

JO - Nutrients

T2 - Nutrients

JF - Nutrients

SN - 2072-6643

M1 - 1905

ER -