The Provision of Recipes and Single-use Herb/spice Packets to Increase Egg and Protein Intake in Community-dwelling Older Adults: a Randomised Controlled Trial

Overview

Journal Public Health Nutr

Publisher Cambridge University Press

Date 2020 Sep 2

PMID 32867875

Citations 6

Authors

E van den Heuvel

J L Murphy

K M Appleton

Affiliations

Soon will be listed here.

Abstract

Objective: This study investigated the impact of recipe and single-use herb/spice packet provision on egg intake and protein intake in community-dwelling individuals aged over 55 years.

Design: Using a randomised-controlled intervention design, 100 older adults were randomised to receive (n 53) or not receive (n 47) high-protein egg-based recipes and herb/spice packets through the post for 12 weeks, from June to December 2016. Egg intake, protein intake, adverse events, lean body mass and functional measures of lean body mass were measured at baseline, after the 12 weeks and after a further 12 weeks.

Setting: Bournemouth, UK.

Participants: Community-dwelling older adults.

Results: Intention-to-treat data were analysed using regression, controlling for various demographic and lifestyle characteristics. Ninety-three individuals (intervention, n 50; control, n 43) completed assessments at all three time points. Egg intakes increased by end of intervention in both groups (mean: 4-5 eggs/month). After a further 12 weeks, higher egg intakes were sustained in the intervention group, while egg intakes in the control group returned to baseline levels (between-group difference: β = -0·124, P = 0·047). No differences were found in other measures (largest β = -0·106, P = 0·12).

Conclusions: The provision of high-protein egg-based recipes and single-use herb/spice packets over 12 weeks increased egg intakes up to 12 weeks after end of intervention. Other factors may explain increased egg intakes during the intervention, but the sustained effects most plausibly result directly from recipe provision. Limited effects in other measures suggest that the recipes may have replaced as opposed to added to existing protein intakes.

Citing Articles

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Appleton K Public Health Nutr. 2024; 27(1):e138.

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Effects of Culinary Spices on Liking and Consumption of Protein Rich Foods in Community-Dwelling Older Adults.

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References

Roberts H, Denison H, Martin H, Patel H, Syddall H, Cooper C . A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011; 40(4):423-9. DOI: 10.1093/ageing/afr051. View

Jyvakorpi S, Pitkala K, Puranen T, Bjorkman M, Kautiainen H, Strandberg T . Low protein and micronutrient intakes in heterogeneous older population samples. Arch Gerontol Geriatr. 2015; 61(3):464-71. DOI: 10.1016/j.archger.2015.06.022. View

Cruz-Jentoft A, Landi F, Schneider S, Zuniga C, Arai H, Boirie Y . Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing. 2014; 43(6):748-59. PMC: 4204661. DOI: 10.1093/ageing/afu115. View

Keller H, Hedley M, Hadley T, Wong S, Vanderkooy P . Food workshops, nutrition education, and older adults: a process evaluation. J Nutr Elder. 2005; 24(3):5-23. DOI: 10.1300/J052v24n03_03. View

Paddon-Jones D, Rasmussen B . Dietary protein recommendations and the prevention of sarcopenia. Curr Opin Clin Nutr Metab Care. 2008; 12(1):86-90. PMC: 2760315. DOI: 10.1097/MCO.0b013e32831cef8b. View

Pedrini M, Levey A, Lau J, CHALMERS T, Wang P . The effect of dietary protein restriction on the progression of diabetic and nondiabetic renal diseases: a meta-analysis. Ann Intern Med. 1996; 124(7):627-32. DOI: 10.7326/0003-4819-124-7-199604010-00002. View

Goodpaster B, Chomentowski P, Ward B, Rossi A, Glynn N, Delmonico M . Effects of physical activity on strength and skeletal muscle fat infiltration in older adults: a randomized controlled trial. J Appl Physiol (1985). 2008; 105(5):1498-503. PMC: 2584841. DOI: 10.1152/japplphysiol.90425.2008. View

Drewnowski A . The Nutrient Rich Foods Index helps to identify healthy, affordable foods. Am J Clin Nutr. 2010; 91(4):1095S-1101S. DOI: 10.3945/ajcn.2010.28450D. View

Berner L, Becker G, Wise M, Doi J . Characterization of dietary protein among older adults in the United States: amount, animal sources, and meal patterns. J Acad Nutr Diet. 2013; 113(6):809-15. DOI: 10.1016/j.jand.2013.01.014. View

10.

Masson L, McNeill G, Tomany J, Simpson J, Peace H, Wei L . Statistical approaches for assessing the relative validity of a food-frequency questionnaire: use of correlation coefficients and the kappa statistic. Public Health Nutr. 2003; 6(3):313-21. DOI: 10.1079/PHN2002429. View

11.

Tobey L, Schrumpf E, Johnson T, Mouzong C, Veith R, Braverman M . Can Healthy Recipes Change Eating Behaviors? The Food Hero Social Marketing Campaign Recipe Project Experience and Evaluation. J Nutr Educ Behav. 2016; 49(1):79-82.e1. DOI: 10.1016/j.jneb.2016.09.001. View

12.

Sahyoun N, Pratt C, Anderson A . Evaluation of nutrition education interventions for older adults: a proposed framework. J Am Diet Assoc. 2004; 104(1):58-69. DOI: 10.1016/j.jada.2003.10.013. View

13.

Patel H, Syddall H, Jameson K, Robinson S, Denison H, Roberts H . Prevalence of sarcopenia in community-dwelling older people in the UK using the European Working Group on Sarcopenia in Older People (EWGSOP) definition: findings from the Hertfordshire Cohort Study (HCS). Age Ageing. 2013; 42(3):378-84. PMC: 3633365. DOI: 10.1093/ageing/afs197. View

14.

Gans K, Risica P, Keita A, Dionne L, Mello J, Cooksey Stowers K . Multilevel approaches to increase fruit and vegetable intake in low-income housing communities: final results of the 'Live Well, Viva Bien' cluster-randomized trial. Int J Behav Nutr Phys Act. 2018; 15(1):80. PMC: 6102886. DOI: 10.1186/s12966-018-0704-2. View

15.

Best R, Appleton K . Comparable increases in energy, protein and fat intakes following the addition of seasonings and sauces to an older person's meal. Appetite. 2010; 56(1):179-82. DOI: 10.1016/j.appet.2010.10.011. View

16.

Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M . Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008; 337:a1655. PMC: 2769032. DOI: 10.1136/bmj.a1655. View

17.

Tieland M, Borgonjen-van den Berg K, van Loon L, de Groot L . Dietary protein intake in community-dwelling, frail, and institutionalized elderly people: scope for improvement. Eur J Nutr. 2011; 51(2):173-9. DOI: 10.1007/s00394-011-0203-6. View

18.

Houston D, Nicklas B, Ding J, Harris T, Tylavsky F, Newman A . Dietary protein intake is associated with lean mass change in older, community-dwelling adults: the Health, Aging, and Body Composition (Health ABC) Study. Am J Clin Nutr. 2008; 87(1):150-5. DOI: 10.1093/ajcn/87.1.150. View

19.

van Vliet S, Burd N, van Loon L . The Skeletal Muscle Anabolic Response to Plant- versus Animal-Based Protein Consumption. J Nutr. 2015; 145(9):1981-91. DOI: 10.3945/jn.114.204305. View

20.

Smith A, Gray J . Considering the benefits of egg consumption for older people at risk of sarcopenia. Br J Community Nurs. 2016; 21(6):305-9. DOI: 10.12968/bjcn.2016.21.6.305. View