期刊
BRITISH JOURNAL OF NUTRITION
卷 118, 期 4, 页码 291-302出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S0007114517001982
关键词
Dietary interventions; Nutrient intakes; Food consumption; Older adults
资金
- Academy of Finland [129395, 129397, 129459, 129421, 129416, 129511, 129401, 259615]
- La Carita Foundation
- Alzheimer's Association
- Alzheimer's Research and Prevention Foundation
- Juho Vainio Foundation
- Novo Nordisk Foundation
- Finnish Social Insurance Institution
- Ministry of Education and Culture
- Salama bint Hamdan Al Nahyan Foundation
- Axa Research Fund
- University Hospitals of Kuopio
- University Hospitals of Oulu
- University Hospitals of Turku
- Swedish Research Council
- Swedish Research Council for Health
- Working Life and Welfare
- af Jochnick Foundation
- Diabetes Research Foundation
- Yrjo Jahnsson Foundation
- Finnish Cultural Foundation
- Academy of Finland (AKA) [129395, 129397, 129459, 129421, 129416, 129511, 129401, 259615, 129395, 129397, 129459, 129421, 129416, 129511, 129401, 259615] Funding Source: Academy of Finland (AKA)
Advancing age increases the risk for diseases and health concerns like cognitive decline, constituting a major public health challenge. Lifestyle, especially healthy diet, affects many risk factors related to chronic diseases, and thus lifestyle interventions among older adults may be beneficial in promoting successful ageing. We completed a randomised 2-year multi-domain lifestyle intervention trial aiming at prevention of cognitive decline among 631 participants in the intervention and 629 in the control group, aged 60-77 years at baseline. Dietary counselling was one of the intervention domains together with strength exercise, cognitive training and management of CVD risk factors. The aim of this paper was to describe success of the intervention -that is, how an intervention based on national dietary recommendations affected dietary habits as a part of multi-intervention. Composite dietary intervention adherence score comprising nine distinct goals (range 0-9 points from none to achieving all goals) was 5.0 at baseline, and increased in the intervention group after the 1st (P< 0.001) and 2nd (P = 0.005) year. The difference in change compared with the control group was significant at both years (P < 0.001 and P= 0.018). Intake of several vitamins and minerals decreased in the control group but remained unchanged or increased in the intervention group during the 2 years. Well-targeted dietary counselling may prevent age-related decline in diet quality and help in preventing cognitive decline.
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