Effect of a multi-professional program on promoting the food health of the elderly: a longitudinal study.

Authors

  • Déborah Cristina de Souza Marques Interdisciplinary Health Promotion Intervention Laboratory (LIIPS/UNICESUMAR) - Institute Cesumar of Science, Technology, and Innovation (ICETI), Maringa, Parana, Brazil; Graduate Program of Health Promotion of University Center of Maringa (PPGPS/UNICESUMAR), Maringá, Paraná, Brazil; Department of Medicine of Cesumar University, Maringa, Parana, Brazil.
  • Isabella Caroline dos Santos Interdisciplinary Health Promotion Intervention Laboratory (LIIPS/UNICESUMAR) - Institute Cesumar of Science, Technology, and Innovation (ICETI), Maringa, Parana, Brazil; Graduate Program of Health Promotion of University Center of Maringa (PPGPS/UNICESUMAR), Maringá, Paraná, Brazil; Department of Medicine of Cesumar University, Maringa, Parana, Brazil.
  • Nathália Lira Campinha Interdisciplinary Health Promotion Intervention Laboratory (LIIPS/UNICESUMAR) - Institute Cesumar of Science, Technology, and Innovation (ICETI), Maringa, Parana, Brazil
  • Marilene Ghiraldi de Souza Marques Interdisciplinary Health Promotion Intervention Laboratory (LIIPS/UNICESUMAR) - Institute Cesumar of Science, Technology, and Innovation (ICETI), Maringa, Parana, Brazil
  • Fabiano Mendes de Oliveira Interdisciplinary Health Promotion Intervention Laboratory (LIIPS/UNICESUMAR) - Institute Cesumar of Science, Technology, and Innovation (ICETI), Maringa, Parana, Brazil; Graduate Program of Health Promotion of University Center of Maringa (PPGPS/UNICESUMAR), Maringá, Paraná, Brazil; Department of Medicine of Cesumar University, Maringa, Parana, Brazil.
  • Braulio Henrique Magnani Branco Interdisciplinary Health Promotion Intervention Laboratory (LIIPS/UNICESUMAR) - Institute Cesumar of Science, Technology, and Innovation (ICETI), Maringa, Parana, Brazil; Graduate Program of Health Promotion of University Center of Maringa (PPGPS/UNICESUMAR), Maringá, Paraná, Brazil; Department of Medicine of Cesumar University, Maringa, Parana, Brazil.

DOI:

https://doi.org/10.14306/renhyd.26.1.1367

Keywords:

Aging, Health Promotion, Elder Nutritional Physiological Phenomena, Quality of Life

Abstract

Objective: To analyze the food quality of elderly participants in a multi-professional project for health promotion and healthy longevity.

Methodology: 55 older adults aged ≥ 60 years (66.03 ± 3.68 years) residents in the south of Brazil were recruited. However, 28 elderlies dropped out of the interventions. Thus, 27 elderlies were assessed (before and after 12-week interventions). To evaluate food quality, the data from the food record of three non-consecutive days and the healthy eating index (HEI) were used, which were applied before and after interventions. The intervention was developed for three months, with theoretical-practical classes on multidisciplinary groups as physical education, psychology, and nutrition (with food reeducation - without nutrition plan). The mean, (±) standard deviation, and 95% confidence interval (95% CI) were calculated. The comparison between pre- and post-intervention was performed by paired t-test, assuming a p≤ 0.05.

Results: After 12 weeks, it was observed that the elderly showed higher values for the HEI after the interventions (pre: 47.78 ± 14.23 points; 95% CI: 42.41-53.15, versus 56.30 ± 13.05, 95% CI: 51.37-61.22; with p = 0.029; d = 0.59; medium effect).

Conclusions: a multidisciplinary approach including a nutritional intervention could promote positive changes in the food quality of the elderly investigated. As a limitation, the absence of a control group and the conduction of a randomized controlled trial are highlighted. However, this study already promotes directions to provide nutritional health in older people.

Author Biographies

Déborah Cristina de Souza Marques, Interdisciplinary Health Promotion Intervention Laboratory (LIIPS/UNICESUMAR) - Institute Cesumar of Science, Technology, and Innovation (ICETI), Maringa, Parana, Brazil; Graduate Program of Health Promotion of University Center of Maringa (PPGPS/UNICESUMAR), Maringá, Paraná, Brazil; Department of Medicine of Cesumar University, Maringa, Parana, Brazil.

Possui graduação em Nutrição pelo Centro Universitário Unicesumar (2019). Atualmente é Mestranda na Pós Graduação do Stricto Sensu do Centro Universitário Unicesumar em Promoção da Saúde. Está cursando bacharelado em Educação Física pelo Centro Universitário Unicesumar. Técnica de nutrição pelo Instituto Cesumar de Ciência, Tecnologia e Inovação (ICETI), atuando nas atividades desenvolvidas no Laboratório Interdisciplinar de Intervenção em Promoção da Saúde (LIIPS). Tem experiência na área de Nutrição, com ênfase em Nutrição, atuando principalmente nos seguintes temas: obesidade, composição corporal, adolescentes, promoção da saúde e saúde do adolescente.

Isabella Caroline dos Santos, Interdisciplinary Health Promotion Intervention Laboratory (LIIPS/UNICESUMAR) - Institute Cesumar of Science, Technology, and Innovation (ICETI), Maringa, Parana, Brazil; Graduate Program of Health Promotion of University Center of Maringa (PPGPS/UNICESUMAR), Maringá, Paraná, Brazil; Department of Medicine of Cesumar University, Maringa, Parana, Brazil.

Graduated (2018) in Nutrition from University Cesumar (UNICESUMAR). Currently, she is a Fellow Graduate Student (PROSUP/CAPES - Modality I) of the Graduate Program in Health Promotion of Unicesumar. Active in the projects developed in the Interdisciplinary Laboratory of Intervention and Health Promotion (LIIPS/ICETI/UNICESUMAR) and has experience in the field of nutrition, with emphasis on health promotion, working mainly on the following topics: obesity, body composition, active ageing, chronic non-communicable diseases and multidisciplinary interventions.

Fabiano Mendes de Oliveira, Interdisciplinary Health Promotion Intervention Laboratory (LIIPS/UNICESUMAR) - Institute Cesumar of Science, Technology, and Innovation (ICETI), Maringa, Parana, Brazil; Graduate Program of Health Promotion of University Center of Maringa (PPGPS/UNICESUMAR), Maringá, Paraná, Brazil; Department of Medicine of Cesumar University, Maringa, Parana, Brazil.

Possui Licenciatura em Educação Física (2014), Bacharelado em Educação Física (2016), tem Pós-Graduação "Lato Sensu" em Atividade Física para Saúde e Treinamento (2017) e Nutrição e Esporte (2019), em nível de especialização, ambos pelo Centro Universitário de Maringá. É pós-graduando "Stricto Sensu" em Promoção da Saúde, em nível de mestrado pela Universidade Cesumar. Atualmente, é técnico esportivo, pelo Instituto Cesumar de Ciência, Tecnologia e Inovação (ICETI), atuando nas atividades desenvolvidas no Laboratório Interdisciplinar de Intervenção em Promoção da Saúde (LIIPS).

Braulio Henrique Magnani Branco, Interdisciplinary Health Promotion Intervention Laboratory (LIIPS/UNICESUMAR) - Institute Cesumar of Science, Technology, and Innovation (ICETI), Maringa, Parana, Brazil; Graduate Program of Health Promotion of University Center of Maringa (PPGPS/UNICESUMAR), Maringá, Paraná, Brazil; Department of Medicine of Cesumar University, Maringa, Parana, Brazil.

Possui licenciatura plena em Educação Física pela Universidade Estadual de Maringá (UEM) em 2005, mestrado em Ciências da Saúde pela UEM em 2011 e doutorado em Ciências, pela Escola de Educação Física e Esporte da Universidade de São Paulo (EEFE-USP), em 2016. Atualmente, é professor associado da universidade Cesumar e docente permanente do Programa de Pós-Graduação em Promoção da Saúde, em nível mestrado e doutorado, pela mesma instituição. É pesquisador do Instituto Cesumar de Ciência, Tecnologia e Inovação (ICETI) e editor adjunto da Revista Saúde e Pesquisa da UniCesumar. É membro da Sociedade Brasileira de Fisiologia e da Associação Brasileira para o Estudo da Obesidade e Síndrome Metabólica (ABESO). Apresenta colaborações com pesquisadores brasileiros, chilenos, canadenses, norte-americanos e portugueses. Tem experiência na área de Educação Física, atuando principalmente nos seguintes temas: Promoção da Saúde, Obesidade, Fisiologia do Exercício e Esportes de Combate.

References

(1) Khan SS, Singer BD, Vaughan DE. Molecular and physiological manifestations and measurement of aging in humans. Aging Cell. 2017;16(4):624-33, doi: 10.1111/acel.12601.

(2) IBGE. Características gerais dos domicílios e dos moradores (2019). Pesqui Nac Por Amostra Domicílios Contínua. 2019:1-8.

(3) Miranda GMD, Mendes A da CG, da Silva ALA. Population aging in Brazil: current and future social challenges and consequences. Rev Bras Geriatr E Gerontol. 2016;19(3):507-19, doi: 10.1590/1809-98232016019.150140.

(4) Harmell AL, Jeste D, Depp C. Strategies for Successful Aging: A Research Update. Curr Psychiatry Rep. 2014;16(10):476, doi: 10.1007/s11920-014-0476-6.

(5) Mendoza-Ruvalcaba NM, Fernández-Ballesteros R. Effectiveness of the Vital Aging program to promote active aging in Mexican older adults. Clin Interv Aging. 2016;Volume 11:1631-44, doi: 10.2147/CIA.S102930.

(6) Maresova P, Javanmardi E, Barakovic S, Barakovic Husic J, Tomsone S, Krejcar O, et al. Consequences of chronic diseases and other limitations associated with old age – a scoping review. BMC Public Health. 2019;19(1):1431, doi: 10.1186/s12889-019-7762-5.

(7) Rauber F, da Costa Louzada ML, Steele E, Millett C, Monteiro CA, Levy RB. Ultra-Processed Food Consumption and Chronic Non-Communicable Diseases-Related Dietary Nutrient Profile in the UK (2008–2014). Nutrients. 2018;10(5):587, doi: 10.3390/nu10050587.

(8) Lovatto AW, Molz P, Rech Franke SI.Fatores Associados Ao Consumo De Frutas, Verduras E Alimentos Industrializados Em Idosos. Rev Bras Obesidade Nutr E Emagrecimento. 2019;13:984-91.

(9) Sandoval-Insausti H, Blanco-Rojo R, Graciani A, López-García E, Moreno-Franco B, Laclaustra M, et al. Ultra-processed Food Consumption and Incident Frailty: A Prospective Cohort Study of Older Adults. J Gerontol Ser A. 2020;75(6):1126-33, doi: 10.1093/gerona/glz140.

(10) Dawalibi NW, Anacleto GMC, Witter C, Goulart RMM, de Aquino R de C Envelhecimento e qualidade de vida: análise da produção científica da SciELO. Estud Psicol Camp. 2013;30(3):393-403, doi: 10.1590/S0103-166X2013000300009.

(11) Tramujas Vasconcellos Neumann L, Albert SM. Aging in Brazil. The Gerontologist. 2018;58(4):611-7, doi: 10.1093/geront/gny019.

(12) Brasil. Portaria n. 2.528 de 19 de outrubro de 2006 - Política Nacional de Saúde da Pessoa Idosa. Diário Of. 2006.

(13) Brasil. Portaria no 424, de 19 de março de 2013. 2013.

(14) Des Jarlais DC, Lyles C, Crepaz N. Improving the Reporting Quality of Nonrandomized Evaluations of Behavioral and Public Health Interventions: The TREND Statement. Am J Public Health. 2004, doi: 10.2105/AJPH.94.3.361.

(15) Dettwyler KA. Anthropometric standardization reference manual, abridged edition. Edited by Timothy G. Lohman, Alex F. Roche, and Reynaldo Martoll. Champaign, Illinois: Human Kinetic Books. 1991. 90 pp. $16.00 (paper). Am J Phys Anthropol. 1993;92(2):239-41, doi: 10.1002/ajpa.1330920214.

(16) OPAS. Encuesta Multicentrica salud beinestar y envejecimiento (SABE) em América Latina el Caribe: Informe Preliminar. XXXVI Reunión del Comité asesor de investigaciones em Salud; 9-11 jun 2001.

(17) Malta MB, Papini SJ, Corrente JE. Avaliação da alimentação de idosos de município paulista: aplicação do Índice de Alimentação Saudável. Ciênc Saúde Coletiva. 2013;18(2):377-84, doi: 10.1590/S1413-81232013000200009.

(18) Mota JF, Rinaldi AEM, Pereira AF, Maestá N, Scarpin MM, Burini RC. Adaptação do índice de alimentação saudável ao guia alimentar da população brasileira. Rev Nutr. 2008;21(5):545-52, doi: 10.1590/S1415-52732008000500007.

(19) Philippi ST, Latterza AR, Cruz ATR, Ribeiro LC. Pirâmide alimentar adaptada: guia para escolha dos alimentos. Rev Nutr. 1999;12(1):65-80, doi: 10.1590/S1415-52731999000100006.

(20) Malta D, Silva M, Albuquerque G, Amorim R, Rodrigues G, Silva T, et al. Política Nacional de Promoção da Saúde, descrição da implementação do eixo atividade física e práticas corporais, 2006 a 2014. Rev Bras Atividade Física Saúde. 2014, doi: 10.12820/rbafs.v.19n3p286.

(21) Cohen J. Statistical Power Analysis for the Behavioural Science (2nd Edition). 1988.

(22) Nowson CA, Service C, Appleton J, Grieger JA. The impact of dietary factors on indices of chronic disease in older people: A systematic review. J Nutr Health Aging. 2018;22(2):282-96, doi: 10.1007/s12603-017-0920-5.

(23) Miller V, Mente A, Dehghan M, Rangarajan S, Zhang X, Swaminathan S, et al. Fruit, vegetable, and legume intake, and cardiovascular disease and deaths in 18 countries (PURE): a prospective cohort study. The Lancet. 2017;390(10107):2037-49, doi: 10.1016/S0140-6736(17)32253-5.

(24) Miquel S, Aspiras M, Day JEL. Does reduced mastication influence cognitive and systemic health during aging? Physiol Behav. 2018;188:239-50, doi: 10.1016/j.physbeh.2018.02.018.

(25) Theou O, Stathokostas L, Roland KP, Jakobi JM, Patterson C, Vandervoort AA, et al. The Effectiveness of Exercise Interventions for the Management of Frailty: A Systematic Review. J Aging Res. 2011;2011:1-19, doi: 10.4061/2011/569194.

(26) Chen C, Ye Y, Zhang Y, Pan X-F, Pan A. Weight change across adulthood in relation to all cause and cause specific mortality: prospective cohort study. BMJ. 2019:l5584, doi: 10.1136/bmj.l5584.

(27) Hulman A, Ibsen DB, Laursen ASD, Dahm CC. Body mass index trajectories preceding first report of poor self-rated health: A longitudinal case-control analysis of the English Longitudinal Study of Ageing. PLOS ONE. 2019;14(2):e0212862, doi: 10.1371/journal.pone.0212862.

(28) Fontana L, Hu FB. Optimal body weight for health and longevity: bridging basic, clinical, and population research. Aging Cell. 2014;13(3):391-400, doi: 10.1111/acel.12207.

(29) Stenholm S, Head J, Aalto V, Kivimäki M, Kawachi I, Zins M, et al. Body mass index as a predictor of healthy and disease-free life expectancy between ages 50 and 75: a multicohort study. Int J Obes. 2017;41(5):769-75, doi: 10.1038/ijo.2017.29.

(30) Sheehan TJ, DuBrava S, DeChello LM, Fang Z. Rates of weight change for black and white Americans over a twenty year period. Int J Obes. 2003;27(4):498-504, doi: 10.1038/sj.ijo.0802263.

(31) Clegg ME, Williams EA. Optimizing nutrition in older people. Maturitas. 2018;112:34-8, doi: 10.1016/j.maturitas.2018.04.001.

(32) Camerotto C, Cupisti A, D’Alessandro C, Muzio F, Gallieni M. Dietary Fiber and Gut Microbiota in Renal Diets. Nutrients. 2019;11(9):2149, doi: 10.3390/nu11092149.

(33) Claesson MJ, Cusack S, O’Sullivan O, Greene-Diniz R, de Weerd H, Flannery E, et al. Composition, variability, and temporal stability of the intestinal microbiota of the elderly. Proc Natl Acad Sci. 2011;108(Supplement_1):4586-91, doi: 10.1073/pnas.1000097107.

(34) Dikeman CL, Fahey GC. Viscosity as Related to Dietary Fiber: A Review. Crit Rev Food Sci Nutr. 2006;46(8):649-63, doi: 10.1080/10408390500511862.

(35) Keller HH. Promoting food intake in older adults living in the community: a review. Appl Physiol Nutr Metab. 2007;32(6):991-1000, doi: 10.1139/H07-067.

(36) Nowson C, O’Connell S. Protein requirements and recommendations for older people: A review. Nutrients. 2015, doi: 10.3390/nu7085311.

(37) WHO. Protein and amino acid requirements in human nutrition. World Health Organ Tech Rep Ser. 2007.

(38) Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31, doi: 10.1093/ageing/afy169.

(39) O’Keeffe M, Kelly M, O’Herlihy E, O’Toole PW, Kearney PM, Timmons S, et al. Potentially modifiable determinants of malnutrition in older adults: A systematic review. Clin Nutr. 2019;38(6):2477-98, doi: 10.1016/j.clnu.2018.12.007.

(40) Knapp TR. Why Is the One-Group Pretest–Posttest Design Still Used? Clin Nurs Res. 2016, doi: 10.1177/1054773816666280.

Downloads

Published

2022-03-31

How to Cite

Cristina de Souza Marques, D., Caroline dos Santos, I. ., Lira Campinha, N. ., Ghiraldi de Souza Marques, M. ., Mendes de Oliveira, F., & Henrique Magnani Branco, B. (2022). Effect of a multi-professional program on promoting the food health of the elderly: a longitudinal study . Spanish Journal of Human Nutrition and Dietetics, 26(1), 8–18. https://doi.org/10.14306/renhyd.26.1.1367

Issue

Vol. 26 No. 1 (2022): Spanish Journal of Human Nutrition and Dietetics

Section

Research articles

License

Copyright (c) 2020 Déborah Cristina de Souza Marques, Isabella Caroline dos Santos, Nathália Lira Campinha, Marilene Ghiraldi de Souza Marques, Fabiano Mendes de Oliveira, Braulio Henrique Magnani Branco

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.