Association of daily physical activity and sedentary behaviour with protein intake patterns in older adults: A multi-study analysis across five countries

I. Lourida, J.M.A. Boer, R. Teh, N. Kerse, N. Mendonça, A. Rolleston, S. Sette, H. Tapanainen, A. Turrini, S.M. Virtanen, M. Visser, C. Jagger

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Physical activity and protein intake are associated with ageing-related outcomes, including loss of muscle strength and functional decline, so may contribute to strategies to improve healthy ageing. We investigated the cross-sectional associations between physical activity or sedentary behaviour and protein intake patterns in community-dwelling older adults across five countries. Self-reported physical activity and dietary intake data were obtained from two cohort studies (Newcastle 85+ Study, UK; LiLACS, New Zealand Māori and Non-Māori) and three national food consumption surveys (DNFCS, The Netherlands; FINDIET, Finland; INRAN-SCAI, Italy). Associations between physical activity and total protein intake, number of eating occasions providing protein, number of meals with specified protein thresholds, and protein intake distribution over the day (calculated as a coefficient of variance) were assessed by regression and repeated measures ANOVA models adjusting for covariates. Greater physical activity was associated with higher total protein intake and more eating occasions containing protein, although associations were mostly explained by higher energy intake. Comparable associations were observed for sedentary behaviour in older adults in Italy. Evidence for older people with higher physical activity or less sedentary behaviour achieving more meals with specified protein levels was mixed across the five countries. A skewed protein distribution was observed, with most protein consumed at midday and evening meals without significant differences between physical activity or sedentary behaviour levels. Findings from this multi-study analysis indicate there is little evidence that total protein and protein intake patterns, irrespective of energy intake, differ by physical activity or sedentary behaviour levels in older adults.
Original languageEnglish
Article number2574
Pages (from-to)1-21
Number of pages21
JournalNutrients
Volume13
Issue number8
Early online date27 Jul 2021
DOIs
Publication statusPublished - Aug 2021

Funding

Funding: This research work is part of the EU-funded project PROMISS (“PRevention Of Malnutrition In Senior Subjects in the EU”) within the framework of Horizon 2020 research and innovation programme, contract No.678732. The Newcastle 85+ Study has been funded by the Medical Research Council, Biotechnology and Biological Sciences Research Council and the Dunhill Medical Trust. The research was also supported by the National Institute for Health Research (NIHR) Newcastle Biomedical Research Centre, based at Newcastle upon Tyne Hospitals NHS Foundation Trust and Newcastle University. LiLACS NZ data collection was supported by a programme and project grant from the New Zealand Health Research Council (09-069, 10-599), and a grant from the New Zealand Ministry of Health. Manuscript review was supported by the Joyce Cook Chair in Ageing Well foundation grant (NK) and the AWESSoM National Science Challenge programme (RT, AR) from NZ. The Dutch National Food Consumption Survey in older adults was funded by the Dutch Ministry of Health, Welfare and Sports. The Finnish National FINDIET surveys has been funded by the Finnish Institute for Health and Welfare (THL) (former National Public Health Institute KTL). The INRAN-SCAI 2005–06 survey was funded by the Italian Ministry of Agriculture, project ‘Qualita’ alimentare’. This research work is part of the EU-funded project PROMISS (“PRevention Of Malnutrition In Senior Subjects in the EU”) within the framework of Horizon 2020 research and innovation programme, contract No.678732. The Newcastle 85+ Study has been funded by the Medical Research Council, Biotechnology and Biological Sciences Research Council and the Dunhill Medical Trust. The research was also supported by the National Institute for Health Research (NIHR) Newcastle Biomedical Research Centre, based at Newcastle upon Tyne Hospitals NHS Foundation Trust and Newcastle University. LiLACS NZ data collection was supported by a programme and project grant from the New Zealand Health Research Council (09-069, 10-599), and a grant from the New Zealand Ministry of Health. Manuscript review was supported by the Joyce Cook Chair in Ageing Well foundation grant (NK) and the AWESSoM National Science Challenge programme (RT, AR) from NZ. The Dutch National Food Consumption Survey in older adults was funded by the Dutch Ministry of Health, Welfare and Sports. The Finnish National FINDIET surveys has been funded by the Finnish Institute for Health and Welfare (THL) (former National Public Health Institute KTL). The INRAN-SCAI 2005–06 survey was funded by the Italian Ministry of Agriculture, project ‘Qualita’ alimentare’. Acknowledgments: Newcastle 85+ Study acknowledges the operational support of the North of England Commissioning Support Unit (formerly NHS North of Tyne) and of the local general prac-titioners and their staff. We also thank the research nurses, dietary coders, management and clerical team for outstanding work throughout, as well as many colleagues for their expert advice. Thanks are due especially to the study participants and, where appropriate, their families and carers. LiLACS NZ acknowledges the expertise of the Western Bay of Plenty Primary Health Organisation, Ngā Matāpuna Oranga Kaupapa Māori Primary Health Organisation, Te Korowai Aroha Trust, Te Rūnanga o Ngāti Pikiao, Rotorua Area Primary Health Services, Ngāti Awa Research & Archives Trust, Te Rūnanga o Ngāti Irapuaia, and Te Whānau-ā-Apanui Community Health Centre in conducting the study through the Bay of Plenty and Rotorua areas. We thank all participants and their whānau for participation, and the local organisations that promoted the study. LiLACS NZ thanks the Ropu Kaitiaki: Hone and Florence Kameta, Betty McPherson, Paea Smith, Leiana Reynolds, and Waiora Port for their guidance. We wish to thank the participants in the Dutch National Food Consumption Survey older adults, the municipalities that extracted random samples of individuals from their population registers. Our special thanks go to all the interviewers for conducting the fieldwork. We would also like to extend our thanks to the staff of the International Agency for Research on Cancer (IARCfor providing us with EPIC-Soft updates for the dietary assessment, GfK Panel Services for their expertise on the fieldwork and the expert committee for their comments on proposals. Finally, we wish to acknowledge the help provided by our current and former colleagues from RIVM on the design, preparation, fieldwork, and/or data handling. FINDIET survey wants to acknowledge all the survey participants and the nutritionists conducting the field work. We also wish to thank our colleagues in THL who participated in the planning, preparation, fieldwork, data handling, software development or food composition database administration in FINDIET survey as well as in FINRISK study.

FundersFunder number
AWESSoM National Science Challenge programme
Dutch National Food Consumption Survey
Dutch National Food Consumption Survey older adults
Finnish Institute for Health and Welfare
Italian Ministry of Agriculture
Medical Research Council, Biotechnology and Biological Sciences Research Council
National Public Health Institute
Ngā Matāpuna Oranga Kaupapa Māori Primary Health Organisation
Ngāti Awa Research & Archives Trust
North of England Commissioning Support Unit
Rotorua Area Primary Health Services
Te Korowai Aroha Trust
Te Rūnanga o Ngāti Irapuaia
Te Rūnanga o Ngāti Pikiao
Waiora Port
Centre International de Recherche sur le Cancer
Horizon 2020 Framework Programme835577
National Institute for Health and Care Research
Dunhill Medical Trust
Newcastle University
European Commission
Ministry of Health, New Zealand
Health Research Council of New Zealand10-599, 09-069
Ministerie van Volksgezondheid, Welzijn en Sport
Newcastle upon Tyne Hospitals NHS Foundation Trust
Rijksinstituut voor Volksgezondheid en Milieu
Horizon 2020678732
NIHR Newcastle Biomedical Research Centre
Terveyden ja hyvinvoinnin laitos

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