11 research outputs found
Study protocol for a pragmatic cluster randomized controlled trial to improve dietary diversity and physical fitness among older people who live at home (the âALAPAGE studyâ)
Background : Diet and physical activity are key components of healthy aging. Current interventions that promote healthy eating and physical activity among the elderly have limitations and evidence of French interventionsâ effectiveness is lacking. We aim to assess (i) the effectiveness of a combined diet/physical activity intervention (the âALAPAGEâ program) on older peoplesâ eating behaviors, physical activity and fitness levels, quality of life, and feelings of loneliness; (ii) the interventionâs process and (iii) its cost effectiveness. Methods : We performed a pragmatic cluster randomized controlled trial with two parallel arms (2:1 ratio) among people â„60âyears old who live at home in southeastern France. A cluster consists of 10 people participating in a âworkshopâ (i.e., a collective intervention conducted at a local organization). We aim to include 45 workshops randomized into two groups: the intervention group (including 30 workshops) in the ALAPAGE program; and the waiting-list control group (including 15 workshops). Participants (expected total sample size: 450) will be recruited through both local organizationsâ usual practices and an innovative active recruitment strategy that targets hard-to-reach people. We developed the ALAPAGE program based on existing workshops, combining a participatory and a theory-based approach. It includes a 7-week period with weekly collective sessions supported by a dietician and/or an adapted physical activity professional, followed by a 12-week period of post-session activities without professional supervision. Primary outcomes are dietary diversity (calculated using two 24-hour diet recalls and one Food Frequency Questionnaire) and lower-limb muscle strength (assessed by the 30-second chair stand test from the Senior Fitness Test battery). Secondary outcomes include consumption frequencies of main food groups and water/hot drinks, other physical fitness measures, overall level of physical activity, quality of life, and feelings of loneliness. Outcomes are assessed before the intervention, at 6âweeks and 3âmonths later. The process evaluation assesses the fidelity, dose, and reach of the intervention as its causal mechanisms (quantitative and qualitative data). Discussion : This study aims to improve healthy aging while limiting social inequalities. We developed and evaluated the ALAPAGE program in partnership with major healthy aging organizations, providing a unique opportunity to expand its reach
La diversité alimentaire, un atout majeur pour la santé de la personne ùgée
National audienceUne alimentation adĂ©quate et une activitĂ© physique rĂ©guliĂšre sont des Ă©lĂ©ments clĂ©s dâun vieillissement en bonne santĂ©. Plus spĂ©cifiquement, une alimentation suffisamment diversifiĂ©e chez les seniors pourrait prĂ©venir les risques de dĂ©nutrition, et ainsi contribuer Ă vieillir en meilleure santĂ©
Development and validation of an occurrence-based healthy dietary diversity (ORCHID) score easy to operationalize in dietary prevention interventions in older adults: a French study
Healthy diet and dietary diversity have been associated with healthy ageing. Several scores have been developed to assess dietary diversity or healthy diets in epidemiological studies, but they are not adapted to be used in the context of preventive nutrition interventions. This study aimed to develop an occurrence-based healthy dietary diversity (ORCHID) score easy to implement in the field and to validate it using dietary data from older participants in the latest French food consumption survey (INCA3). The ORCHID score was made of several components representing the consumption occurrences of twenty food groups, in line with French dietary guidelines. The score was then validated using dietary data (namely three 24-h recalls and a food propensity questionnaire) from 696 participants aged 60 years and over in the INCA3 survey. Score validity was evaluated by describing the association of the score with its components, as well as with energy intakes, solid energy density (SED) and the probability of adequate nutrient intakes (assessed by the PANDiet). Higher scores were associated with more points in healthy components such as 'fruits' and 'vegetables' (r = 0âą51, and r = 0âą54, respectively). The score was positively associated with the PANDiet (r = 0âą43) and inversely associated with SED (r = â0âą37), while no significant association was found with energy intakes. The ORCHID score was validated as a good proxy of the nutritional quality of French older adults' diets. It could therefore be a useful tool for both public health research and nutrition interventions
Development and validation of a dietary diversity score for French older adults
International audienceAdopting healthy dietary habits, including higher dietary diversity, has been associated with healthy aging. Several scores have been developed to assess the dietary diversity, but none specifically among older adults. Therefore, the present work aimed to develop and validate a healthy dietary diversity score (DAS) in a sample of older adults enrolled in a representative national survey. The studied sample was constituted of 696 older adults aged 60y and over, from the latest cross-sectional French Individual and National Food Consumption study (INCA3). The dietary survey included three 24 hours recalls and a Food Propensity Questionnaire. The occurrence of consumption of 20 food groups weighted by positive (for whose consumptions are healthy and should be encouraged) or negative (for whose consumptions are unhealthy and should be limited) points composed the 20 score components whose sum defined the DAS. The validity of the DAS was assessed by describing its association with the food score components, energy intake, solid energy density (SED), probability of adequate nutrient intake assessed by the PANdiet and with educational and physical activity levels. The DAS ranged from -35 to 115. Higher DAS were positively and significantly associated with more points in healthy score components like Fruits or Vegetables (r= 0.51, p <0.0001 and r= 0.54, p<0.0001 respectively). The DAS was not significantly associated with the total energy intake (r= 0.02, p =0.6). The DAS was significantly positively associated with the PANDiet (r= 0.43, p< 0.0001) while inversely associated with the SED (r= -0.37, p<0.0001). Higher DAS were observed among participants with higher educational and physical activity levels as expected. The DAS we developed is validated to assess the healthy dietary diversity score of French older adults. Beyond, it could be a useful tool to assess the impact of public health nutritional trials
Co-construction et fondements thĂ©oriques dâune intervention sur lâalimentation et lâactivitĂ© physique pour les sĂ©niors (le programme ALAPAGE)
International audienc
DĂ©veloppement et validation dâun score de diversitĂ© alimentaire saine (ORCHID) pour les seniors français
International audienc
Co-construction et fondements thĂ©oriques dâune intervention sur lâalimentation et lâactivitĂ© physique pour les sĂ©niors (le programme ALAPAGE)
International audienc
Ăvaluation de la validitĂ© du score de diversitĂ© ALAPAGE avec des indicateurs de qualitĂ© nutritionnelle de lâalimentation de seniors en France (INCA3) [eposter]
National audienceIntroduction et but de lâĂ©tude: Une alimentation adĂ©quate est un Ă©lĂ©ment clĂ© du vieillissement en bonne santĂ©. Lâintervention « Alimentation et activitĂ© physique du sujet ĂągĂ© » (ALAPAGE) fait lâhypothĂšse quâil est possible dâamĂ©liorer la qualitĂ© nutritionnelle de lâalimentation de seniors vivant Ă domicile grĂące Ă des ateliers collectifs co-construits entre professionnels de la prĂ©vention, seniors et chercheurs, et intĂ©grant des activitĂ©s pĂ©dagogiques ciblant notamment la diversitĂ© alimentaire. L'objectif de ce travail Ă©tait de valider quâun score de diversitĂ© dĂ©veloppĂ© spĂ©cifiquement pour les seniors dans le cadre du projet ALAPAGE reflĂšte bien la qualitĂ© nutritionnelle de leurs rĂ©gimes alimentaires.MatĂ©riel et mĂ©thodes: Les apports alimentaires et nutritionnels dâun Ă©chantillon reprĂ©sentatif dâadultes de 60 ans et plus, rĂ©sidant en France (n=696), ont Ă©tĂ© calculĂ©s Ă partir des donnĂ©es de la troisiĂšme Ă©tude individuelle nationale des consommations alimentaires (INCA3). Le score de diversitĂ© ALAPAGE (DAS) est fondĂ© sur les occurrences de consommation de 20 catĂ©gories d'aliments, calculĂ©es, selon les catĂ©gories, Ă partir de trois rappels de 24 heures ou dâun questionnaire de frĂ©quence. Des points positifs ou nĂ©gatifs sont attribuĂ©s selon que la consommation de ces catĂ©gories est promue ou limitĂ©e dans les recommandations alimentaires en vigueur, et sommĂ©s pour obtenir le DAS. Afin dâapprĂ©cier la validitĂ© du DAS, les coefficients de corrĂ©lation de Pearson du DAS avec les apports Ă©nergĂ©tiques, le PANDiet et ses sous-scores dâAdĂ©quation et de ModĂ©ration, le Mean Adequacy Ratio (MAR) et la DensitĂ© EnergĂ©tique Solide (DES) ont Ă©tĂ© estimĂ©s.RĂ©sultats et Analyse statistique:Au sein de lâĂ©chantillon, le DAS moyen Ă©tait de 53 ± 17 et suivait une distribution normale. Les catĂ©gories alimentaires qui contribuaient le plus Ă lâaugmentation du DAS Ă©taient les fruits, les lĂ©gumes et les produits cĂ©rĂ©aliers complets (r â„ 0,52 pour ces trois catĂ©gories; p < 0,01). Le DAS Ă©tait positivement corrĂ©lĂ© aux indicateurs dâadĂ©quation nutritionnelle (r = 0,43 pour le PANDiet, 0,29 pour le sous-score dâAdĂ©quation et 0,28 pour le MAR; p < 0,01) et inversement corrĂ©lĂ© Ă la DES (r = - 0,39; p < 0,01). Le DAS nâĂ©tait corrĂ©lĂ© ni aux apports Ă©nergĂ©tiques, ni au sous-score de ModĂ©ration (r = 0,001 et 0,05 respectivement; NS).Conclusion:Ce nouveau score de diversitĂ© alimentaire reflĂ©tait bien la qualitĂ© nutritionnelle de lâalimentation, indĂ©pendamment des apports Ă©nergĂ©tiques. Par ailleurs, une plus grande diversitĂ© selon le DAS nâĂ©tait pas corrĂ©lĂ©e aux aspects nĂ©gatifs de lâalimentation, contrairement Ă dâautres scores de diversitĂ© alimentaire. Reposant sur une simple mesure des occurrences de consommation, le DAS est un outil facile Ă dĂ©ployer pour estimer la qualitĂ© nutritionnelle de lâalimentation. Il sera utilisĂ© pour Ă©valuer l'impact de lâintervention ALAPAGE sur la diversitĂ© de lâalimentation des seniors
FidĂ©litĂ© dâimplantation dâune recherche C (ALAPAGE) basĂ©e sur des ateliers de prĂ©vention collectifs ciblant lâalimentation et lâactivitĂ© physique des sĂ©niors
National audienc
FidĂ©litĂ© dâimplantation dâune recherche C (ALAPAGE) basĂ©e sur des ateliers de prĂ©vention collectifs ciblant lâalimentation et lâactivitĂ© physique des sĂ©niors
National audienc