This analysis examined whether a community-based intervention produced measurable improvements in dietary habits. MOVE UP combined translational, evidence-based weight management and healthy aging interventions using a non-randomized design. This 13-month intervention included 32 group sessions, explicit calorie and physical activity goals, self-monitoring, and nutrition education. Participants were (N = 297) older adults (mean = 68.0 years) with overweight and obesity. Diet was measured using Rate Your Plate (RYP)-Heart. Changes in scores from baseline to 5, 9, and 13 months were assessed using mixed models. MOVE UP successfully shifted eating patterns from baseline (mean = 50.9) to 5 months (mean = 55.1) (p < .0001) adjusted for age, sex, and race. Improvements persisted through 9 (mean = 54.7) and 13 months (mean = 55.0) (p < .0001). Although participants were not prescribed a specific diet, RYP-Heart indicated positive dietary shifts. Community-implemented behavioral weight loss interventions may assess the modifiability of dietary habits with a simple, easy-to-administer tool.
AlbertS. M.VendittiE. M.BoudreauR. M.KiefferL. A.RagerJ. R.ZgiborJ. C.Vander BiltJ.DanielsonM. E.BurkeL. E.GlynnN. W.JakicicJ. M.SmithK. J.SemlerL. N.NewmanA. B. (2021, Apr 5). Weight loss through lifestyle intervention improves mobility in older adults. Gerontologist, gnab048. https://doi.org/10.1093/geront/gnab048
2.
AspryK.DunsigerS.BreaultC.StabileL.DeAngelisJ.WuW. C. (2018, Nov). Effect of case management with goal-setting on diet scores and weight loss in cardiac rehabilitation patients. Journal of Cardiopulmonary Rehabilitation and Prevention, 38(6), 380–387. https://doi.org/10.1097/hcr.0000000000000348
3.
Chalé-RushA.GuralnikJ. M.WalkupM. P.MillerM. E.RejeskiW. J.KatulaJ. A.KingA. C.GlynnN. W.ManiniT. M.BlairS. N.FieldingR. A. (2010, Oct). Relationship between physical functioning and physical activity in the lifestyle interventions and independence for elders pilot. Journal of the American Geriatrics Society, 58(10), 1918–1924. https://doi.org/10.1111/j.1532-5415.2010.03008.x
4.
ChangY.HickmanH. (2018, May). Food insecurity and perceived diet quality among low-income older Americans with functional limitations. Journal of Nutrition Education and Behavior, 50(5), 476–484. https://doi.org/10.1016/j.jneb.2017.09.006
5.
FarshchiH. R.MacdonaldI.MadjdA.TaylorM. A. (2017). Benefits and limitations of traditional self-report instruments. In SchoellerD. A.Westerterp-PlantengaM. A. (Eds.), Advances in the assessment of dietary intake (pp. 1–17). CRC Press.
6.
GanguzzaL.NgaiC.FlinkL.WoolfK.GuoY.GianosE.BurdowskiJ.SlaterJ.AcostaV.ShephardT.ShahB. (2018). Association between diet quality and measures of body adiposity using the Rate Your Plate survey in patients presenting for coronary angiography. Clinical Cardiology, 41(1), 126–130. https://doi.org/10.1002/clc.22843
GansK. M.SundaramS. G.McPhillipsJ. B.HixsonM. L.LinnanL.CarletonR. A. (1993). Rate your plate: An eating pattern assessment and educational tool used at cholesterol screening and education programs. Journal of Nutrition Education, 25(1), 29–36. https://doi.org/10.1016/S0022-3182(12)80186-5
9.
GoldN.YauA.RigbyB.DykeC.RemfryE. A.ChadbornT. (2021, May 14). Effectiveness of digital interventions for reducing behavioral risks of cardiovascular disease in nonclinical adult populations: Systematic review of reviews. Journal of Medical Internet Research Electronic Resource, 23(5), e19688. https://doi.org/10.2196/19688
10.
HalesC. M.CarrollM. D.FryarC. D.OgdenC. L. (2020). Prevalence of obesity and severe obesity among adults: United States, 2017-2018. NCHS Data Brief, no 360. Hyattsville, MD: National Center for Health Statistics.
11.
HammonsA. J.HannonB. A.Teran-GarciaM.BarraganM.VillegasE.WileyA.FieseB. (2019, Nov-Dec). Effects of culturally tailored nutrition education on dietary quality of Hispanic Mothers: A randomized control trial. Journal of Nutrition Education and Behavior, 51(10), 1168–1176. https://doi.org/10.1016/j.jneb.2019.06.017
12.
JayanamaK.TheouO.GodinJ.CahillL.ShivappaN.HébertJ. R.WirthM. D.ParkY.-M.FungT. T.RockwoodK. (2021, Mar 16). Relationship between diet quality scores and the risk of frailty and mortality in adults across a wide age spectrum. BMC Medicine, 19(1), 64. https://doi.org/10.1186/s12916-021-01918-5
13.
KulickD.LangerR. D.AshleyJ. M.GansK. M.SchlauchK.FellerC. (2013, May 12). May 12). Live well: A practical and effective low-intensity dietary counseling intervention for use in primary care patients with dyslipidemia--a randomized controlled pilot trial. BMC Family Practice, 14, 59. https://doi.org/10.1186/1471-2296-14-59.
14.
PanizzaC. E.WongM. C.KellyN.LiuY. E.ShvetsovY. B.LoweD. A.WeissE. J.HeymsfieldS. B.KennedyS.BousheyC. J.MaskarinecG.ShepherdJ. A. (2020). Diet quality and visceral adiposity among a multiethnic population of young, middle, and older aged adults. Current Developments in Nutrition, 4(6), nzaa090. https://doi.org/10.1093/cdn/nzaa090
VendittiE. M.ZgiborJ. C.Vander BiltJ.KiefferL. A.BoudreauR. M.BurkeL. E.GlynnN. W.JakicicJ. M.SmithK. J.SemlerL. N.RagerJ. R.AlbertS. M.NewmanA. B. (2018, Jun). Mobility and vitality lifestyle program (MOVE UP): A community health worker intervention for older adults with obesity to improve weight, health, and physical function. Innovation in Aging, 2(2), igy012. https://doi.org/10.1093/geroni/igy012
YazdanyarA.NewmanA. B. (2009, Nov). The burden of cardiovascular disease in the elderly: Morbidity, mortality, and costs. Clinics in Geriatric Medicine, 25(4), 563–577, vii. https://doi.org/10.1016/j.cger.2009.07.007
