Diet Improvements in Community-Dwelling Older Adults in the Mobility and Vitality Lifestyle Program

Abstract

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.

Keywords

lifestyle nutrition obesity translational research

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References

Albert

S. M.

Venditti

E. M.

Boudreau

R. M.

Kieffer

L. A.

Rager

J. R.

Zgibor

J. C.

Vander Bilt

Danielson

M. E.

Burke

L. E.

Glynn

N. W.

Jakicic

J. M.

Smith

K. J.

Semler

L. N.

Newman

A. B.

(2021, Apr 5). Weight loss through lifestyle intervention improves mobility in older adults. Gerontologist, gnab048. https://doi.org/10.1093/geront/gnab048

Aspry

Dunsiger

Breault

Stabile

DeAngelis

W. 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

Chalé-Rush

Guralnik

J. M.

Walkup

M. P.

Miller

M. E.

Rejeski

W. J.

Katula

J. A.

King

A. C.

Glynn

N. W.

Manini

T. M.

Blair

S. N.

Fielding

R. 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

Chang

Hickman

(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

Farshchi

H. R.

Macdonald

Madjd

Taylor

M. A.

(2017). Benefits and limitations of traditional self-report instruments. In Schoeller

D. A.

Westerterp-Plantenga

M. A.

(Eds.), Advances in the assessment of dietary intake (pp. 1–17). CRC Press.

Ganguzza

Ngai

Flink

Woolf

Guo

Gianos

Burdowski

Slater

Acosta

Shephard

Shah

(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

Gans

K. M.

Hixson

M. L.

Eaton

C. B.

Lasater

T. M.

(2000). Rate your plate: A dietary assessment and educational tool for blood cholesterol control. Nutrition in Clinical Care, 3(3), 163–169. https://doi.org/https://doi.org/10.1046/j.1523-5408.2000.00045.x

Gans

K. M.

Sundaram

S. G.

McPhillips

J. B.

Hixson

M. L.

Linnan

Carleton

R. 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

Gold

Yau

Rigby

Dyke

Remfry

E. A.

Chadborn

(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.

Hales

C. M.

Carroll

M. D.

Fryar

C. D.

Ogden

C. 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.

Hammons

A. J.

Hannon

B. A.

Teran-Garcia

Barragan

Villegas

Wiley

Fiese

(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.

Jayanama

Theou

Godin

Cahill

Shivappa

Hébert

J. R.

Wirth

M. D.

Park

Y.-M.

Fung

T. T.

Rockwood

(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.

Kulick

Langer

R. D.

Ashley

J. M.

Gans

K. M.

Schlauch

Feller

(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.

Panizza

C. E.

Wong

M. C.

Kelly

Liu

Y. E.

Shvetsov

Y. B.

Lowe

D. A.

Weiss

E. J.

Heymsfield

S. B.

Kennedy

Boushey

C. J.

Maskarinec

Shepherd

J. 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

15.

US Department of Health and Human Services and US Department of Agriculture (2015). 2015–2020 dietary guidelines for Americans. http://health.gov/dietaryguidelines/2015/guidelines/

16.

Venditti

E. M.

Zgibor

J. C.

Vander Bilt

Kieffer

L. A.

Boudreau

R. M.

Burke

L. E.

Glynn

N. W.

Jakicic

J. M.

Smith

K. J.

Semler

L. N.

Rager

J. R.

Albert

S. M.

Newman

A. 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

17.

Wing

R. R.

Hill

J. O.

(2001). Successful weight loss maintenance. Annual Review of Nutrition, 21(1), 323–341. https://doi.org/10.1146/annurev.nutr.21.1.323

18.

Yazdanyar

Newman

A. 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