SpringerLink
Log in

Effects of the daily consumption of protein enriched bread and protein enriched drinking yoghurt on the total protein intake in older adults in a rehabilitation centre: A single blind randomised controlled trial

  • Published:
The journal of nutrition, health & aging

Abstract

Objectives

To investigate the effects of protein enriched bread and drinking yoghurt, substituting regular products, on the total protein intake and the distribution of protein intake over the day in older adults.

Design

A single blind randomised controlled trial.

Setting

Rehabilitation centre.

Participants

Older adults (≥ 55 years) admitted to a rehabilitation centre after hospital discharge (n=34).

Intervention

Participants received a high protein diet (protein enriched bread and protein enriched drinking yoghurt; n=17) or a regular diet (regular bread and regular drinking yoghurt; n=17) for three consecutive weeks.

Measurements

Total protein intake and protein intake per meal, measured twice weekly over a three weeks period (six measurements per participant).

Results

Compared with controls, patients who received the protein enriched products had a significantly higher protein intake (115.3 g/d vs 72.5 g/d, P<0.001; 1.6 g/kg/d vs 1.1 g/kg/d, P<0.001). The intervention group consumed quantities over the recommended level (25–30 g/meal) during each of the three meals (32.5 g, 30.0 g, 34.8 g/meal), where the control group consumed quantities below the recommended level during breakfast (17.7 g) and lunch (18.4 g).

Conclusions

The use of protein enriched products, replacing regular products, results in a significant increased daily protein intake in older adults. In addition, the daily consumption of protein enriched products improves protein distribution over the day.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Canada)

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ageing and Life Course. Interesting facts about ageing. World Health Organization (online). Available at: http://www.who.int/ageing/about/facts/en/. Accessed December 8, 2013.

    Google Scholar 

  2. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, Martin FC, Michel JP, Rolland Y, Schneider SM, Topinková E, Vandewoude M, Zamboni M. Sarcopenia: European consensus on definition and diagnosis. Report of the European Working Group on Sarcopenia in Older People. Age Ageing 2010;39(4):412–423. doi: 10.1093/ageing/afq034

    Article  PubMed Central  PubMed  Google Scholar 

  3. Walrand S, Guillet C, Salles J, Cano N, Boirie Y. Physiopathological mechanism of sarcopenia. Clin Geriatr Med 2011;27(3):365–385. doi: 10.1016/j.cger.2011.03.005.

    Article  PubMed  Google Scholar 

  4. Holloszy JO. The biology of aging. Mayo Clin Proc 2000;75:3–9.

    Article  Google Scholar 

  5. Bauer J, Biolo G, Cederholm T, Cesari M, Cruz-Jentoft AJ, Morley JE, Phillips S, Sieber C, Stehle P, Teta D, Visvanathan R, Volphi E, Boirie Y. Evidence-based Recommendations for Optimal Dietary Protein Intake in Older People: A Position Paper From the PROT-AGE Study Group. J Am Med Dir Assoc 2013;14(8):542–59. doi: 10.1016/j.jamda.2013.05.021

    Article  PubMed  Google Scholar 

  6. Burd AB, Gorissen SH, Loon van LJC. Anabolic resistance of muscle protein synthesis with aging. Exerc Sport Sci Rev 2013;41(3):169–173. doi: 10.1097/JES.0b013e318292f3d5.

    Article  PubMed  Google Scholar 

  7. Pennings B, Groen B, de Lange A, Gijsen AP, Zorenc AH, Senden JM, van Loon LJ. Amino acid absorption and subsequent muscle protein accretion following graded intakes of whey protein in older adults men. Am J of Physiol Endocrinol Metab 2012;302(8):E992–9. doi: 10.1152/ajpendo.00517.2011.

    Article  Google Scholar 

  8. Yang Y, Breen L, Burd NA, Hector AJ, Churchward-Venne TA, Josse AR, Tarnopolsky MA, Phillips SM. Resistance exercise enhances myofibrillar protein synthesis with graded intakes of whey protein in older men. Br J Nutr 2012;108(10):1780–8. doi: 10.1017/S0007114511007422.

    Article  CAS  PubMed  Google Scholar 

  9. Koopman R, Walrand S, Beelen M, Gijsen AP, Kies AK, Boirie Y, Saris WH, van Loon LJ. Dietary protein digestion and absorption rates and the subsequent postprandial muscle protein synthetic response do not differ between young and older adults men. J Nutr 2009;139(9):1707–1713. doi: 10.3945/jn.109.109173.

    Article  CAS  PubMed  Google Scholar 

  10. Pennings B, Koopman R, Beelen M, Senden JM, Saris WH, van Loon LJ. Exercising before protein intake allows for greater use of dietary protein-derived amino acids for de novo muscle protein synthesis in both young and older adults men. Am J Clin Nutr 2011;93(2):322–31. doi: 10.3945/ajcn.2010.29649.

    Article  CAS  PubMed  Google Scholar 

  11. Nieuwenhuizen WF, Weenen H, Rigby P, Hetherington MM. Older adults and patients in need of nutritional support: Review of current treatment options and factors influencing nutritional intake. Clin Nutr 2010;29(2):160–9. doi: 10.1016/j.clnu.2009.09.003.

    Article  PubMed  Google Scholar 

  12. Furman EF. Undernutrition in Older Adults across the Continuum of Care: Nutritional assessment, barriers, and interventions. J Gerontol Nurs 2006;32(1):22–7.

    Article  PubMed  Google Scholar 

  13. Costa AI, Jongen WM. Designing New Meals for an Ageing Population. Crit Rev Food Sci Nutr 2010;50(6):489–502. doi: 10.1080/10408390802544553.

    Article  PubMed  Google Scholar 

  14. Westerterp-Plantenga MS, Lemmens SG, Westerterp KG. Dietary protein, its role in satiety, energetics, weight loss and health. Br J Nutr 2012;108(2);105–12. doi: 10.1017/S0007114512002589.

    Article  Google Scholar 

  15. Tieland M, Borgonjen-Van den Berg KJ, van Loon LJ, de Groot LC. Dietary protein intake in community-dwelling, frail, and institutionalized older adults people: scope for improvement. Eur J Nutr 2012;51(2):173–9. doi: 10.1007/s00394-011-0203-6.

    Article  CAS  PubMed  Google Scholar 

  16. Chumlea WC, Roche AF, Steinbaugh ML. Estimating stature from knee height for persons 60 to 90 years of age. J Am Geriatr Soc 1985;33(2):116–120.

    Article  CAS  PubMed  Google Scholar 

  17. Nederlands Voedingsstoffenbestand. Rijksinstituut voor Volksgezondheid en Milieu (online). Available at: http://www.rivm.nl/Onderwerpen/N/Nederlands_Voedingsstoffenbestand. Accessed January 7, 2014.

    Google Scholar 

  18. Valenzuela RE, Ponce JA, Morales-Figueroa GG, Muro KA, Carreón VR, Alemán-Mateo H. Insufficient amounts and inadequate distribution of dietary protein intake in apparently healthy older adults in a develo** country: implications for dietary strategies to prevent sarcopenia. Clin Interv Aging 2013;8:1143–8. doi: 10.2147/CIA.S49810.

    PubMed Central  PubMed  Google Scholar 

  19. Paddon-Jones D, Rasmussen BB. Dietary protein recommendations and the prevention of sarcopenia. Curr Opin Clin Nutr Metab Care 2009;12(1):86–90. doi: 10.1097/MCO.0b013e32831cef8b.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  20. Symons TB, Sheffield-Moore M, Wolfe RR, Paddon-Jones D. A moderate serving of high quality protein maximally stimulates skeletal muscle protein synthesis in young and older adults subjects. J Am Diet Assoc 2009;109(9):1582–6. doi: 10.1016/j.jada.2009.06.369.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  21. Bollwein J, Diekmann R, Kaiser MJ, Bauer JM, Uter W, Sieber CC, Volkert D. Distribution but not amount of protein intake is associated with frailty: a cross-sectional investigation in the region of Nürnberg. Nutr J 2013;12(1):109. doi: 10.1186/1475-2891-12-109.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  22. Van Bokhorst-de van der Schueren MA, Roosemalen MM, Weijs PJ, Langius JA. High waste contributes to low food intake in hospitalized patients. Nutr Clin Pract 2012;27(2):274–80. doi: 10.1177/0884533611433602.

    Article  PubMed  Google Scholar 

  23. Milne AC, Avenell, AJ Potter J. Oral protein and energy supplementation in older people: a systematic review of randomized trials. Nestle Nutr Workshop Ser Clin Perform Programme 2005;10:103–20.

    Article  PubMed  Google Scholar 

  24. Mucci E, Jackson SH. Nutritional supplementation in community-dwelling older adults people. Ann Nutr Metabol 2008;52(1):33–7. doi: 10.1159/000115346.

    Article  CAS  Google Scholar 

  25. Joosten E, Vander Elst B. Does nutritional supplementation influence the voluntary dietary intake in an acute geriatric hospitalized population? Aging 2001;13(5):391–4.

    CAS  PubMed  Google Scholar 

  26. Simmons SF, Patel AV. Nursing home staff delivery of oral liquid nutritional supplements to residents at risk for unintentional weight loss. J Am Geriatr Soc 2006;54(9):1372–6.

    Article  PubMed  Google Scholar 

  27. Gosney M. Are we wasting our money on food supplements in elder care wards? J Adv Nurs 2003;43(3):275–80.

    Article  PubMed  Google Scholar 

  28. McAlpine SJ, Harper J, McMurdo ME, Bolton-Smith C, Hetherington MM. Nutritional supplementation in older adults: pleasantness, preference and selection of sip-feeds. Br J Health Psychol 2003;8(1):57–66.

    Article  CAS  PubMed  Google Scholar 

  29. Stelten S, Dekker IM, Ronday EM, Thijs A, Boelsma E, Peppelenbos HW, de van der Schueren MA. Protein-enriched ‘regular products’ and their effects on protein intake in acute hospitalized older adults; a randomised controlled trial. Clin Nutr 2014;S0261–5614(14)00211-8. doi: 10.1016/j.clnu.2014.08.007.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Nutrition, Sports and Health, Faculty of Health and Social Studies, HAN University of Applied Sciences, PO box 6960, 6503 GL, Nijmegen, the Netherlands

    A. J. van Til, Elke Naumann & Marian A. E. de van der Schueren

  2. ZZG Rehabilitation centre, Amsterdam, the Netherlands

    I. J. H. M. Cox-Claessens

  3. Food and Biobased Research, Wageningen UR, Amsterdam, the Netherlands

    S. Kremer & E. Boelsma

  4. Nutrition and Dietetics, Internal Medicine, VU University Medical Centre, Amsterdam, the Netherlands

    Marian A. E. de van der Schueren

Authors
  1. A. J. van Til
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Elke Naumann
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. I. J. H. M. Cox-Claessens
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Kremer
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. E. Boelsma
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Marian A. E. de van der Schueren
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding authors

Correspondence to Elke Naumann or Marian A. E. de van der Schueren.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

van Til, A.J., Naumann, E., Cox-Claessens, I.J.H.M. et al. Effects of the daily consumption of protein enriched bread and protein enriched drinking yoghurt on the total protein intake in older adults in a rehabilitation centre: A single blind randomised controlled trial. J Nutr Health Aging 19, 525–530 (2015). https://doi.org/10.1007/s12603-015-0471-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12603-015-0471-6

Key words

Search

Navigation