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Improving Muscle Health Later in Life: The Wider Benefits of Adapting Lifestyle Interventions.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Improving Muscle Health Later in Life: The Wider Benefits of Adapting Lifestyle Interventions./
Author:	Dorhout, Berber.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2022,
Description:	200 p.
Notes:	Source: Dissertations Abstracts International, Volume: 83-09, Section: B.
Contained By:	Dissertations Abstracts International83-09B.
Subject:	Gender differences. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29110721
ISBN:	9798209901440

Improving Muscle Health Later in Life: The Wider Benefits of Adapting Lifestyle Interventions.
Dorhout, Berber.

Improving Muscle Health Later in Life: The Wider Benefits of Adapting Lifestyle Interventions. - Ann Arbor : ProQuest Dissertations & Theses, 2022 - 200 p.

Source: Dissertations Abstracts International, Volume: 83-09, Section: B.

Thesis (Ph.D.)--Wageningen University and Research, 2022.

This item must not be sold to any third party vendors.

Global life expectancy has increased tremendously over the past decades, and so has the number of older adults. Preferably, these later years are spent in good health living independently at home, rather than suffering from physical and mental declines. However, a common consequence of ageing is the decrease in muscle mass, muscle strength and physical functioning. Diet and exercise interventions have been proven to be effective in counteracting this deterioration in health status in (pre-)frail older adults. However, the ageing population can be referred to as a heterogeneous population. Not only in terms of personal characteristics, ethnicity, and health status, but also in its responsiveness to treatments or interventions. To be able to serve a wide population, it is important to assess heterogeneity in older adults' health status and subsequently study the heterogeneity in responsiveness to diet and exercise interventions. Besides, factors on the organisational and contextual level are expected to influence responsiveness to lifestyle interventions. Therefore, the aim of this thesis was threefold: 1) To study the sarcopenia prevalence, dietary protein intake, and underlying behavioural and environmental factors affecting protein intake in ethnic minorities in the Netherlands, 2) To study the personal, organisational, and other contextual factors affecting responsiveness to a diet and exercise intervention, and 3) To study the cost-effectiveness of ProMuscle in Practice. Chapter 2 and 3 focused on the Healthy Life in an Urban Setting (HELIUS) study: a large cohort which includes participants from Dutch, South Asian Surinamese, African Surinamese, Turkish, Moroccan, and Ghanaian ethnic origin living in Amsterdam. Chapter 2 includes the results of a cross-sectional study of the HELIUS data, presenting the sarcopenia prevalences and its relation to protein intake in ethnic minorities in the Netherlands. The results show that sarcopenia prevalence varies across sexes and ethnic groups, being lowest in Turkish women and men and highest in South-Asian Surinamese women and men. Besides, higher protein intake was associated with a 4% lower odds of sarcopenia in the population and across ethnic groups, being only significant in the South-Asian Surinamese group. In chapter 3 we investigated the dietary protein intake and underlying behavioural and environmental factors affecting protein intake in ethnic minority populations. The dietary protein recommendation (1.0 g/kg bw/day) was not met by 40-60% of the Dutch, South Asian Surinamese, African Surinamese, and Moroccan older adults. Major sources of protein intake were found to be ethnic-specific. In addition, focus group discussions revealed that participants appeared to have little knowledge of and awareness on protein and its role in ageing. Chapter 4, 5 and 6 focused on the ProMuscle intervention, a diet and exercise intervention targeted at older adults.

ISBN: 9798209901440Subjects--Topical Terms:

3548331
Gender differences.

Improving Muscle Health Later in Life: The Wider Benefits of Adapting Lifestyle Interventions.
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245 1 0 $a Improving Muscle Health Later in Life: The Wider Benefits of Adapting Lifestyle Interventions.
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300 $a 200 p.
500 $a Source: Dissertations Abstracts International, Volume: 83-09, Section: B.
500 $a Advisor: de Groot, Lisette;Haveman-Nies, Annemien;Doets, Esmee.
502 $a Thesis (Ph.D.)--Wageningen University and Research, 2022.
506 $a This item must not be sold to any third party vendors.
520 $a Global life expectancy has increased tremendously over the past decades, and so has the number of older adults. Preferably, these later years are spent in good health living independently at home, rather than suffering from physical and mental declines. However, a common consequence of ageing is the decrease in muscle mass, muscle strength and physical functioning. Diet and exercise interventions have been proven to be effective in counteracting this deterioration in health status in (pre-)frail older adults. However, the ageing population can be referred to as a heterogeneous population. Not only in terms of personal characteristics, ethnicity, and health status, but also in its responsiveness to treatments or interventions. To be able to serve a wide population, it is important to assess heterogeneity in older adults' health status and subsequently study the heterogeneity in responsiveness to diet and exercise interventions. Besides, factors on the organisational and contextual level are expected to influence responsiveness to lifestyle interventions. Therefore, the aim of this thesis was threefold: 1) To study the sarcopenia prevalence, dietary protein intake, and underlying behavioural and environmental factors affecting protein intake in ethnic minorities in the Netherlands, 2) To study the personal, organisational, and other contextual factors affecting responsiveness to a diet and exercise intervention, and 3) To study the cost-effectiveness of ProMuscle in Practice. Chapter 2 and 3 focused on the Healthy Life in an Urban Setting (HELIUS) study: a large cohort which includes participants from Dutch, South Asian Surinamese, African Surinamese, Turkish, Moroccan, and Ghanaian ethnic origin living in Amsterdam. Chapter 2 includes the results of a cross-sectional study of the HELIUS data, presenting the sarcopenia prevalences and its relation to protein intake in ethnic minorities in the Netherlands. The results show that sarcopenia prevalence varies across sexes and ethnic groups, being lowest in Turkish women and men and highest in South-Asian Surinamese women and men. Besides, higher protein intake was associated with a 4% lower odds of sarcopenia in the population and across ethnic groups, being only significant in the South-Asian Surinamese group. In chapter 3 we investigated the dietary protein intake and underlying behavioural and environmental factors affecting protein intake in ethnic minority populations. The dietary protein recommendation (1.0 g/kg bw/day) was not met by 40-60% of the Dutch, South Asian Surinamese, African Surinamese, and Moroccan older adults. Major sources of protein intake were found to be ethnic-specific. In addition, focus group discussions revealed that participants appeared to have little knowledge of and awareness on protein and its role in ageing. Chapter 4, 5 and 6 focused on the ProMuscle intervention, a diet and exercise intervention targeted at older adults.
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650 4 $a Exercise. $3 532868
650 4 $a Womens health. $3 3562508
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