Nutrient intake and dietary changes during a 2-year multi-domain lifestyle intervention among older adults: secondary analysis of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) randomised controlled trial.

@article{Lehtisalo2017NutrientIA,
  title={Nutrient intake and dietary changes during a 2-year multi-domain lifestyle intervention among older adults: secondary analysis of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) randomised controlled trial.},
  author={Jenni Lehtisalo and Tiia Ngandu and P{\"a}ivi Valve and Riitta Antikainen and Tiina Laatikainen and Timo E. Strandberg and Hilkka Soininen and Jaakko Tuomilehto and Miia Kivipelto and Jaana Lindstr{\"o}m},
  journal={The British journal of nutrition},
  year={2017},
  volume={118 4},
  pages={
          291-302
        }
}
Advancing age increases the risk for diseases and health concerns like cognitive decline, constituting a major public health challenge. Lifestyle, especially healthy diet, affects many risk factors related to chronic diseases, and thus lifestyle interventions among older adults may be beneficial in promoting successful ageing. We completed a randomised 2-year multi-domain lifestyle intervention trial aiming at prevention of cognitive decline among 631 participants in the intervention and 629 in… 

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References

SHOWING 1-10 OF 48 REFERENCES

Improved lifestyle and decreased diabetes risk over 13 years: long-term follow-up of the randomised Finnish Diabetes Prevention Study (DPS)

Adherence to lifestyle changes during the intervention period predicted greater risk reduction during the total follow-up, and results in long-term prevention of progression to type 2 diabetes.

Mediterranean Diet and Age-Related Cognitive Decline: A Randomized Clinical Trial.

In an older population, a Mediterranean diet supplemented with olive oil or nuts is associated with improved cognitive function, and this work is likely to be a first step towards addressing the underlying cause of dementia in patients at high cardiovascular risk.

Effectiveness of dietary interventions among adults of retirement age: a systematic review and meta-analysis of randomized controlled trials

Dietary interventions delivered during the retirement transition are effective, sustainable in the longer term and likely to be of public health significance, according to a systematic review of dietary interventions among adults of retirement transition age.

WHO guidelines for a healthy diet and mortality from cardiovascular disease in European and American elderly: the CHANCES project12

Overall, greater adherence to the WHO dietary guidelines was not significantly associated with CVD mortality, but the results varied across regions and clear inverse associations were observed in elderly populations in southern Europe and the United States.

Comparison of a dietary intervention promoting high intakes of fruits and vegetables with a low-fat approach: long-term effects on dietary intakes, eating behaviours and body weight in postmenopausal women

It was concluded that weight loss was similar at 1-year follow-up in both dietary approaches and the adherence to a 6-month dietary intervention promoting high intakes of fruits and vegetables was difficult to maintain.

Nutrition in the age-related disablement process

A critical review of different aspects related to the role of nutrition in the transition from independence to disability, and proposed future lines for research, including the determination of levels of inadequacy and target doses of supplements, the study of interactions (between nutrients within a diet and with other lifestyle aspects), and the association with functional outcomes.

Recruitment and Baseline Characteristics of Participants in the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER)—A Randomized Controlled Lifestyle Trial †

The FINGER study will provide important information on the effect of lifestyle intervention to prevent cognitive impairment among at risk persons and several modifiable risk factors were present at baseline indicating an opportunity for the intervention.