Effectiveness of a Per-Meal Protein Prescription and Nutrition Education with versus without Diet Coaching on Dietary Protein Intake and Muscle Health in Middle-Aged Women
Sufficient dietary protein intake is vital to maintaining muscle health with aging. Yet protein intake among adults is often inadequate. This study’s main objective was to examine the impact of nutrition education (NE) and a per-meal protein prescription (PRx) with versus without diet coaching on pr...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-01-01
|
| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/14/2/375 |
| _version_ | 1797491367220346880 |
|---|---|
| author | Kelley L. Jackson Sareen S. Gropper Dennis Hunt Deborah D’Avolio David Newman |
| author_facet | Kelley L. Jackson Sareen S. Gropper Dennis Hunt Deborah D’Avolio David Newman |
| author_sort | Kelley L. Jackson |
| collection | DOAJ |
| description | Sufficient dietary protein intake is vital to maintaining muscle health with aging. Yet protein intake among adults is often inadequate. This study’s main objective was to examine the impact of nutrition education (NE) and a per-meal protein prescription (PRx) with versus without diet coaching on protein intake. A secondary objective examined its effects on muscle health. Participants included 53 women, age 45–64 years. All participants received NE and PRx; those randomized to coached-group received 10-weeks of diet coaching. Assessments included: protein intake at baseline, weeks 4 and 12 and muscle health (muscle mass, grip strength, five-chair rise test, 4 mgait speed test). The Chi-square test examined percentages of participants meeting PRx between groups. Repeated measures analysis of variance assessed within group and intervention effects on protein intake and muscle health parameters. Protein intake (g/kg body weight) increased (<i>p</i> < 0.001): not-coached (<i>n</i> = 28) 0.8 ± 0.2 to 1.2 ± 0.3 and coached (<i>n</i> = 25) 1.0 ± 0.2 to 1.4 ± 0.3 with no significant difference between groups. A greater percentage of coached-group participants met (<i>p</i> = 0.04) breakfast (72%) and met (<i>p</i> < 0.001) three-meal (76%) PRx versus not-coached participants (25% and 53%, respectively). Participants in both groups exhibited significantly (<i>p</i> < 0.001) improved times for the five-chair rise test and 4 mgait speed test. Diet coaching in conjunction with a PRx and NE should be considered to assist individuals in improving protein intake through self-selection of protein-rich foods. |
| first_indexed | 2024-03-10T00:47:25Z |
| format | Article |
| id | doaj.art-c6a8c60b33854b7fb76b2c17bcd1aa8b |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T00:47:25Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-c6a8c60b33854b7fb76b2c17bcd1aa8b2023-11-23T14:58:27ZengMDPI AGNutrients2072-66432022-01-0114237510.3390/nu14020375Effectiveness of a Per-Meal Protein Prescription and Nutrition Education with versus without Diet Coaching on Dietary Protein Intake and Muscle Health in Middle-Aged WomenKelley L. Jackson0Sareen S. Gropper1Dennis Hunt2Deborah D’Avolio3David Newman4Christine E. Lynn College of Nursing, Florida Atlantic University, 777 Glades Road, Boca Raton, FL 33431, USAChristine E. Lynn College of Nursing, Florida Atlantic University, 777 Glades Road, Boca Raton, FL 33431, USADepartment of Rehabilitation Sciences, Florida Gulf Coast University, 10501 FGCU Blvd S, Fort Myers, FL 33965, USAChristine E. Lynn College of Nursing, Florida Atlantic University, 777 Glades Road, Boca Raton, FL 33431, USAChristine E. Lynn College of Nursing, Florida Atlantic University, 777 Glades Road, Boca Raton, FL 33431, USASufficient dietary protein intake is vital to maintaining muscle health with aging. Yet protein intake among adults is often inadequate. This study’s main objective was to examine the impact of nutrition education (NE) and a per-meal protein prescription (PRx) with versus without diet coaching on protein intake. A secondary objective examined its effects on muscle health. Participants included 53 women, age 45–64 years. All participants received NE and PRx; those randomized to coached-group received 10-weeks of diet coaching. Assessments included: protein intake at baseline, weeks 4 and 12 and muscle health (muscle mass, grip strength, five-chair rise test, 4 mgait speed test). The Chi-square test examined percentages of participants meeting PRx between groups. Repeated measures analysis of variance assessed within group and intervention effects on protein intake and muscle health parameters. Protein intake (g/kg body weight) increased (<i>p</i> < 0.001): not-coached (<i>n</i> = 28) 0.8 ± 0.2 to 1.2 ± 0.3 and coached (<i>n</i> = 25) 1.0 ± 0.2 to 1.4 ± 0.3 with no significant difference between groups. A greater percentage of coached-group participants met (<i>p</i> = 0.04) breakfast (72%) and met (<i>p</i> < 0.001) three-meal (76%) PRx versus not-coached participants (25% and 53%, respectively). Participants in both groups exhibited significantly (<i>p</i> < 0.001) improved times for the five-chair rise test and 4 mgait speed test. Diet coaching in conjunction with a PRx and NE should be considered to assist individuals in improving protein intake through self-selection of protein-rich foods.https://www.mdpi.com/2072-6643/14/2/375protein intakeprotein prescriptionnutrition educationdiet coachingmuscle health |
| spellingShingle | Kelley L. Jackson Sareen S. Gropper Dennis Hunt Deborah D’Avolio David Newman Effectiveness of a Per-Meal Protein Prescription and Nutrition Education with versus without Diet Coaching on Dietary Protein Intake and Muscle Health in Middle-Aged Women Nutrients protein intake protein prescription nutrition education diet coaching muscle health |
| title | Effectiveness of a Per-Meal Protein Prescription and Nutrition Education with versus without Diet Coaching on Dietary Protein Intake and Muscle Health in Middle-Aged Women |
| title_full | Effectiveness of a Per-Meal Protein Prescription and Nutrition Education with versus without Diet Coaching on Dietary Protein Intake and Muscle Health in Middle-Aged Women |
| title_fullStr | Effectiveness of a Per-Meal Protein Prescription and Nutrition Education with versus without Diet Coaching on Dietary Protein Intake and Muscle Health in Middle-Aged Women |
| title_full_unstemmed | Effectiveness of a Per-Meal Protein Prescription and Nutrition Education with versus without Diet Coaching on Dietary Protein Intake and Muscle Health in Middle-Aged Women |
| title_short | Effectiveness of a Per-Meal Protein Prescription and Nutrition Education with versus without Diet Coaching on Dietary Protein Intake and Muscle Health in Middle-Aged Women |
| title_sort | effectiveness of a per meal protein prescription and nutrition education with versus without diet coaching on dietary protein intake and muscle health in middle aged women |
| topic | protein intake protein prescription nutrition education diet coaching muscle health |
| url | https://www.mdpi.com/2072-6643/14/2/375 |
| work_keys_str_mv | AT kelleyljackson effectivenessofapermealproteinprescriptionandnutritioneducationwithversuswithoutdietcoachingondietaryproteinintakeandmusclehealthinmiddleagedwomen AT sareensgropper effectivenessofapermealproteinprescriptionandnutritioneducationwithversuswithoutdietcoachingondietaryproteinintakeandmusclehealthinmiddleagedwomen AT dennishunt effectivenessofapermealproteinprescriptionandnutritioneducationwithversuswithoutdietcoachingondietaryproteinintakeandmusclehealthinmiddleagedwomen AT deborahdavolio effectivenessofapermealproteinprescriptionandnutritioneducationwithversuswithoutdietcoachingondietaryproteinintakeandmusclehealthinmiddleagedwomen AT davidnewman effectivenessofapermealproteinprescriptionandnutritioneducationwithversuswithoutdietcoachingondietaryproteinintakeandmusclehealthinmiddleagedwomen |