Nutritional and physical exercise programs for older people: program format preferences and (dis)incentives to participate
Lenore Dedeyne,1 Louise Dewinter,1 Aniko Lovik,2 Sabine Verschueren,3 Jos Tournoy,1,4 Evelien Gielen1,4 1Department of Chronic Diseases, Metabolism and Ageing, KU Leuven – University of Leuven, Leuven, Belgium; 2L-BioStat, KU Leuven – University of Leuven, Leuven, Belgium; 3Depa...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2018-07-01
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| Series: | Clinical Interventions in Aging |
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| Online Access: | https://www.dovepress.com/nutritional-and-physical-exercise-programs-for-older-people-program-fo-peer-reviewed-article-CIA |
| _version_ | 1818346388000342016 |
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| author | Dedeyne L Dewinter L Lovik A Verschueren S Tournoy J Gielen E |
| author_facet | Dedeyne L Dewinter L Lovik A Verschueren S Tournoy J Gielen E |
| author_sort | Dedeyne L |
| collection | DOAJ |
| description | Lenore Dedeyne,1 Louise Dewinter,1 Aniko Lovik,2 Sabine Verschueren,3 Jos Tournoy,1,4 Evelien Gielen1,4 1Department of Chronic Diseases, Metabolism and Ageing, KU Leuven – University of Leuven, Leuven, Belgium; 2L-BioStat, KU Leuven – University of Leuven, Leuven, Belgium; 3Department of Rehabilitation Sciences, KU Leuven – University of Leuven, Leuven, Belgium; 4Department of Geriatric Medicine, University Hospitals Leuven, Leuven, Belgium Purpose: A growing number of studies in older people have been examining the beneficial effects of non-pharmacological interventions, such as physical exercise (PE) and nutritional supplementation, to target age-related syndromes such as sarcopenia and frailty. This study evaluated interpersonal, intrapersonal, and community (dis)incentives, concepts of motivation, and preferred program formats toward a PE or nutritional program in older people, with or without frailty or risk of sarcopenia. Methods: A questionnaire was developed and filled in by 115 community-dwelling older adults (≥65 years of age) after content (n=7 experts) and face validation (n=8 older adults). We assessed 1) the agreement with a statement (a statement with which ≥70% of the participants agree or strongly agree is considered as a common statement), 2) concepts of motivation by an exploratory factor analysis, and 3) program preferences by nonparametric Wilcoxon or Friedman’s analysis of variance and post hoc Wilcoxon signed-rank tests. Results: Intrapersonal motivators (eg, health benefits) were the most common motivators to participate in a PE or nutritional program. Identified concepts to participate in a PE intervention were intrinsic health beliefs, fear of falling or injuries, influence of significant others and environment, and (para)medical encouragement (Cronbach’s alpha: 0.75; 72% variance explained). Intrinsic health beliefs, influence of significant others and (para)medical encouragement were identified as concepts that motivate older people to participate in a nutritional intervention (Cronbach’s alpha: 0.77; 78% variance explained). No favorability of exercise location was identified; however, older people preferred protein supplement intake in a tablet form compared to liquid or powder form and in a pulsed timing compared with a spread intake. Conclusion: Program preferences of older people toward nutritional interventions need to be taken into account in future clinical trials and implementation programs, to increase recruitment and adherence to interventions. Keywords: physical activity, nutrition, incentives, sarcopenia, frailty, old |
| first_indexed | 2024-12-13T17:17:28Z |
| format | Article |
| id | doaj.art-ff1b0f4a478e487aaa5d8c3f9002c0f9 |
| institution | Directory Open Access Journal |
| issn | 1178-1998 |
| language | English |
| last_indexed | 2024-12-13T17:17:28Z |
| publishDate | 2018-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Interventions in Aging |
| spelling | doaj.art-ff1b0f4a478e487aaa5d8c3f9002c0f92022-12-21T23:37:24ZengDove Medical PressClinical Interventions in Aging1178-19982018-07-01Volume 131259126639417Nutritional and physical exercise programs for older people: program format preferences and (dis)incentives to participateDedeyne LDewinter LLovik AVerschueren STournoy JGielen ELenore Dedeyne,1 Louise Dewinter,1 Aniko Lovik,2 Sabine Verschueren,3 Jos Tournoy,1,4 Evelien Gielen1,4 1Department of Chronic Diseases, Metabolism and Ageing, KU Leuven – University of Leuven, Leuven, Belgium; 2L-BioStat, KU Leuven – University of Leuven, Leuven, Belgium; 3Department of Rehabilitation Sciences, KU Leuven – University of Leuven, Leuven, Belgium; 4Department of Geriatric Medicine, University Hospitals Leuven, Leuven, Belgium Purpose: A growing number of studies in older people have been examining the beneficial effects of non-pharmacological interventions, such as physical exercise (PE) and nutritional supplementation, to target age-related syndromes such as sarcopenia and frailty. This study evaluated interpersonal, intrapersonal, and community (dis)incentives, concepts of motivation, and preferred program formats toward a PE or nutritional program in older people, with or without frailty or risk of sarcopenia. Methods: A questionnaire was developed and filled in by 115 community-dwelling older adults (≥65 years of age) after content (n=7 experts) and face validation (n=8 older adults). We assessed 1) the agreement with a statement (a statement with which ≥70% of the participants agree or strongly agree is considered as a common statement), 2) concepts of motivation by an exploratory factor analysis, and 3) program preferences by nonparametric Wilcoxon or Friedman’s analysis of variance and post hoc Wilcoxon signed-rank tests. Results: Intrapersonal motivators (eg, health benefits) were the most common motivators to participate in a PE or nutritional program. Identified concepts to participate in a PE intervention were intrinsic health beliefs, fear of falling or injuries, influence of significant others and environment, and (para)medical encouragement (Cronbach’s alpha: 0.75; 72% variance explained). Intrinsic health beliefs, influence of significant others and (para)medical encouragement were identified as concepts that motivate older people to participate in a nutritional intervention (Cronbach’s alpha: 0.77; 78% variance explained). No favorability of exercise location was identified; however, older people preferred protein supplement intake in a tablet form compared to liquid or powder form and in a pulsed timing compared with a spread intake. Conclusion: Program preferences of older people toward nutritional interventions need to be taken into account in future clinical trials and implementation programs, to increase recruitment and adherence to interventions. Keywords: physical activity, nutrition, incentives, sarcopenia, frailty, oldhttps://www.dovepress.com/nutritional-and-physical-exercise-programs-for-older-people-program-fo-peer-reviewed-article-CIAPhysical activitynutritionincentivessarcopeniafrailtyold |
| spellingShingle | Dedeyne L Dewinter L Lovik A Verschueren S Tournoy J Gielen E Nutritional and physical exercise programs for older people: program format preferences and (dis)incentives to participate Clinical Interventions in Aging Physical activity nutrition incentives sarcopenia frailty old |
| title | Nutritional and physical exercise programs for older people: program format preferences and (dis)incentives to participate |
| title_full | Nutritional and physical exercise programs for older people: program format preferences and (dis)incentives to participate |
| title_fullStr | Nutritional and physical exercise programs for older people: program format preferences and (dis)incentives to participate |
| title_full_unstemmed | Nutritional and physical exercise programs for older people: program format preferences and (dis)incentives to participate |
| title_short | Nutritional and physical exercise programs for older people: program format preferences and (dis)incentives to participate |
| title_sort | nutritional and physical exercise programs for older people program format preferences and dis incentives to participate |
| topic | Physical activity nutrition incentives sarcopenia frailty old |
| url | https://www.dovepress.com/nutritional-and-physical-exercise-programs-for-older-people-program-fo-peer-reviewed-article-CIA |
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