Effect of a PROtein-enriched MEDiterranean diet and EXercise (PROMED-EX) on nutritional status and cognitive performance in older adults at risk of undernutrition and cognitive decline: the PROMED-EX randomized controlled trial.
Nicola Ann Ward, Rachel Reid-McCann, Danielle Logan et al.
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In 30 seconds
The PROMED-EX randomized controlled trial evaluated the effects of a protein-enriched Mediterranean diet with and without exercise on nutritional status and cognitive performance in 105 older adults at risk of undernutrition. After 6 months, both intervention groups showed significant improvements in nutritional status, with mean MNA score increases of 2.7 for PROMED and 2.9 for PROMED-EX compared to the control group (P < 0.001).
Key findings
- Nutritional status improved significantly with mean MNA score increases of 2.7 for PROMED and 2.9 for PROMED-EX compared to CON (P < 0.001).
- Cognitive function improved with NTB z-score differences of 0.3 for PROMED and 0.2 for PROMED-EX compared to CON (P = 0.01 and P = 0.02, respectively).
- Diet quality scores increased significantly, with mean differences of 4.0 for PROMED and 3.9 for PROMED-EX compared to CON (P < 0.001).
Why it matters
Improving nutritional status in older adults at risk of undernutrition may help mitigate cognitive decline and enhance overall health and quality of life, which is crucial for aging populations.