Feasibility, acceptability, and cognitive benefits of a theory-informed intervention to increase Mediterranean diet adherence and physical activity in older adults at risk of dementia: the MedEx-UK randomised controlled trial
Abstract:Background: Despite an urgent need for multi-domain lifestyle interventions to reduce dementia risk there is a lack of interventions which are informed by theory and evidence based behaviour change strategies and no interventions in this domain have investigated the feasibility or effectiveness of behaviour change maintenance. Objectives: We tested the feasibility, acceptability, and cognitive effects of MedEx-UK, a personalised theory-based 24-week intervention to improve Mediterranean-diet (MD) adherence alo… Show more
“…Second, in an analysis of >60 000 older adults from the UK Biobank cohort, individuals in the highest v. lowest tertile of adherence to the Mediterranean diet had a 23 % lower risk of dementia (45) . Promisingly, recent data from a small (n 104) randomised controlled trial (46) the MedEx-UK studyshow that adoption of a Mediterranean-like diet for at least 6 months is feasible and acceptable in older adults in the UK and improves both general cognition and memory (47) . Therefore, consumption of a Mediterranean-like diet could represent a potential strategy to improve cognitive function/reduce dementia risk in older adults, and adoption of a Mediterranean-like diet in a UK setting appears to be both feasible and acceptable.…”
Georgia lies to the north east of Türkiye, having a western border on the Black Sea. With a population of some 3.73 million, Georgia has a tradition of gastronomic excellence dating back millennia. However, changing lifestyles and external influences have, as elsewhere, led to problems of suboptimal nutrition, and lifestyle related diseases and disorders prevail. There is considerable scope for improving the focus on public health and nutrition in Georgia. With this in mind, the Georgian Nutrition Society teamed up with The Nutrition Society of the United Kingdom and Ireland and the Sabri Ülker Foundation, a public health charity based in Istanbul, Türkiye, to host a conference and workshops in Tbilisi, Georgia. The primary purpose was to review the current status of public health and nutrition in Georgia with reference to the situation elsewhere, to share examples of best practice and to identify opportunities for improvement. A particular highlight was the presentation of a programme of nutrition education for family physicians recently implemented in Türkiye.This summary of the proceedings is intended as a blueprint for action in Georgia and also to inspire others to consider how public health might be improved via a focus on balanced nutrition.
“…Second, in an analysis of >60 000 older adults from the UK Biobank cohort, individuals in the highest v. lowest tertile of adherence to the Mediterranean diet had a 23 % lower risk of dementia (45) . Promisingly, recent data from a small (n 104) randomised controlled trial (46) the MedEx-UK studyshow that adoption of a Mediterranean-like diet for at least 6 months is feasible and acceptable in older adults in the UK and improves both general cognition and memory (47) . Therefore, consumption of a Mediterranean-like diet could represent a potential strategy to improve cognitive function/reduce dementia risk in older adults, and adoption of a Mediterranean-like diet in a UK setting appears to be both feasible and acceptable.…”
Georgia lies to the north east of Türkiye, having a western border on the Black Sea. With a population of some 3.73 million, Georgia has a tradition of gastronomic excellence dating back millennia. However, changing lifestyles and external influences have, as elsewhere, led to problems of suboptimal nutrition, and lifestyle related diseases and disorders prevail. There is considerable scope for improving the focus on public health and nutrition in Georgia. With this in mind, the Georgian Nutrition Society teamed up with The Nutrition Society of the United Kingdom and Ireland and the Sabri Ülker Foundation, a public health charity based in Istanbul, Türkiye, to host a conference and workshops in Tbilisi, Georgia. The primary purpose was to review the current status of public health and nutrition in Georgia with reference to the situation elsewhere, to share examples of best practice and to identify opportunities for improvement. A particular highlight was the presentation of a programme of nutrition education for family physicians recently implemented in Türkiye.This summary of the proceedings is intended as a blueprint for action in Georgia and also to inspire others to consider how public health might be improved via a focus on balanced nutrition.
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