Mireia Urpi-Sarda, C/Prat de la Riba, 171, 08921 Santa Coloma de Gramenet, Spain, Tel. 00-34-934021969, e-mail:
J Nutr Health Aging. 2023;27(7):500-506. doi: 10.1007/s12603-023-1929-6.
To investigate the relationship between Mediterranean diet (MedDiet) adherence and response to an exercise and health education program to prevent hospitalization-associated disability (HAD) in acutely hospitalized older adults.
Randomized controlled trial.
Secondary analysis of a subset of 109 participants from AGECAR-PLUS study with available data on MedDiet adherence (mean age 87, and range 75-98).
Participants were randomized into the control group (n = 46, usual care) or the intervention group (n = 63, supervised exercise and health education) at admission.
MedDiet adherence was measured with MEDAS and through urinary total polyphenols (UTP). Functional status was assessed with the Barthel Index.
At discharge, patients in the intervention group who had low levels of MedDiet or UTP showed an increase in functional status [adjusted mean (95% CI) = 77.8 (70.8-84.8) points, p = 0.005, and adjusted mean (95% CI) = 78.0 (68.3-87.7) points, p = 0.020, respectively].
Older individuals over age 75 with low MedDiet adherence were likely to benefit more from a physical exercise and health education intervention.
探讨地中海饮食（MedDiet）依从性与预防急性住院老年人住院相关残疾（HAD）的运动和健康教育计划反应之间的关系。
随机对照试验。
AGECAR-PLUS 研究的一个亚组 109 名参与者的二次分析，这些参与者有可用的 MedDiet 依从性数据（平均年龄 87 岁，范围为 75-98 岁）。
参与者在入院时被随机分为对照组（n = 46，常规护理）或干预组（n = 63，监督运动和健康教育）。
采用 MEDAS 和尿总多酚（UTP）来衡量 MedDiet 依从性。采用巴氏指数评估功能状态。
出院时，低 MedDiet 或 UTP 水平的干预组患者的功能状态有所改善[调整后的平均（95%置信区间）= 77.8（70.8-84.8）点，p = 0.005，和调整后的平均（95%置信区间）= 78.0（68.3-87.7）点，p = 0.020，分别]。
年龄在 75 岁以上且 MedDiet 依从性较低的老年人可能会从身体锻炼和健康教育干预中获益更多。
