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Adherence to Mediterranean Diet and Response to an Exercise Program to Prevent Hospitalization-Associated Disability
A Tor-Roca1, J Mayordomo-Cava, C Andres-Lacueva
1Mireia Urpi-Sarda, C/Prat de la Riba, 171, 08921 Santa Coloma de Gramenet, Spain, Tel. 00-34-934021969,
Objectives:
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.
Design:
Randomized controlled trial.
Setting And Participants:
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).
Intervention:
Participants were randomized into the control group (n = 46, usual care) or the intervention group (n = 63, supervised exercise and health education) at admission.
Measurements:
MedDiet adherence was measured with MEDAS and through urinary total polyphenols (UTP). Functional status was assessed with the Barthel Index.
Results:
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].
Conclusion:
Older individuals over age 75 with low MedDiet adherence were likely to benefit more from a physical exercise and health education intervention.
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