Abstract
The Mediterranean diet pattern (MEDI) is associated with a lower risk of chronic conditions related to ageing. Adherence research mostly comes from Mediterranean countries with high cultural acceptability. This study examines the feasibility of a MEDI intervention designed specifically for older Australians (AusMed). Phase 1 involved a consumer research group (n = 17) presentation of program materials with surveys after each section. In-depth individual semi-structured interviews (n = 6) were then conducted. All participants reported increased knowledge and confidence in adherence to the MEDI, with the majority preferring a booklet format (70%) and group delivery (58%). Three themes emerged from interviews—1. barriers (complexity, perceived cost and food preferences), 2. additional support and 3. individualisation of materials. Program materials were modified accordingly. Phase 2 was a 2-week trial of the modified program (n = 15). Participants received a group counselling session, program manual and food hamper. Adherence to the MEDI was measured by the Mediterranean Diet Score (MDS). All participants increased their adherence after the 2-week trial, from a mean score of 5.4 ± 2.4 (low adherence) to a mean score of 9.6 ± 2.0 (moderate to high adherence). All found that text message support helped achieve their goals and were confident to continue the dietary change.
Highlights
As the world’s population continues to rapidly age [1], we see an increase in the incidence of age-related chronic disease [2]
We have developed a dietary intervention to support older Australians to adhere to the principles
Of the text message support component of the AusMed diet program. These results provide preliminary trialtrial evidence of the of a Mediterranean diet program. These results provide preliminary evidence of feasibility the feasibility of a Mediterranean diet designed to be specifictotobe anspecific older Australian
Summary
As the world’s population continues to rapidly age [1], we see an increase in the incidence of age-related chronic disease [2]. Are aged >65 years [1] and 80% have one or more chronic conditions [3]. People are living longer but not necessarily healthier lives. Chronic disease can be modified by a change in diet [4], but dietary change is difficult and requires support. Developing interventions specific to an ageing population is needed to improve health outcomes
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