SO-NUTS

Preventing obesity, sarcopenia, and Sarcopenic Obesity in retirement – digital personalized interventions for healthy NUTrition and physical activity for Seniors

Project description

The aging population faces two conditions that threaten healthy aging: high fat mass (obesity) and low muscle mass and function (sarcopenia). The combination of both –referred to as sarcopenic obesity– synergistically increases the risk of adverse health outcomes. The two conditions often co-occur as they reinforce each other and share common etiologies, mainly poor nutrition and inactivity.

Although all aging people are at risk of gaining weight and losing muscle mass, there is an even higher risk of becoming overweight and sarcopenic during the transition from working life to retirement, due to changes in poor nutritional intakes and lower physical activity levels. However, because of these rapid changes, retirement also offers a great window of opportunity to improve lifestyle, as older adults already need to restructure their daily activities. Furthermore, adopting a healthy lifestyle around the age of retirement offers sufficient time to prevent obesity, sarcopenia, sarcopenic obesity and provides long-term benefits, including healthy ageing and prevention/delay of dependence in later life.

To stimulate weight loss/prevent weight gain while preserving muscle mass, it is critical that both physical activity and adequate nutrition be addressed. It is key to change behavior in a sustainable manner, providing evidence based, personalized, and acceptable behavioural strategies and principles that can be integrated in daily life. Health technologies (e.g. applications, wearables) can provide promising tools for delivering personalized and appealing lifestyle interventions to a large group of people while keeping health care costs low. At this moment, there is a lack of effective, sustainable interventions that focus on retirement as an important turning point to promote both nutrition and physical activity behavior.

We aim to provide essential insights required to develop innovative strategies for preventing obesity, sarcopenia and sarcopenic obesity taking into account sociodemographic and health-related characteristics. Based on these strategies and new knowledge, we will design the personalized, cross-country SO-NUTS application that helps empowering people around the phase of/after retirement to lose weight while preserving muscle mass and function. We will test feasibility and effectiveness in a pilot study and secure implementation and dissemination with the help of an extensive network reaching through Europe and beyond.   

Consortium

Partner Organization Partner Country
Department of Epidemiology, Erasmus University Medical Center, Rotterdam Netherlands
Institute of Nursing Science, Medical University of Graz, Graz Austria
Université Clermont Auvergne, INRA, UNH, Unité de Nutrition Humaine, CHU Clermont-Ferrand, Service de Nutrition Clinique France
Servicio de Geriatría, Hospital Universitario Ramón y Cajal (IRYCIS), Ctra. Colmenar Viejo, km. 9,1 28034 Madrid Spain
Department of Geriatric Medicine, First Faculty of Medicine, Charles University Czech Republic
The European Federation of the Association of Dietitians (EFAD) Netherlands
University of Trieste Italy

Highlights

  • Overall: The relevance and idea of the SO-NUTS project was published as a perspective article in Frontiers of Nutrition. The relevance of diet, physical activity, exercise and persuasive technology in the prevention and treatment of sarcopenic obesity, Frontiers of Nutrition 2021 https://www.frontiersin.org/articles/10.3389/fnut.2021.661449/full.
  • Overall: In June all partners met for a 2-day consortium meeting in Madrid. Results were presented and great input was provided for the development of the SO-NUTS intervention.
  • WP1: Performed an extensive literature review, consulted 14 experts and created the first phenotype for sarcopenic obesity. Important steps for the validation of the phenotype are made.
  • WP2: Evaluated differences between diet, physical activity, and body composition across retirement groups. No major differences were observed.
  • WP3: Performed a systematic review and meta-analyses on the effectiveness of interventions. The first manuscript is currently under review at Nutrition Reviews and presented at Nutrition congress? (June 2022). The second systematic review with network meta-analysis is ready in draft.
  • WP4: A very extensive systematic review was performed on psychological interventions to change lifestyle behaviour around the time of retirement. Four focus groups were held with in total 20 participants and important insights on motivators, facilitators and barriers were required.
  • WP5: The first low-fidelity prototype of the SO-NUTS application was built. It enables the use of various behaviour change techniques such as goalsetting and action planning. It offers clients to track their dietary intake and physical activity, goal setting, evaluation, communication with health professional and in the future with members of the community.
  • WP6: The first discussions and draft on the design of the SO-NUTS intervention were made

Products

Title: The Relevance of Diet, Physical Activity, Exercise, and Persuasive Technology in the Prevention and Treatment of Sarcopenic Obesity in Older Adults
Author: Josje D. Schoufour*, Michael Tieland*, Rocco Barazzoni*, Somaya Ben Allouch*, Joey van der Bie*, Yves Boirie*, Alfonso J. Cruz-Jentoft*, Doris Eglseer*, Eva Topinková*, Bart Visser*, Trudy Voortman*, Amalia Tsagari* and Peter J. M. Weijs*
Magazine: 10.3389/fnut.2021.661449
Link: https://hdhl-zonmw.prerelease.betawerk.eu/sites/hdhl/files/2023-11/SO-NUTS-6335f19529ca3_fnut-08-661449.pdf
Target group Authors Means of communication
European Dietitians Josje Schoufour, Macarena Sánchez-Izquierdo Alsonso and Paula Collazo Castineira , Preventing Obesity, Sarcopenia and Sarcopenic Obesity, EFAD-ESDN Older Adults Webinar, online, January 27th 2022        Webinar
Researchers in the field of health technology Stimulating Healthy Behavior: The Development of a Modular E-health Platform. Josje Schoufour, Sumit Mehra, Daniël Bossen, Marije Verwijs, Annette Brons, Joey van der Bie, Michel Oey, Peter Weijs, Somaya Ben Allouch. Demonstration 13 May 2022 by Supporting Health by Technology, Groningen, the Netherlands    Oral Presentation
European society for clinical nutrition and metabolism    Prevention of Obesity, Sarcopenia and Sarcopenic Obesity in retirement: Development of persuasive technology to stimulate healthy lifestyle behavior. Josje Schoufour, Sumit Mehra, Daniël Bossen, Marije Verwijs, Annette Brons, Joey van der Bie, Michel Oey, Somaya Ben Allouch, Peter Weijs, the SO-NUTS consortium. ESPEN annual world congress 2022, 2-6 September Vienna.    Poster presentation
European society for clinical nutrition and metabolism Nutrition interventions alone or in combination with exercise in overweight or obese persons near retirement age – a network meta-analysis. Mariella Traxler, Silvia Bauer, Doris Eglseer, the SO-NUTS consortium. ESPEN annual world congress 2022, 2-6 September Vienna    Poster presentation
Nutrition 2022, Yearly congress for clinical nutrition of the German speaking countries (Germany, Austria, Switzerland)    Effectiveness of nutritional and exercise interventions in sarcopenic obese persons around retirement age: A systematic review and meta-analysis. Mariella Traxler, Silvia Bauer, Doris Eglseer, the SO-NUTS consortium. Nutrition 2022 – Medizin furs Leben, 23.-25. June, Bremen, Germany.    Poster presentation
European society for clinical nutrition and metabolism    E. Benz, A. Pinel, C. Guillet, F. Capel, B. Pereira, A. Mulliez, M. De Antonio, M. Pouget, M. De Almeida Alves, M. Steur, T. Voortman, J. Schoufour, P. Weijs, Y. Boirie and JPI SO-NUTS consortium. Prevalence of sarcopenic obesity according to the definition and diagnosis criteria of ESPEN/EASO consensus statement: the Rotterdam study. 44th ESPEN annual congress 2022, 2-6 September Vienna.    Poster presentation
European society for clinical nutrition and metabolism    E. Benz, A. Pinel, C. Guillet, F. Capel, B. Pereira, A. Mulliez, M. De Antonio, M. Pouget, M. Steur, T. Voortman, J. Schoufour, P. Weijs, Y. Boirie and JPI SO-NUTS consortium. Sarcopenic obesity and all-cause mortality in middle-aged and older people: a Population-based study. 44th ESPEN annual congress 2022, 2-6 September Vienna.    Oral communication
Dutch citizens interested in sports and physical activity    SO-NUTS: Hoe kunnen gepensioneerden gezonder leven? 1 juli 2021, Josje Schoufour    interview published on website van SportKnowhow   

Features

Project number:
SO-NUTS
Duration: 73%
Duration: 73 %
2021
2025
Related subsidy round:
Project lead and secretary:
Prof. dr. ir. Peter Weijs
Responsible organisation:
Amsterdam University of Applied Sciences, the Netherlands