APPETITE: Plant Protein and Exercise Solutions for the Prevention of Undernutrition in Older Adults With a Poor Appetite

The APPETITE Trial aims to investigate the efficacy of innovative plant protein fibre (PPF) products (developed in a previous workpackage) as part of a personalised diet with/out physical activity on appetite and incidence of undernutrition in older persons from four European countries with a poor appetite and at high risk of undernutrition.

Inclusion Criteria:Community-dwelling,Age 65+ years,Poor appetite (Simplified Nutritional Appetite Questionnaire (SNAQ) score ≤16 and/or answer negatively for question 1 in the SNAQ questionnaire (i.e., a, b, or c),BMI 22-27kg/m2,Inactive (<150 minutes of moderate to vigorous physical activity per week and no regular resistance training),Have proof of Covid-19 vaccinationExclusion Criteria:Major cognitive impairment (MMSE ≤24),Uncontrolled Clinical depression (CES-D >16),Medical condition or current medication known to impact appetite or energy intake,Other medical condition that may impact ability to participate in study or study outcomes,More than 5% weight loss in the past 3-monthsHeavy smoker (>10/day),Plans to relocate out of the study area within the next 6 months,Inability to come to study centre/PA program location,Currently participating in another intervention study,Inability to participate in physical activity,Unable to walk across a room,Allergic to or unwilling to consume any of the study test foods,Loss of taste or smell associated with COVID-19,Unwilling to be randomised to any intervention group.