{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T07:29:49Z","timestamp":1787902189124,"version":"build-2784847793"},"reference-count":47,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100004937","name":"BMBF Berlin","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004937","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01EA1408"],"award-info":[{"award-number":["01EA1408"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","clinicalnutritionjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Nutrition"],"published-print":{"date-parts":[[2021,11]]},"DOI":"10.1016\/j.clnu.2021.09.022","type":"journal-article","created":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T04:01:12Z","timestamp":1632715272000},"page":"5457-5466","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"title":["Nutritional counseling frequency and baseline food pattern predict implementation of a high-protein and high-polyunsaturated fatty acid dietary pattern: 1-year results of the randomized NutriAct trial"],"prefix":"10.1016","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4872-6452","authenticated-orcid":false,"given":"Laura","family":"Pletsch-Borba","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0868-3363","authenticated-orcid":false,"given":"Charlotte","family":"Wernicke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantina","family":"Apostolopoulou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominik","family":"Spira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6104-622X","authenticated-orcid":false,"given":"Anne","family":"Pohrt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silke","family":"Hornemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiana","family":"Gerbracht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas F.H.","family":"Pfeiffer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8900-4467","authenticated-orcid":false,"given":"Joachim","family":"Spranger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Knut","family":"Mai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"12","key":"10.1016\/j.clnu.2021.09.022_bib1","doi-asserted-by":"crossref","first-page":"6630","DOI":"10.3390\/ijerph10126630","article-title":"Indicators for healthy ageing--a debate","volume":"10","author":"Fuchs","year":"2013","journal-title":"Int J Environ Res Publ Health"},{"key":"10.1016\/j.clnu.2021.09.022_bib2","first-page":"1","article-title":"Population ageing and its implications for healthcare","volume":"2","year":"2012","journal-title":"GBE Kompakt"},{"issue":"1\u20132","key":"10.1016\/j.clnu.2021.09.022_bib3","article-title":"Krankheitsspektrum und Sterblichkeit im Alter","author":"Nowossadeck","year":"2011","journal-title":"Report Altersdaten Berlin: Deutsches Zentrum f\u00fcr Altersfragen"},{"issue":"4","key":"10.1016\/j.clnu.2021.09.022_bib4","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1080\/07315724.2016.1274691","article-title":"Acute and long-term impact of high-protein diets on endocrine and metabolic function, body composition, and exercise-induced adaptations","volume":"36","author":"Morales","year":"2017","journal-title":"J\u00a0Am Coll Nutr"},{"issue":"19","key":"10.1016\/j.clnu.2021.09.022_bib5","doi-asserted-by":"crossref","first-page":"1991","DOI":"10.1056\/NEJMoa055317","article-title":"Low-carbohydrate-diet score and the risk of coronary heart disease in women","volume":"355","author":"Halton","year":"2006","journal-title":"N\u00a0Engl J Med"},{"issue":"2","key":"10.1016\/j.clnu.2021.09.022_bib6","doi-asserted-by":"crossref","first-page":"198","DOI":"10.5551\/jat.44172","article-title":"Vegetable protein intake was inversely associated with cardiovascular mortality in a 15-year follow-up study of the general Japanese population","volume":"26","author":"Kurihara","year":"2019","journal-title":"J\u00a0Atherosclerosis Thromb"},{"issue":"1","key":"10.1016\/j.clnu.2021.09.022_bib7","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.pcad.2015.04.003","article-title":"Benefits of the mediterranean diet: insights from the PREDIMED study","volume":"58","author":"Martinez-Gonzalez","year":"2015","journal-title":"Prog Cardiovasc Dis"},{"issue":"2","key":"10.1016\/j.clnu.2021.09.022_bib8","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1177\/0260106019838365","article-title":"Effects of higher habitual protein intake on resistance-training-induced changes in body composition and muscular strength in untrained older women: a clinical trial study","volume":"25","author":"Nabuco","year":"2019","journal-title":"Nutr Health"},{"issue":"8","key":"10.1016\/j.clnu.2021.09.022_bib9","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0182048","article-title":"Mediterranean diet and cognitive health: initial results from the Hellenic longitudinal investigation of ageing and diet","volume":"12","author":"Anastasiou","year":"2017","journal-title":"PLoS One"},{"issue":"7","key":"10.1016\/j.clnu.2021.09.022_bib10","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1038\/ejcn.2012.37","article-title":"Effects of higher- versus lower-protein diets on health outcomes: a systematic review and meta-analysis","volume":"66","author":"Santesso","year":"2012","journal-title":"Eur J Clin Nutr"},{"issue":"4","key":"10.1016\/j.clnu.2021.09.022_bib11","doi-asserted-by":"crossref","first-page":"571","DOI":"10.3945\/an.117.015495","article-title":"The impact of the mediterranean diet on the cognitive functioning of healthy older adults: a systematic review and meta-analysis","volume":"8","author":"Loughrey","year":"2017","journal-title":"Adv Nutr"},{"issue":"1","key":"10.1016\/j.clnu.2021.09.022_bib12","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1161\/HYPERTENSIONAHA.113.03353","article-title":"Mediterranean diet reduces 24-hour ambulatory blood pressure, blood glucose, and lipids: one-year randomized, clinical trial","volume":"64","author":"Domenech","year":"2014","journal-title":"Hypertension"},{"issue":"8","key":"10.1016\/j.clnu.2021.09.022_bib13","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.1016\/j.jada.2011.05.002","article-title":"Longitudinal association between animal and vegetable protein intake and obesity among men in the United States: the Chicago Western Electric Study","volume":"111","author":"Bujnowski","year":"2011","journal-title":"J\u00a0Am Diet Assoc"},{"issue":"1","key":"10.1016\/j.clnu.2021.09.022_bib14","doi-asserted-by":"crossref","first-page":"43","DOI":"10.2337\/dc09-1321","article-title":"Dietary intake of total, animal, and vegetable protein and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition (EPIC)-NL study","volume":"33","author":"Sluijs","year":"2010","journal-title":"Diabetes Care"},{"issue":"5","key":"10.1016\/j.clnu.2021.09.022_bib15","doi-asserted-by":"crossref","first-page":"1132","DOI":"10.2337\/dc12-0869","article-title":"The effects of carbohydrate, unsaturated fat, and protein intake on measures of insulin sensitivity: results from the OmniHeart trial","volume":"36","author":"Gadgil","year":"2013","journal-title":"Diabetes Care"},{"issue":"3","key":"10.1016\/j.clnu.2021.09.022_bib16","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1093\/ajcn\/nqx072","article-title":"Characterization of metabolic responses to healthy diets and association with blood pressure: application to the Optimal Macronutrient Intake Trial for Heart Health (OmniHeart), a randomized controlled study","volume":"107","author":"Loo","year":"2018","journal-title":"Am J Clin Nutr"},{"issue":"3","key":"10.1016\/j.clnu.2021.09.022_bib17","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1159\/000499374","article-title":"Revised reference values for the intake of protein","volume":"74","author":"Richter","year":"2019","journal-title":"Ann Nutr Metab"},{"issue":"6","key":"10.1016\/j.clnu.2021.09.022_bib18","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1016\/j.clnu.2014.04.007","article-title":"Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group","volume":"33","author":"Deutz","year":"2014","journal-title":"Clin Nutr"},{"issue":"8","key":"10.1016\/j.clnu.2021.09.022_bib19","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1016\/j.jamda.2013.05.021","article-title":"Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE Study Group","volume":"14","author":"Bauer","year":"2013","journal-title":"J\u00a0Am Med Dir Assoc"},{"issue":"1","key":"10.1016\/j.clnu.2021.09.022_bib20","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.maturitas.2014.07.005","article-title":"The role of dietary protein and vitamin D in maintaining musculoskeletal health in postmenopausal women: a consensus statement from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO)","volume":"79","author":"Rizzoli","year":"2014","journal-title":"Maturitas"},{"key":"10.1016\/j.clnu.2021.09.022_bib21","series-title":"Amino acid requirements in human N, food, agriculture organization of the United N, World Health O, United Nations U. Protein and amino acid requirements in human nutrition : report of a joint FAO\/WHO\/UNU expert consultation","author":"FAOWHOUNUECoP","year":"2007"},{"key":"10.1016\/j.clnu.2021.09.022_bib22","series-title":"Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids","first-page":"1358","author":"Medicine Io","year":"2005"},{"issue":"2","key":"10.1016\/j.clnu.2021.09.022_bib23","first-page":"2557","article-title":"EFSA. Scientific opinion on dietary reference values for protein","volume":"10","year":"2015","journal-title":"EFSA J"},{"issue":"4","key":"10.1016\/j.clnu.2021.09.022_bib24","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1016\/j.jand.2013.07.038","article-title":"Factors associated with adherence to the Mediterranean diet in the adult population","volume":"114","author":"Patino-Alonso","year":"2014","journal-title":"J\u00a0Acad Nutr Diet"},{"issue":"5","key":"10.1016\/j.clnu.2021.09.022_bib25","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/j.numecd.2018.02.007","article-title":"Food insecurity and Mediterranean diet adherence among Greek university students","volume":"28","author":"Theodoridis","year":"2018","journal-title":"Nutr Metabol Cardiovasc Dis"},{"key":"10.1016\/j.clnu.2021.09.022_bib26","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1186\/s12966-016-0394-6","article-title":"Predictors of short- and long-term adherence with a Mediterranean-type diet intervention: the PREDIMED randomized trial","volume":"13","author":"Downer","year":"2016","journal-title":"Int J Behav Nutr Phys Activ"},{"issue":"5","key":"10.1016\/j.clnu.2021.09.022_bib27","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1038\/sj.ijo.0802602","article-title":"Variables predictive of adherence to diet and physical activity recommendations in the treatment of obesity and overweight, in a group of Spanish subjects","volume":"28","author":"Bautista-Castano","year":"2004","journal-title":"Int J Obes Relat Metab Disord"},{"issue":"1","key":"10.1016\/j.clnu.2021.09.022_bib28","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1111\/j.1463-1326.2012.01668.x","article-title":"Adherence to a low-fat vs. low-carbohydrate diet differs by insulin resistance status","volume":"15","author":"McClain","year":"2013","journal-title":"Diabetes Obes Metabol"},{"issue":"6","key":"10.1016\/j.clnu.2021.09.022_bib29","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/j.jneb.2009.08.006","article-title":"Low social support level is associated with non-adherence to diet at 1 year in the Family Intervention Trial for Heart Health (FIT Heart)","volume":"42","author":"Aggarwal","year":"2010","journal-title":"J\u00a0Nutr Educ Behav"},{"issue":"5","key":"10.1016\/j.clnu.2021.09.022_bib30","doi-asserted-by":"crossref","first-page":"777","DOI":"10.2337\/dc18-0836","article-title":"Effect of a lifestyle intervention program with energy-restricted mediterranean diet and exercise on weight loss and cardiovascular risk factors: one-year results of the PREDIMED-plus trial","volume":"42","author":"Salas-Salvado","year":"2019","journal-title":"Diabetes Care"},{"issue":"2","key":"10.1016\/j.clnu.2021.09.022_bib31","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s00394-009-0053-7","article-title":"Predictors of adherence to a Mediterranean-type diet in the PREDIMED trial","volume":"49","author":"Zazpe","year":"2010","journal-title":"Eur J Nutr"},{"issue":"9","key":"10.1016\/j.clnu.2021.09.022_bib32","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1056\/NEJMoa0804748","article-title":"Comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates","volume":"360","author":"Sacks","year":"2009","journal-title":"N\u00a0Engl J Med"},{"issue":"39","key":"10.1016\/j.clnu.2021.09.022_bib33","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000022381","article-title":"Long-term effects of a food pattern on cardiovascular risk factors and age-related changes of muscular and cognitive function","volume":"99","author":"Wernicke","year":"2020","journal-title":"Medicine (Baltim)"},{"key":"10.1016\/j.clnu.2021.09.022_bib34","unstructured":"Referenzwerte f\u00fcr die N\u00e4hrstoffzufuhr. 2. Auflage, 1. Ausgabe. 2015; Bonn: Deutsche Gesellschaft f\u00fcr Ern\u00e4hrung, \u00d6sterreichische Gesellschaft f\u00fcr Ern\u00e4hrung, Schweizerische Gesellschaft f\u00fcr Ern\u00e4hrungsforschung, Schweizerische Vereinigung f\u00fcr Ern\u00e4hrung (Hrsg.)."},{"issue":"Suppl 1","key":"10.1016\/j.clnu.2021.09.022_bib35","doi-asserted-by":"crossref","first-page":"S15","DOI":"10.2337\/dc21-S002","article-title":"2. Classification and diagnosis of diabetes: standards of medical care in diabetes-2021","volume":"44","author":"American Diabetes","year":"2021","journal-title":"Diabetes Care"},{"issue":"4","key":"10.1016\/j.clnu.2021.09.022_bib36","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1111\/j.1532-5415.2005.53221.x","article-title":"The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment","volume":"53","author":"Nasreddine","year":"2005","journal-title":"J\u00a0Am Geriatr Soc"},{"issue":"12","key":"10.1016\/j.clnu.2021.09.022_bib37","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1073\/pnas.4.12.370","article-title":"A\u00a0biometric study of human basal metabolism","volume":"4","author":"Harris","year":"1918","journal-title":"Proc Natl Acad Sci U S A"},{"issue":"5","key":"10.1016\/j.clnu.2021.09.022_bib38","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1093\/ajcn\/52.5.933","article-title":"Dietary habits of smokers, people who never smoked, and exsmokers","volume":"52","author":"Morabia","year":"1990","journal-title":"Am J Clin Nutr"},{"issue":"3","key":"10.1016\/j.clnu.2021.09.022_bib39","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1038\/sj.ejcn.1600710","article-title":"Effects of smoking and smoking cessation on dietary habits of a Swiss urban population","volume":"53","author":"Morabia","year":"1999","journal-title":"Eur J Clin Nutr"},{"issue":"5","key":"10.1016\/j.clnu.2021.09.022_bib40","doi-asserted-by":"crossref","first-page":"1275","DOI":"10.1016\/j.clnu.2016.08.013","article-title":"Smoking status is inversely associated with overall diet quality: findings from the ORISCAV-LUX study","volume":"36","author":"Alkerwi","year":"2017","journal-title":"Clin Nutr"},{"key":"10.1016\/j.clnu.2021.09.022_bib41","first-page":"1","article-title":"Diet quality, nutrient intakes and biochemical status of New Zealand women of childbearing age according to alcohol consumption patterns","author":"Parackal","year":"2020","journal-title":"Publ Health Nutr"},{"issue":"9","key":"10.1016\/j.clnu.2021.09.022_bib42","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1038\/sj.jhh.1001607","article-title":"Dietary intake in male and female smokers, ex-smokers, and never smokers: the INTERMAP study","volume":"17","author":"Dyer","year":"2003","journal-title":"J\u00a0Hum Hypertens"},{"issue":"2","key":"10.1016\/j.clnu.2021.09.022_bib43","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.puhe.2008.10.021","article-title":"Can lifestyle factors explain why body mass index and waist-to-hip ratio increase with increasing tobacco consumption? The Inter99 study","volume":"123","author":"Pisinger","year":"2009","journal-title":"Publ Health"},{"issue":"7","key":"10.1016\/j.clnu.2021.09.022_bib44","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1016\/j.jada.2008.04.011","article-title":"A\u00a0large randomized individual and group intervention conducted by registered dietitians increased adherence to Mediterranean-type diets: the PREDIMED study","volume":"108","author":"Zazpe","year":"2008","journal-title":"J\u00a0Am Diet Assoc"},{"issue":"7","key":"10.1016\/j.clnu.2021.09.022_bib45","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1016\/j.jada.2007.04.010","article-title":"Predictors of dietary change and maintenance in the women's health initiative dietary modification trial","volume":"107","author":"Tinker","year":"2007","journal-title":"J\u00a0Am Diet Assoc"},{"issue":"2","key":"10.1016\/j.clnu.2021.09.022_bib46","first-page":"CD008722","article-title":"Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults","author":"Desroches","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"issue":"5","key":"10.1016\/j.clnu.2021.09.022_bib47","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1093\/her\/cyl152","article-title":"Factors influencing the dietary response to a nutritional intervention promoting the Mediterranean food pattern in healthy women from the Quebec City metropolitan area","volume":"22","author":"Goulet","year":"2007","journal-title":"Health Educ Res"}],"container-title":["Clinical Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0261561421004398?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0261561421004398?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T01:03:56Z","timestamp":1759367036000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0261561421004398"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":47,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["S0261561421004398"],"URL":"https:\/\/doi.org\/10.1016\/j.clnu.2021.09.022","relation":{},"ISSN":["0261-5614"],"issn-type":[{"value":"0261-5614","type":"print"}],"subject":[],"published":{"date-parts":[[2021,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Nutritional counseling frequency and baseline food pattern predict implementation of a high-protein and high-polyunsaturated fatty acid dietary pattern: 1-year results of the randomized NutriAct trial","name":"articletitle","label":"Article Title"},{"value":"Clinical Nutrition","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clnu.2021.09.022","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.","name":"copyright","label":"Copyright"}]}}