With the European population growing older, the challenge is to keep an increasing number of seniors across all European countries healthy and active. In Europe, between 13.5 % and 29.7 % of older adults living at home are malnourished or at risk of protein energy malnutrition.
PROMISS (PRevention Of Malnutrition In Senior Subjects in the EU) aims to better understand and ultimately prevent protein energy malnutrition in seniors. Thereby, PROMISS will contribute to improve active and healthy ageing and is a multi-country project aiming to turn the challenge of tackling malnutrition in community-dwelling older persons into an opportunity for healthy ageing for the future. The PROMISS consortium contains worldwide expertise in epidemiology, clinical trials, geriatrics, nutrition, physical activity, microbiomics, as well as in behaviour, consumer, sensory and computer sciences. The multi-disciplinary international consortium will pursue the following objectives, divided in two phases: the understanding of the context and, based on this, the development of solutions to prevent malnutrition.
Ongoing Project: from 2016-04-01 to 2021-03-31.
Funded under: H2020-EU.3.2. - SOCIETAL CHALLENGES - Food security, sustainable agriculture and forestry, marine, maritime and inland water research, and the bioeconomy.
The project aims to use setting-specific Multidimensional Prognostic Indices (MPI) that predict mortality, based on a standard CGA, to improve the cost-effectiveness of health interventions in older individuals with multimorbidity and polypharmacy.
To do so, a review analysis on the use of predictive rules in clinical and management decision making in older residents in different European regions will be performed to identify reference models to allocate resources and lower costs in healthcare. Analyses of multi-national databases including information on drug prescriptions and older subjects characteristics will identify the best setting-specific MPI-profile in which individual interventions are more cost-effective in terms of improved survival.
The general objective is to reduce unnecessary use of health resources according to an appropriate and integrated multi-professional, planned interventions with frail and pre-frail older individuals with multimorbidity and polypharmacy.