Theme: Malnutrition

Timeline: April 2016 – March 2021

> Key Words: malnutrition, healthy ageing, recommendations



PROMISS stands for “PRevention Of Malnutrition In Senior Subjects in the EU”.

In Europe, 90-95% of older adults live at home. Among them, about 21% is malnourished or at risk of malnutrition. PROMISS therefore aims at conducting research on prevention of malnutrition among older persons living at home, thus providing concrete recommendations for an active and healthy life-style also in later years. To achieve this mission, a 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.

Final objectives

Understanding relationships between food, physical activity, biological changes among older persons
Using large scale databases, the project will start by identifying the relationships between food intake, food characteristics, physical activity, the oral and gut microbiota, and poor appetite, malnutrition and poor health among older adults. 

Developing dietary and physical activity strategies and new food concepts and products
Based on the outcomes of the research, PROMISS will develop optimized, sustainable and evidence-based dietary and physical activity strategies to prevent malnutrition and support active and healthy ageing. 

With the help of SMEs and industry involved in the project, PROMISS will also design new food concepts, new food products and electronic support systems that fit within these newly developed dietary strategies. It will offer to food industry evidence-based knowledge to develop food products and concepts, and reformulate and/or re-market existing products to strengthen their global market position.


Coordinator: Vrije Universiteit Amsterdam (VU), the Netherlands


  • VU University Medical Center Amsterdam (VUmc), the Netherlands
  • University of Iceland (UI), Iceland
  • University of Newcastle Upon Tyne (UNEW), United Kingdom
  • National Institute for public health and the environment (RIVM), the Netherlands
  • Syddansk Universitet (SDU), Denmark
  • Goteborgs Universitet (UGOT), Sweden
  • Netherlands Organisation for Applied Scientific Research (TNO), the Netherlands
  • VIVES University College (VIVES), Belgium
  • Ghent University (UGENT), Belgium
  • HAS University of Applied Sciences (HAS), the Netherlands
  • HAN University of Applied Sciences (HAN), the Netherlands
  • Kellogg Management Services (KG), United Kingdom
  • Laboratoires Grand Fontaine (LGF), Spain
  • Blonk Consultants (BC), the Netherlands
  • Frigilunch (FL), Belgium
  • Henri (Hi), the Netherlands
  • University of Helsinki (UH), Finland
  • The European Federation of the Association of Dieticians (EFAD), the Netherlands
  • European Society for Clinical Nutrition and Metabolism (ESPEN), Luxembourg
  • European Union Geriatric Medicine Society (EUGMS), Belgium
  • Friedrich-Alexander-Universitaet Erlangen (FAU), Germany
  • AGE Platform Europe (AGE), Belgium
  • Université de Sherbrooke (US), Canada

AGE involvement

AGE coordinates the dissemination efforts and will share the project's outcomes, in particular the recommendations, among older persons and policy-makers.

Relevant outcomes for seniors

  • Pro55+: a friendly ally in detecting low protein intake

Thanks to the progresses in the PROMISS research, older people can now rely on a new tool for assessing their proteing intake. The PROMISS researchers set up a short food questionnaire, named the Protein Screener 55+ or Pro55+ providing with the probability for low protein intake. 

The Pro55+ consists of questions on weight and height, and the consumption (amount on average day or frequency in 4 weeks) of: slices of bread (number); glasses of milk (number); meat with warm meal (portion size); cheese (amount and frequency); dairy products (like yoghurt) (frequency); egg(s) (frequency); pasta/noodles (frequency); fish (frequency); and nuts/peanuts (frequency).

Validation tests proved that the Pro55+performs well in discrimination persons with a low and high protein intake. Currently available in English, its online version can be found at

PROMISS encourages such tool to be up-taken and used in other countries, and in other languages as well.

  • Participation in long-term (cost)effectiveness study

A comprehensive study on the long-term cost-effectiveness of solutions for tackling malnutrition in older age has started at the end of 2018.

Under the aegis of WP8 leaders, participants are currently recruited in the Netherlands and in Finland.

If you wish to join in and contribute to the study, click on the respective following links to find additional information regarding Dutch and Finnish respectively:

  • [DUTCH] Wilt u meer informatie over het PROMISS onderzoek, klik hier.
  • [FINNISH] Lisätietoja PROMISS-tutkimuksesta saat napsauttamalla tätä.

We hope to have you on board and do not hesitate to spread the word !

Thank you very much in advance !

Get in touch with PROMISS!

Contact person:  Ilenia Gheno (, Vera Hörmann ( and Luisa Buzelli (

Do you want to be kept informed and/or contribute to the project ? Please contact us!



Short Description: 
Nutrition for Healthy Ageing
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