Evidence map›Paper›PMID 19657552›Full record

ArticleThe journal of nutrition, health & aging2009

Malnutrition on the menu: nutritional status of institutionalised elderly Australians in low-level care.

J L Woods, K Z Walker, S Iuliano Burns, B J Strauss

Open access · greenAbstract read
In one paragraph

Article in The journal of nutrition, health & aging, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Inadequate Micronutrient Intakes: Exploring the Vitamin and Mineral Intakes and Food Sources of New Zealand Aged-Care Residents.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
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  15. Quality Indicators of Nutritional Care Practice in Elderly Care.The journal of nutrition, health & aging · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

J L WoodsNutrition and Dietetics Department, Monash University, Monash Medical Centre, 246 Clayton Road, Clayton, Victoria 3168, Australia. julie.woods@med.monash.edu.au
K Z Walker
S Iuliano Burns
B J Strauss
Monash University · AUBaker Heart and Diabetes Institute · AUUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost studies reporting malnutrition in the elderly relate to high-level care. However, one third of Australians in aged care reside in low-level care facilities. Data is limited on their nutritional status.

objectiveTo investigate the nutritional status of elderly in low-level care facilities.

designA cross sectional study design.

setting14 low-level aged care facilities in metropolitan Melbourne.

participantsConvenience sample of 103 ambulatory elderly (86 +/- 6.6 years (mean +/- SD), 76% female, comprising 15% of the hostel population) able to perform daily functions of living. MEASUREMENTS: Nutritional intake assessed by three-day weighed food records, and nutritional status by haematological and biochemical markers and body composition (dual energy X-ray absorptiometry).

resultsFOOD served did not supply the estimated average requirements (EAR) for 5 of the 14 nutrients analysed. Compared with EAR, 34% of participants were protein malnourished and 62% had energy intake deficits. Micronutrient intake was low for calcium, magnesium, folate, zinc (for men) and dietary fibre. Vitamin D deficiency (serum 25OH Vitamin D < 50 nmol/L) was present in 58% of residents. More men than women had low haemoglobin (P < 0.000), low red blood cells (P < 0.000), and a raised white blood cell count (P = 0.004). Forty three percent of men and 21% women had sarcopenia, 28% of men and 44% women had excess body fat (> 28% and >40%, respectively) and 14% of men and 12 % of women were sarcopenic-obese. Only 12% showed no sign of undernutrition using seven different nutritional indicators. Around 65% had two or more indicators of undernutrition.

conclusionThese findings highlight the need for the supply of more, better quality, nutrient dense food to residents and better detection of undernutrition in aged care facilities. Maintenance of nutritional status has the potential to reduce morbidity and delay the transition to high-level care.

Indexed as

Nutritional StatusActivities of Daily LivingAged, 80 and overAnemiaAustraliaBlood Cell CountCross-Sectional StudiesDeficiency DiseasesDietEnergy IntakeFemaleHumansInstitutionalizationMaleMicronutrientsNutritional RequirementsMicronutrients

Identifiers

PMID19657552
PMCPMC12275571
OpenAlexW2047055719

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.