ArticleBMC geriatrics2019
Lower dietary variety is a relevant factor for malnutrition in older Japanese home-care recipients: a cross-sectional study.
Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Association between dietary diversity and healthy aging: a systematic review.BMC nutrition · 2025Pooled it
- The Nutritional Issue of Older People Receiving Home-Delivered Meals: A Systematic Review.Frontiers in nutrition · 2021Pooled it
- Associations of weight loss, low serum albumin, and their combination with mortality risk in older adults receiving home medical care.BMC research notes · 2026Article
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- Protein-rich food intake frequency score and muscle mass, strength, muscle-specific strength or physical performance in Japanese older women: a cross-sectional study.BMC geriatrics · 2026Observational
- The role of caregivers' self-compassion in care recipients' depression and malnutrition: a cross-sectional study.BMC geriatrics · 2025Article
- Article
- Prospective observational study of nutritional status and oral supplement utilization in users of an elderly daycare service, employing a web-based Mini Nutritional Assessment Form (MNA plus).Frontiers in nutrition · 2024Article
- Association between social network and dietary variety among community-dwelling older adults.Public health nutrition · 2023Article
- Article
- The Use of a Decision Support System (MyFood) to Assess Dietary Intake Among Free-Living Older Adults in Norway: Evaluation Study.JMIR mHealth and uHealth · 2023Article
- Article
- Factors Related to Nutritional Status of Single Older Residents in Semi-Mountainous Rural Regions of Japan: A Cross-Sectional Study.Geriatrics (Basel, Switzerland) · 2023Article
- Article
- Dietary Habits, Food Product Selection Attributes, Nutritional Status, and Depression in Middle-Aged and Older Adults with Dysphagia.Nutrients · 2022Article
- Study protocol for a pragmatic cluster randomized controlled trial to improve dietary diversity and physical fitness among older people who live at home (the "ALAPAGE study").BMC geriatrics · 2022Article
- Factors Affecting Hospitalization and Death of Older Patients Who Need Long-Term Care-The Necessity of the Support for Dysphagia in Home Dental Care.Geriatrics (Basel, Switzerland) · 2022Article
- Socio-demographic characteristics associated with the dietary diversity of Thai community-dwelling older people: results from the national health examination survey.BMC public health · 2022Article
- Positive Association between High Protein Food Intake Frequency and Physical Performance and Higher-Level Functional Capacity in Daily Life.Nutrients · 2021Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNutritional status of the older people is affected by various life-style factors. Although dietary habit is one of the life-style factors, it is unknown which of older home-care recipients' dietary habits are associated with malnutrition. The purpose of this study was to examine the association of dietary variety, as an evaluation index for dietary habits, with malnutrition in Japanese older home-care recipients.
methodsThis cross-sectional study was conducted in a single city, Hyogo Prefecture, Japan between July and October 2016. Three hundred thirty-three community-dwelling older care recipients (aged 65 years or older who were receiving home-visit nursing care services) were enrolled. Their nutritional status (Mini Nutritional Assessment®-short form: MNA®-SF), dietary variety (Food frequency score [FFS]), socio-demographic characteristics (age, sex, marital status, etc.), health indicators (comorbidity [Charlson Comorbidity Index] and dysphagia status [Dysphagia Severity Scale]) were assessed. The participants were classified into two groups: malnourished (0-7 points) and non-malnourished (8-14 points), according to their MNA®-SF scores. Multivariate logistic regression analysis was used to examine the factors associated with malnutrition.
resultsA total of 317 participants were analyzed (118 men, 199 women, median age: 84 years). Compared to the fourth (highest) quartile of FFS, odds ratios (OR) (95% confidence intervals [CI]) of the third, second, and first (lowest) quartiles of FFS were 1.08 (0.42-2.80), 1.29 (0.56-2.98), and 2.30 (1.02-5.19), respectively (p for trend = 0.049). Higher Charlson Comorbidity Index score and the presence of dysphagia were also significantly associated with malnutrition (OR: 2.08, 95% CI: 1.08-4.00 and OR: 3.86, 95% CI: 2.08-7.17, respectively).
conclusionLower dietary variety was significantly associated with malnutrition in Japanese older home-care recipients.
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