Evidence map›Paper›PMID 31453792›Full record

ArticlePublic health nutrition2020

Malnutrition and related risk factors in older adults from different health-care settings: an

Eva Kiesswetter, Miriam G Colombo, Christa Meisinger, Annette Peters, Barbara Thorand, Rolf Holle, Karl-Heinz Ladwig, Holger Schulz, Eva Grill, Rebecca Diekmann and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 13% 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  5. [Malnutrition-A central geriatric syndrome].Zeitschrift fur Gerontologie und Geriatrie · 2026
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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

14 authors at 6 institutions in 3 countries.

Eva KiesswetterInstitute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Kobergerstrasse 60, 90408 Nuremberg, Germany.
Miriam G ColomboInstitute of Epidemiology, Helmholtz Zentrum München, German Research Centre for Environmental Health, Neuherberg, Germany.
Christa MeisingerInstitute of Epidemiology, Helmholtz Zentrum München, German Research Centre for Environmental Health, Neuherberg, Germany.
Annette PetersInstitute of Epidemiology, Helmholtz Zentrum München, German Research Centre for Environmental Health, Neuherberg, Germany.
Barbara ThorandInstitute of Epidemiology, Helmholtz Zentrum München, German Research Centre for Environmental Health, Neuherberg, Germany.
Rolf HolleInstitute of Health Economics and Health Care Management, Helmholtz Zentrum München, German Research Centre for Environmental Health, Neuherberg, Germany.
Karl-Heinz LadwigInstitute of Epidemiology, Helmholtz Zentrum München, German Research Centre for Environmental Health, Neuherberg, Germany.
Holger SchulzInstitute of Epidemiology, Helmholtz Zentrum München, German Research Centre for Environmental Health, Neuherberg, Germany.
Eva GrillInstitute for Medical Information Processing, Biometrics and Epidemiology (IBE), and German Center for Vertigo and Balance Disorders, Ludwig-Maximilians-University Munich, Munich, Germany.
Rebecca DiekmannDepartment of Health Services Research, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.
Eva SchraderInstitute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Kobergerstrasse 60, 90408 Nuremberg, Germany.
Peter StehleIEL-Nutritional Physiology, Universität Bonn, Bonn, Germany.
Cornel C SieberInstitute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Kobergerstrasse 60, 90408 Nuremberg, Germany.
Dorothee VolkertInstitute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Kobergerstrasse 60, 90408 Nuremberg, Germany.
Helmholtz Zentrum München · DEInstitute for Biomedicine · ITLudwig-Maximilians-Universität München · DECarl von Ossietzky Universität Oldenburg · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEUniversity of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe origin of malnutrition in older age is multifactorial and risk factors may vary according to health and living situation. The present study aimed to identify setting-specific risk profiles of malnutrition in older adults and to investigate the association of the number of individual risk factors with malnutrition.

designData of four cross-sectional studies were harmonized and uniformly analysed. Malnutrition was defined as BMI < 20 kg/m2 and/or weight loss of >3 kg in the previous 3-6 months. Associations between factors of six domains (demographics, health, mental function, physical function, dietary intake-related problems, dietary behaviour), the number of individual risk factors and malnutrition were analysed using logistic regression.

settingCommunity (CD), geriatric day hospital (GDH), home care (HC), nursing home (NH).

participantsCD older adults (n 1073), GDH patients (n 180), HC receivers (n 335) and NH residents (n 197), all ≥65 years.

resultsMalnutrition prevalence was lower in CD (11 %) than in the other settings (16-19 %). In the CD sample, poor appetite, difficulties with eating, respiratory and gastrointestinal diseases were associated with malnutrition; in GDH patients, poor appetite and respiratory diseases; in HC receivers, younger age, poor appetite and nausea; and in NH residents, older age and mobility limitations. In all settings the likelihood of malnutrition increased with the number of potential individual risk factors.

conclusionsThe study indicates a varying relevance of certain risk factors of malnutrition in different settings. However, the relationship of the number of individual risk factors with malnutrition in all settings implies comprehensive approaches to identify persons at risk of malnutrition early.

Indexed as

Nursing HomesActivities of Daily LivingAgedAged, 80 and overCross-Sectional StudiesFemaleHome Care ServicesHumansMaleMalnutritionNutritional StatusPrevalenceRisk FactorsMalnutritionOlder peopleRisk factorSetting

Identifiers

PMID31453792
PMCPMC7025158
OpenAlexW2970067742

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.