Evidence map›Paper›PMID 34369598›Full record

ArticleJournal of the American Geriatrics Society2021

Lack of energy is associated with malnutrition in nursing home residents: Results from the INCUR study.

Domenico Azzolino, Emanuele Marzetti, Marco Proietti, Riccardo Calvani, Philipe de Souto Barreto, Yves Rolland, Matteo Cesari

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Impact of early-life food deprivation on health-related quality of life among older people in China: evidence from CHARLS.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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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

7 authors at 4 institutions in 3 countries.

Domenico AzzolinoDepartment of Clinical and Community Sciences, University of Milan, Milan, Italy.ORCID 0000-0002-4910-7373
Emanuele MarzettiFondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.ORCID 0000-0001-9567-6983
Marco ProiettiDepartment of Clinical and Community Sciences, University of Milan, Milan, Italy.ORCID 0000-0003-1452-2478
Riccardo CalvaniFondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Philipe de Souto BarretoDepartment of Internal Medicine and Geriatrics, Gerontopole, CHU, Toulouse, France.
Yves RollandDepartment of Internal Medicine and Geriatrics, Gerontopole, CHU, Toulouse, France.
Matteo CesariDepartment of Clinical and Community Sciences, University of Milan, Milan, Italy.ORCID 0000-0002-0348-3664
Agostino Gemelli University Polyclinic · ITUniversité Toulouse III - Paul Sabatier · FRUniversity of Milan · ITUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLack of energy is a symptom frequently complained by older people, leading to the inability to continue functioning at the expected level of activity. This study aimed to investigate whether nutritional status was associated with lack of energy in nursing home (NH) residents.

methodsThis was a cross-sectional study. A total of 570 NH residents (72.1% women) in 13 French NHs from the Incidence of pNeumonia and related ConseqUences in nursing home Residents study cohort were included in the study. Lack of energy was measured by the question "Did you feel full of energy during the past week?" from the geriatric depression scale. Nutritional status was evaluated according to Mini Nutritional Assessment Short-Form (MNA-SF). Unadjusted and adjusted logistic regression models were performed to test the association of nutritional status with lack of energy.

resultsThe mean age of participants was 86.5 (SD 7.5) years. A total of 246 NH residents (43.2%) reported a lack of energy. Overall, 71 (12.5%) residents were malnourished and 323 (56.7%) residents were at risk of malnutrition. Malnutrition was significantly associated with lack of energy (OR = 3.42, 95% CI = 1.92-6.08, P < 0.001), even after adjustment for potential confounders (OR = 2.41, 95% CI = 1.29-4.52, P = 0.006). Among the single items of the MNA-SF, decrease in food intake, low mobility, and psychological stress or acute disease were individually associated with lack of energy, independently of potential confounders (OR = 1.85, 95% CI = 1.24-2.77, P = 0.003; OR = 1.43, 95% CI = 1.10-1.86, P = 0.008; OR = 1.48, 95% CI = 1.19-1.84, P < 0.001; for each point respectively).

conclusionsLack of energy and malnutrition were closely associated. The reporting of lack of energy should lead to a comprehensive assessment of the aging individual (as happening for malnutrition) in order to preventively/promptly act on potentially reversible causes.

Indexed as

Brief Psychiatric Rating ScaleMobility LimitationNursing HomesNutrition AssessmentAged, 80 and overCohort StudiesCross-Sectional StudiesFatigueFemaleFranceGeriatric AssessmentHumansIncidenceMaleMalnutritionRisk Factorsagingexhaustionfatiguefrailtymalnutrition

Identifiers

PMID34369598
PMCPMC9290957
OpenAlexW3191573085

What OpenQuestion holds

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Registered trials

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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.