Evidence map›Paper›PMID 34444924›Full record

ReviewNutrients2021

Malnutrition in Older Adults-Recent Advances and Remaining Challenges.

Kristina Norman, Ulrike Haß, Matthias Pirlich

Registry-linked trialOpen access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07109505 (Comparison of Clinical and Patient Centered Outcomes), which is not on this map. Cited by 402 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
402citing papers in PubMed, 12 pooled it
50.7field-weighted citation impact, top 1% 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.

NCT07109505 narecruitingnot on this mapstarted 2025, after this paper: background citation

Comparison of Clinical and Patient Centered Outcomes: Postoperative Multi-nutrient Meal Plus Enhanced Recovery vs. Enhanced Recovery Alone

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2025 to 2026Enrolled100ConditionsPostoperative Care, Postoperative Complications, Cognition, Nutritional AssessmentArmsNutritional Shake, Nutritional Instructions Only
3 · Its place in the literature

Who cites it

402 citing papers in PubMed, 12 syntheses or guidelines pooled it, 678 citations in OpenAlex.

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342 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 1 country.

Kristina NormanDepartment of Geriatrics and Medical Gerontology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 13347 Berlin, Germany.
Ulrike HaßDepartment of Nutrition and Gerontology, German Institute of Human Nutrition Potsdam-Rehbrücke, 14458 Nuthetal, Germany.
Matthias PirlichImperial Oak Outpatient Clinic, Endocrinology, Gastroenterology & Clinical Nutrition, 12159 Berlin, Germany.
University of Potsdam · DEBerlin Heart (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Malnutrition in older adults has been recognised as a challenging health concern associated with not only increased mortality and morbidity, but also with physical decline, which has wide ranging acute implications for activities of daily living and quality of life in general. Malnutrition is common and may also contribute to the development of the geriatric syndromes in older adults. Malnutrition in the old is reflected by either involuntary weight loss or low body mass index, but hidden deficiencies such as micronutrient deficiencies are more difficult to assess and therefore frequently overlooked in the community-dwelling old. In developed countries, the most cited cause of malnutrition is disease, as both acute and chronic disorders have the potential to result in or aggravate malnutrition. Therefore, as higher age is one risk factor for developing disease, older adults have the highest risk of being at nutritional risk or becoming malnourished. However, the aetiology of malnutrition is complex and multifactorial, and the development of malnutrition in the old is most likely also facilitated by ageing processes. This comprehensive narrative review summarizes current evidence on the prevalence and determinants of malnutrition in old adults spanning from age-related changes to disease-associated risk factors, and outlines remaining challenges in the understanding, identification as well as treatment of malnutrition, which in some cases may include targeted supplementation of macro- and/or micronutrients, when diet alone is not sufficient to meet age-specific requirements.

Indexed as

Activities of Daily LivingQuality of LifeAgedAged, 80 and overAgingElder Nutritional Physiological PhenomenaFemaleGeriatric AssessmentHumansIndependent LivingMaleMalnutritionNutritional StatusPrevalenceRisk Factorsageinganorexia of agingDoMAPGLIM criteriainflammagingmalnutritionmicronutrientssarcopenia

Identifiers

PMID34444924
PMCPMC8399049
OpenAlexW3193149644

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.