Evidence map›Paper›PMID 38730363›Full record

ArticleBMC geriatrics2024

Association between diet quality and malnutrition: pooled results from two population-based studies in older adults.

Alba Marcos-Delgado, Humberto Yévenes-Briones, Tania Fernández-Villa, Vicente Martín-Sánchez, Pilar Guallar-Castillón, Fernando Rodríguez-Artalejo, Esther Lopez-Garcia

3 registry-linked trialsAbstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

NCT02804672 completednot on this map

Study on Cardiovascular Health, Nutrition and Frailty in Older Adults in Spain

TypeobservationalSponsorUniversidad Autonoma de MadridRan2008 to 2017Enrolled1,566ConditionsPhysical Disability, Cardiovascular Risk Factors
NCT03541135 enrolling by invitationnot on this map

Study on Cardiovascular Health, Nutrition and Physical Functioning in Older Adults in Spain (Seniors-ENRICA II)

TypeobservationalSponsorUniversidad Autonoma de MadridRan2016 to 2030Enrolled4,000ConditionsPhysical Disability, Cognitive Dysfunction
NCT06823739 nacompletednot on this map

Personalized Diet with or Without Physical Exercise Improves Nutritional Status, Muscle Strength, Physical Performance and Quality of Life in Malnourished Older Adult Patients: a Prospec-tive Randomized Controlled Study

TypeinterventionalSponsorIstanbul UniversityRan2020 to 2020Enrolled20ConditionsMalnourished Elderly, Quality of Life (QOL), BMI, Hand Grip StrengthArmsExercise
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Observational
  4. Article
  5. Article
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.

Alba Marcos-DelgadoDepartment of Biomedical Sciences, Area of Preventive Medicine and Public Health, Universidad de León, León, Spain.
Humberto Yévenes-BrionesSchool of Medicine, Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, Avda. Arzobispo Morcillo 2, Madrid, 28029, Spain.
Tania Fernández-VillaDepartment of Biomedical Sciences, Area of Preventive Medicine and Public Health, Universidad de León, León, Spain.
Vicente Martín-SánchezDepartment of Biomedical Sciences, Area of Preventive Medicine and Public Health, Universidad de León, León, Spain.
Pilar Guallar-CastillónSchool of Medicine, Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, Avda. Arzobispo Morcillo 2, Madrid, 28029, Spain.
Fernando Rodríguez-ArtalejoSchool of Medicine, Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, Avda. Arzobispo Morcillo 2, Madrid, 28029, Spain.
Esther Lopez-GarciaSchool of Medicine, Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, Avda. Arzobispo Morcillo 2, Madrid, 28029, Spain. Esther.lopez@uam.es.

Funding

Instituto de Salud Carlos III FIS 20/1040
6 · The paper itself

Abstract

backgroundThe role of diet quality on malnutrition in older adults is uncertain, due the paucity of the research conducted and the use of use of screening tools that did not consider phenotypic criteria of malnutrition.

objectiveTo evaluate the association of two indices of diet quality, namely the Mediterranean Diet Adherence Screener (MEDAS) and the Alternative Healthy Eating Index (AHEI-2010), with malnutrition among community-dwelling older adults in Spain.

methodsCross-sectional analysis of data from 1921 adults aged ≥ 60 years from the Seniors-ENRICA-1 (SE-1) study, and 2652 adults aged ≥ 65 years from the Seniors-ENRICA-2 (SE-2) study. Habitual food consumption was assessed through a validated diet history. Malnutrition was defined according to the Global Leadership Initiative on Malnutrition (GLIM) phenotypic criteria. Statistical analyses were performed with logistic regression with adjustment for socioeconomic and lifestyle variables as well as for total energy and protein intake.

resultsThe prevalence of malnutrition in the SE-1 study was 9.5% (95% confidence interval: 8.2 to 10.9) and 11.7% (10.5 to 13.9) in the SE-2. Adherence to the MEDAS score was associated with lower prevalence of malnutrition [pooled odds ratio for high (≥ 9 points) vs. low adherence (< 7 points): 0.64 (0.48-0.84); p-trend < 0.001]. Higher adherence to the AHEI-2010 also showed an inverse association with malnutrition (pooled odds ratio for quartile 4 vs. 1: 0.65 (0.49-0.86); p-trend 0.006). Among the individual components, higher consumption of fish and long-chain n-3 fatty acids in MEDAS and AHEI-2010, and of vegetables and nuts and legumes in AHEI-2010, and lower intake of trans-fat and sugar-sweetened beverages and fruit juice in AHEI-2010 were independently associated with lower odds of malnutrition.

conclusionAdherence to high diet-quality patterns was associated with lower frequency of malnutrition among older adults. CLINICAL TRIAL REGISTRY: ClinicalTrials.gov identifier: NCT02804672. June 17, 2016.; ClinicalTrials.gov NCT03541135. May 30, 2018.

Indexed as

Diet, MediterraneanMalnutritionAgedAged, 80 and overCross-Sectional StudiesDietFemaleHumansIndependent LivingMaleMiddle AgedSpainAlternative healthy eating indexDiet qualityGLIM criteriaMalnutritionMediterranean dietOlder adults

Identifiers

PMID38730363
PMCPMC11088013

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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.