Evidence map›Paper›PMID 39979698›Full record

ArticleEuropean journal of clinical nutrition2025

Association of GLIM-defined malnutrition with depressive mood in older adults undergoing rehabilitation.

Akio Shimizu, Keisuke Maeda, Junko Ueshima, Yuria Ishida, Tatsuro Inoue, Kenta Murotani, Ayano Nagano, Naoharu Mori, Tomohisa Ohno, Ichiro Fujisima

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Article in European journal of clinical nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. 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

10 authors.

Akio ShimizuDepartment of Rehabilitation Medicine, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie, Japan. a-shimizu@med.mie-u.ac.jp.ORCID http://orcid.org/0000-0003-0244-1953
Keisuke MaedaDepartment of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, 7-430 Morioka, Obu, Aichi, Japan.ORCID http://orcid.org/0000-0001-7132-7818
Junko UeshimaPalliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, 1-1, Yazakokarimata, Nagakute, Aichi, Japan.ORCID http://orcid.org/0000-0002-5709-4541
Yuria IshidaPalliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, 1-1, Yazakokarimata, Nagakute, Aichi, Japan.ORCID http://orcid.org/0000-0002-3684-3240
Tatsuro InoueDepartment of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, 7-430 Morioka, Obu, Aichi, Japan.ORCID http://orcid.org/0000-0001-6959-6381
Kenta MurotaniSchool of Medical Technology, Kurume University, Kurume, Fukuoka, Japan.ORCID http://orcid.org/0000-0003-0623-9365
Ayano NaganoPalliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, 1-1, Yazakokarimata, Nagakute, Aichi, Japan.ORCID http://orcid.org/0000-0002-0629-085X
Naoharu MoriPalliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, 1-1, Yazakokarimata, Nagakute, Aichi, Japan.ORCID http://orcid.org/0000-0002-0357-8604
Tomohisa OhnoDepartment of Dentistry, Hamamatsu City Rehabilitation Hospital, 1-6-1 Wago-kita, Hamamatsu, Japan.ORCID http://orcid.org/0000-0002-3824-2924
Ichiro FujisimaDepartment of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, 1-6-1 Wago-kita, Hamamatsu, Japan.

Funding

MEXT | Japan Society for the Promotion of Science (JSPS) 23K16799
6 · The paper itself

Abstract

BACKGROUND/

objectivesDepressive mood is prevalent in geriatric patients who undergo rehabilitation. Malnutrition, which frequently coexists in this demographic group, likely affects mental health status significantly. This study examined the association between malnutrition and depressive mood at discharge in geriatric patients who were undergoing rehabilitation and identified the mediating roles of specific malnutrition components in this association. SUBJECTS/

methodsThis prospective cohort study comprised 189 geriatric rehabilitation patients. Malnutrition was determined using the Global Leadership Initiative on Malnutrition (GLIM) criteria, and depressive mood was assessed using the Geriatric Depression Scale-15 (GDS-15). The potential mediation of the GLIM components in the relationship between malnutrition and depressive mood was evaluated using causal mediation analysis.

resultsMalnutrition was positively associated with increased GDS-15 scores at both admission (p = 0.007) and discharge (p < 0.001). The severity of malnutrition corresponded with increased odds of depressive mood at discharge (moderate malnutrition: odds ratio [OR] 3.84, 95% confidence interval [CI] 1.48-9.94, p = 0.005; severe malnutrition: OR 5.11, 95% CI 1.52-15.17, p = 0.003). Notably, both muscle mass reduction (OR 1.51, 95% CI 1.01-2.27, p = 0.042) and disease burden (OR 1.37, 95% CI 1.00-1.89, p = 0.047) were identified as mediators in the association between malnutrition and depressive mood at discharge.

conclusionsNutritional status significantly influenced the mental health of geriatric rehabilitation patients, with muscle mass reduction and disease burden mediating this relationship. These findings emphasize the importance of a multidimensional geriatric rehabilitation approach that includes nutritional interventions.

Indexed as

DepressionMalnutritionAgedAged, 80 and overFemaleGeriatric AssessmentHumansMaleNutritional StatusNutrition AssessmentProspective StudiesSeverity of Illness Index

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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.