{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:04:05Z","timestamp":1790708645254,"version":"4.1.0"},"reference-count":54,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T00:00:00Z","timestamp":1778976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T00:00:00Z","timestamp":1778976000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older adults receiving home healthcare services represent a highly vulnerable group for functional decline. This study aimed to determine the prevalence of malnutrition and sarcopenia in this population, investigating their relationship with quality of life (QoL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study was conducted between February 2024 and February 2025 among 254 older adults (\u226565 years) receiving home healthcare in Bal\u0131kesir, T\u00fcrkiye. The region was selected for its high elderly population ratio (16.9%), significantly exceeding the national average (10.6%). Nutritional status was assessed using the Mini Nutritional Assessment\u2010Short Form (MNA\u2010SF), sarcopenia risk with the SARC\u2010F (Strength, Assistance with walking, Rise from a chair, Climb stairs, and Falls) scale, and QoL with the CASP\u201019 (Control, Autonomy, Self\u2010realization, and Pleasure) scale. Anthropometric measurements (Body Mass Index [BMI], mid\u2010upper arm circumference [MUAC], and calf circumference [CC]) were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Malnutrition was identified in 32.7% of participants, while 58.3% were at risk. The risk of sarcopenia was high at 90.2%. Participants with malnutrition and sarcopenia risk had significantly lower QoL scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Better nutritional status, higher BMI, and greater MUAC and CC measurements were positively associated with higher QoL (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Correlation analysis revealed significant negative relationships between nutritional status and sarcopenia risk (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.33,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and between sarcopenia risk and QoL (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.46,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Malnutrition and sarcopenia risk frequently coexist in home healthcare settings and are strongly associated with lower QoL. Routine nutritional and functional screening are essential in home care to facilitate early intervention and improve well\u2010being in this vulnerable population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ncp.70138","type":"journal-article","created":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T10:03:37Z","timestamp":1779012217000},"page":"1410-1421","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Malnutrition, sarcopenia, and quality of life among older adults receiving home healthcare services: A cross\u2010sectional study"],"prefix":"10.1002","volume":"41","author":[{"given":"Silan","family":"Arikan","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics Edremit State Hospital Balikesir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merve","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Faculty of Health Sciences, Izmir Tinaztepe University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/jal5030025"},{"issue":"4","key":"e_1_2_9_3_1","first-page":"1","article-title":"Multi\u2010morbidity and polypharmacy in older people: challenges and opportunities for clinical practice","volume":"5","author":"Aggarwal P","year":"2020","journal-title":"Geriatrics (Basel, Switzerland)"},{"key":"e_1_2_9_4_1","volume-title":"Elderly statistics, 2024","author":"TUIK","year":"2025"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1419480"},{"issue":"3","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0248474","article-title":"A SBM\u2010DEA based performance evaluation and optimization for social organizations participating in community and home\u2010based elderly care services","volume":"16","author":"Shao Q","year":"2021","journal-title":"PLoS One"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.07.023"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2021.629580"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-019-1267-x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-022-03704-1"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.advnut.2025.100428"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192316133"},{"issue":"11","key":"e_1_2_9_13_1","first-page":"1","article-title":"A systematic review of the relationship between social isolation and physical health in adults","volume":"12","author":"Sherman DW","year":"2024","journal-title":"Healthcare (Basel, Switzerland)"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.34172\/hpp.42354"},{"key":"e_1_2_9_15_1","unstructured":"TUIK.Life satisfaction survey.2019 TUIK."},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.2196\/26474"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afy191"},{"key":"e_1_2_9_18_1","first-page":"107","article-title":"T\u00fcrkiye'de evde sa\u011fl\u0131k hizmetlerinin de\u011ferlendirilmesi","volume":"13","author":"K\u0131ran \u0130","year":"2022","journal-title":"Sel\u00e7uk \u00dcniversitesi Ak\u015fehir Meslek Y\u00fcksekokulu Sosyal Bilimler Dergisi"},{"key":"e_1_2_9_19_1","unstructured":"Republic of T\u00fcrkiye Ministry of Family and Social Services.T\u00fcrkiye Older Persons Profile Survey 2023.2023."},{"key":"e_1_2_9_20_1","unstructured":"Republic of T\u00fcrkiye Ministry of Health. 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