{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T20:17:25Z","timestamp":1788553045600,"version":"build-2803163510"},"reference-count":39,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","award":["PNRR-MAD-2022-12376656"],"award-info":[{"award-number":["PNRR-MAD-2022-12376656"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jamda.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the American Medical Directors Association"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.jamda.2026.106135","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T21:12:01Z","timestamp":1772485921000},"page":"106135","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Periodontal Disease as a Marker of Malnutrition Risk in Community-Dwelling Older Adults"],"prefix":"10.1016","volume":"27","author":[{"given":"Vittorio","family":"Dibello","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvano","family":"Quarto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"Cavalcanti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madia","family":"Lozupone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Pace","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Daniele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Dibello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9lio Jos\u00e9","family":"Coelho J\u00fanior","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7220-0656","authenticated-orcid":false,"given":"Francesco","family":"Panza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Solfrizzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jamda.2026.106135_bib2","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/S0140-6736(14)61347-7","article-title":"The burden of disease in older people and implications for health policy and practice","volume":"385","author":"Prince","year":"2015","journal-title":"Lancet"},{"key":"10.1016\/j.jamda.2026.106135_bib3","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s40520-025-03021-8","article-title":"Aging, longevity, and healthy aging: the public health approach","volume":"37","author":"Gianfredi","year":"2025","journal-title":"Aging Clin Exp Res"},{"key":"10.1016\/j.jamda.2026.106135_bib4","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/S0140-6736(22)02612-5","article-title":"Malnutrition in older adults","volume":"401","author":"Dent","year":"2023","journal-title":"Lancet"},{"key":"10.1016\/j.jamda.2026.106135_bib5","doi-asserted-by":"crossref","DOI":"10.1016\/j.nut.2023.112134","article-title":"Polypharmacy and malnutrition in older people: a narrative review","volume":"115","author":"Zanetti","year":"2023","journal-title":"Nutrition"},{"key":"10.1016\/j.jamda.2026.106135_bib6","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1017\/S0007114517000435","article-title":"Malnutrition is associated with increased mortality in older adults regardless of the cause of death","volume":"117","author":"S\u00f6derstr\u00f6m","year":"2017","journal-title":"Br J Nutr"},{"key":"10.1016\/j.jamda.2026.106135_bib7","doi-asserted-by":"crossref","first-page":"507","DOI":"10.3945\/an.115.011254","article-title":"Risk factors for malnutrition in older adults: a systematic review of the literature based on longitudinal data","volume":"7","author":"F\u00e1varo-Moreira","year":"2016","journal-title":"Adv Nutr"},{"key":"10.1016\/j.jamda.2026.106135_bib8","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1177\/0884533617719669","article-title":"Nutrition screening vs nutrition assessment: what's the difference?","volume":"33","author":"Correia","year":"2018","journal-title":"Nutr Clin Pract"},{"key":"10.1016\/j.jamda.2026.106135_bib9","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1093\/ajcn\/82.4.777","article-title":"Geriatric Nutritional Risk Index: a new index for evaluating at-risk elderly medical patients","volume":"82","author":"Bouillanne","year":"2005","journal-title":"Am J Clin Nutr"},{"key":"10.1016\/j.jamda.2026.106135_bib10","article-title":"The geriatric nutritional risk index is related to adverse hospitalization outcomes in individuals undergoing cardiac surgery","volume":"14","author":"Zhao","year":"2024","journal-title":"Sci Rep"},{"key":"10.1016\/j.jamda.2026.106135_bib11","doi-asserted-by":"crossref","first-page":"3688","DOI":"10.3390\/nu13113688","article-title":"Utility of geriatric nutritional risk index in patients with chronic kidney disease: a mini-review","volume":"13","author":"Nakagawa","year":"2021","journal-title":"Nutrients"},{"key":"10.1016\/j.jamda.2026.106135_bib12","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1002\/ehf2.14631","article-title":"Geriatric Nutritional Risk Index predicts bleeding event in patients with heart failure","volume":"11","author":"Sato","year":"2024","journal-title":"ESC Heart Fail"},{"key":"10.1016\/j.jamda.2026.106135_bib13","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1016\/j.nut.2010.06.005","article-title":"The geriatric nutritional risk index predicts increased healthcare costs and hospitalization in a cohort of community-dwelling older adults: results from the MONICA\/KORA Augsburg cohort study, 1994-2005","volume":"27","author":"Baumeister","year":"2011","journal-title":"Nutrition"},{"key":"10.1016\/j.jamda.2026.106135_bib14","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.3171\/2024.7.JNS24875","article-title":"Impact of preoperative nutritional status on morbidity and mortality in elderly patients undergoing subdural hematoma evacuation: the role of the geriatric nutritional risk index","volume":"142","author":"Serrato","year":"2024","journal-title":"J Neurosurg"},{"key":"10.1016\/j.jamda.2026.106135_bib15","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/s40620-013-0033-0","article-title":"Geriatric nutritional risk index is a strong predictor of mortality in hemodialysis patients: data from the Riscavid cohort","volume":"27","author":"Panichi","year":"2014","journal-title":"J Nephrol"},{"key":"10.1016\/j.jamda.2026.106135_bib16","doi-asserted-by":"crossref","first-page":"1300","DOI":"10.3390\/jpm13091300","article-title":"The Relationship between oral health-related quality of life and body mass index in an older population from Southern Italy: the Salus in Apulia Study","volume":"13","author":"Dibello","year":"2023","journal-title":"J Pers Med"},{"key":"10.1016\/j.jamda.2026.106135_bib17","doi-asserted-by":"crossref","DOI":"10.1038\/nrdp.2017.38","article-title":"Periodontal diseases","volume":"3","author":"Kinane","year":"2017","journal-title":"Nat Rev Dis Primers"},{"key":"10.1016\/j.jamda.2026.106135_bib18","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1902\/jop.2015.140520","article-title":"Update on prevalence of periodontitis in adults in the United States: NHANES 2009 to 2012","volume":"86","author":"Eke","year":"2015","journal-title":"J Periodontol"},{"key":"10.1016\/j.jamda.2026.106135_bib19","doi-asserted-by":"crossref","DOI":"10.1016\/j.hlc.2018.05.102","article-title":"Periodontal disease, systemic inflammation and the risk of cardiovascular disease","volume":"27","author":"Carrizales-Sep\u00falveda","year":"2018","journal-title":"Heart Lung Circ"},{"key":"10.1016\/j.jamda.2026.106135_bib20","doi-asserted-by":"crossref","DOI":"10.1002\/ajhb.23549","article-title":"Biocultural pathways linking periodontal disease expression to food insecurity, immune dysregulation, and nutrition","volume":"33","author":"Dent","year":"2021","journal-title":"Am J Hum Biol"},{"key":"10.1016\/j.jamda.2026.106135_bib21","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-021-93062-6","article-title":"Bidirectional association between periodontal disease and diabetes mellitus: a systematic review and meta-analysis of cohort studies","volume":"11","author":"St\u00f6hr","year":"2021","journal-title":"Sci Rep"},{"key":"10.1016\/j.jamda.2026.106135_bib22","doi-asserted-by":"crossref","DOI":"10.1016\/j.mad.2024.112010","article-title":"Oral frailty indicators and cardio- and cerebrovascular diseases in older age: a systematic review","volume":"223","author":"Dibello","year":"2025","journal-title":"Mech Ageing Dev"},{"key":"10.1016\/j.jamda.2026.106135_bib23","doi-asserted-by":"crossref","first-page":"157","DOI":"10.3233\/JAD-200064","article-title":"Clinical and bacterial markers of periodontitis and their association with incident all-cause and Alzheimer's disease dementia in a large national survey","volume":"75","author":"Beydoun","year":"2020","journal-title":"J Alzheimers Dis"},{"key":"10.1016\/j.jamda.2026.106135_bib24","doi-asserted-by":"crossref","first-page":"2149","DOI":"10.4103\/1673-5374.310672","article-title":"Oral frailty and neurodegeneration in Alzheimer's disease","volume":"16","author":"Dibello","year":"2021","journal-title":"Neural Regen Res"},{"key":"10.1016\/j.jamda.2026.106135_bib25","doi-asserted-by":"crossref","first-page":"2898","DOI":"10.3390\/nu11122898","article-title":"Poor oral health as a determinant of malnutrition and sarcopenia","volume":"11","author":"Azzolino","year":"2019","journal-title":"Nutrients"},{"key":"10.1016\/j.jamda.2026.106135_bib26","doi-asserted-by":"crossref","DOI":"10.3389\/fphys.2021.709438","article-title":"Periodontal inflammation and systemic diseases: an overview","volume":"12","author":"Mart\u00ednez-Garc\u00eda","year":"2021","journal-title":"Front Physiol"},{"key":"10.1016\/j.jamda.2026.106135_bib27","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.3390\/nu10111709","article-title":"The association of poor oral health parameters with malnutrition in older adults: a review considering the potential implications for cognitive impairment","volume":"10","author":"Kossioni","year":"2018","journal-title":"Nutrients"},{"key":"10.1016\/j.jamda.2026.106135_bib28","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1186\/s12903-019-0777-6","article-title":"Overview and quality assurance for the oral health component of the National Health and Nutrition Examination Survey (NHANES), 2011-2014","volume":"19","author":"Dye","year":"2019","journal-title":"BMC Oral Health"},{"key":"10.1016\/j.jamda.2026.106135_bib29","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1159\/000534751","article-title":"Association between obesity and periodontitis in US Adults: NHANES 2011-2014","volume":"17","author":"Liu","year":"2024","journal-title":"Obes Facts"},{"key":"10.1016\/j.jamda.2026.106135_bib30","doi-asserted-by":"crossref","first-page":"4167","DOI":"10.3390\/nu13114167","article-title":"Association between dietary pattern and periodontitis-a cross-sectional study","volume":"13","author":"Altun","year":"2021","journal-title":"Nutrients"},{"key":"10.1016\/j.jamda.2026.106135_bib31","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1007\/s00394-024-03521-9","article-title":"Association of oral health with nutritional status of the older adults: a cross-sectional study","volume":"64","author":"Gao","year":"2024","journal-title":"Eur J Nutr"},{"key":"10.1016\/j.jamda.2026.106135_bib32","doi-asserted-by":"crossref","DOI":"10.1590\/2317-1782\/20242023209en","article-title":"Relationship between mastication and malnutrition in community-dwelling older adults: a meta-analysis","volume":"36","author":"Medeiros","year":"2024","journal-title":"Codas"},{"key":"10.1016\/j.jamda.2026.106135_bib33","doi-asserted-by":"crossref","first-page":"222","DOI":"10.3390\/dj11090222","article-title":"Diet, nutrition, and oral health in older adults: a review of the literature","volume":"11","author":"Chan","year":"2023","journal-title":"Dent J (Basel)"},{"key":"10.1016\/j.jamda.2026.106135_bib34","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/j.clnu.2017.03.014","article-title":"Relationship of nutritional status and oral health in elderly: systematic review with meta-analysis","volume":"37","author":"Toniazzo","year":"2018","journal-title":"Clin Nutr"},{"key":"10.1016\/j.jamda.2026.106135_bib35","doi-asserted-by":"crossref","first-page":"e507","DOI":"10.1016\/S2666-7568(21)00143-4","article-title":"Oral frailty and its determinants in older age: a systematic review","volume":"2","author":"Dibello","year":"2021","journal-title":"Lancet Healthy Longev"},{"key":"10.1016\/j.jamda.2026.106135_bib36","doi-asserted-by":"crossref","first-page":"2042","DOI":"10.3390\/nu15092042","article-title":"What is the relationship between the chewing ability and nutritional status of the elderly in Korea?","volume":"15","author":"Kim","year":"2023","journal-title":"Nutrients"},{"key":"10.1016\/j.jamda.2026.106135_bib37","doi-asserted-by":"crossref","DOI":"10.1155\/2015\/793898","article-title":"The two-way association of periodontal infection with systemic disorders: an overview","volume":"2015","author":"Nagpal","year":"2015","journal-title":"Mediators Inflamm"},{"key":"10.1016\/j.jamda.2026.106135_bib38","doi-asserted-by":"crossref","first-page":"853","DOI":"10.3390\/ijerph22060853","article-title":"Association between blood benzene levels and periodontal disease in a nationally representative adult U.S. population","volume":"22","author":"Hamoud","year":"2025","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.jamda.2026.106135_bib39","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1111\/prd.12338","article-title":"Prevention and management of periodontal diseases and dental caries in the older adults","volume":"84","author":"Al-Nasser","year":"2020","journal-title":"Periodontol 2000"},{"key":"10.1016\/j.jamda.2026.106135_bib40","doi-asserted-by":"crossref","first-page":"5133","DOI":"10.1007\/s11357-024-01243-8","article-title":"Impact of periodontal disease on cognitive disorders, dementia, and depression: a systematic review and meta-analysis","volume":"46","author":"Dibello","year":"2024","journal-title":"Geroscience"}],"container-title":["Journal of the American Medical Directors Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861026000253?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861026000253?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T20:09:14Z","timestamp":1788552554000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1525861026000253"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":39,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S1525861026000253"],"URL":"https:\/\/doi.org\/10.1016\/j.jamda.2026.106135","relation":{},"ISSN":["1525-8610"],"issn-type":[{"value":"1525-8610","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Periodontal Disease as a Marker of Malnutrition Risk in Community-Dwelling Older Adults","name":"articletitle","label":"Article Title"},{"value":"Journal of the American Medical Directors Association","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jamda.2026.106135","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Post-Acute and Long-Term Care Medical Association.","name":"copyright","label":"Copyright"}],"article-number":"106135"}}