{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T07:41:06Z","timestamp":1774510866113,"version":"3.50.1"},"reference-count":58,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2018,10,15]],"date-time":"2018-10-15T00:00:00Z","timestamp":1539561600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"},{"start":{"date-parts":[[2018,10,15]],"date-time":"2018-10-15T00:00:00Z","timestamp":1539561600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980018002318_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>To characterise the nutritional status and to identify malnutrition-associated variables of older adults living in Portuguese nursing homes.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980018002318_abs2\" sec-type=\"general\"><jats:title>Design<\/jats:title><jats:p>Cross-sectional study. Data on demographic and socio-economic characteristics, self-reported morbidity, eating-related problems, nutritional status, cognitive function, depression symptoms, loneliness feelings and functional status were collected by trained nutritionists through a computer-assisted face-to-face structured interview followed by standardised anthropometric measurements. Logistic regression was used to identify factors associated with being at risk of malnutrition\/malnourished.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980018002318_abs3\" sec-type=\"general\"><jats:title>Setting<\/jats:title><jats:p>Portuguese nursing homes.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980018002318_abs4\" sec-type=\"subjects\"><jats:title>Subjects<\/jats:title><jats:p>Nationally representative sample of the Portuguese population aged 65 years or over living in nursing homes.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980018002318_abs5\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>A total of 1186 individuals (mean age 83\u00b74 years; 72\u00b78 % women) accepted to participate. According to the Mini Nutritional Assessment, 4\u00b78 (95 % CI 3\u00b72, 7\u00b73) % were identified as malnourished and 38\u00b77 (95 % CI 33\u00b75, 44\u00b72) % were at risk of malnutrition. These percentages increased with age and were significantly higher for women. Logistic regression showed (OR; 95 % CI) that older adults reporting no or little appetite (6\u00b75; 2\u00b77, 15\u00b73), those revealing symptoms of depression (2\u00b76; 1\u00b76, 4\u00b72) and those who were more dependent in their daily living activities (4\u00b77; 2\u00b70, 11\u00b71) were also at higher odds of being malnourished or at risk of malnutrition.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980018002318_abs6\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Malnutrition and risk of malnutrition are prevalent among nursing home residents in Portugal. It is crucial to routinely screen for nutritional disorders, as well as risk factors such as symptoms of depression and lower functional status, to prevent and treat malnutrition.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980018002318","type":"journal-article","created":{"date-parts":[[2018,10,15]],"date-time":"2018-10-15T04:37:15Z","timestamp":1539578235000},"page":"486-497","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":21,"title":["Malnutrition among older adults living in Portuguese nursing homes: the PEN-3S study"],"prefix":"10.1017","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1775-7195","authenticated-orcid":false,"given":"Teresa","family":"Madeira","sequence":"first","affiliation":[]},{"given":"Catarina","family":"Peixoto-Pl\u00e1cido","sequence":"additional","affiliation":[]},{"given":"Nuno","family":"Sousa-Santos","sequence":"additional","affiliation":[]},{"given":"Osvaldo","family":"Santos","sequence":"additional","affiliation":[]},{"given":"Violeta","family":"Alarc\u00e3o","sequence":"additional","affiliation":[]},{"given":"Beatriz","family":"Goul\u00e3o","sequence":"additional","affiliation":[]},{"given":"Nuno","family":"Mendon\u00e7a","sequence":"additional","affiliation":[]},{"given":"Paulo Jorge","family":"Nicola","sequence":"additional","affiliation":[]},{"given":"Agneta","family":"Yngve","sequence":"additional","affiliation":[]},{"given":"Asta","family":"Bye","sequence":"additional","affiliation":[]},{"given":"Astrid","family":"Bergland","sequence":"additional","affiliation":[]},{"given":"Teresa F","family":"Amaral","sequence":"additional","affiliation":[]},{"given":"Carla","family":"Lopes","sequence":"additional","affiliation":[]},{"given":"Jo\u00e3o","family":"Gorj\u00e3o Clara","sequence":"additional","affiliation":[]}],"member":"56","published-online":{"date-parts":[[2018,10,15]]},"reference":[{"key":"S1368980018002318_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2012.11.003"},{"key":"S1368980018002318_ref41","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1300\/J018v05n01_09","article-title":"Geriatric Depression Scale: recent evidence and development of a shorter version","volume":"5","author":"Sheikh","year":"1986","journal-title":"Clin Gerontol"},{"key":"S1368980018002318_ref53","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2012.04.004"},{"key":"S1368980018002318_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12144"},{"key":"S1368980018002318_ref50","doi-asserted-by":"publisher","DOI":"10.1159\/000351763"},{"key":"S1368980018002318_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)66665-2"},{"key":"S1368980018002318_ref47","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1602111"},{"key":"S1368980018002318_ref1","volume-title":"Diet, Nutrition and the Prevention of Chronic Diseases. 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