{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:47:30Z","timestamp":1790776050373,"version":"4.1.0"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"Supplement_2","license":[{"start":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:00:00Z","timestamp":1715731200000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Union FP7 Mood FOOD Project","award":["613598"],"award-info":[{"award-number":["613598"]}]},{"name":"Netherlands Organization for Scientific Research"},{"name":"Netherlands Ministry of Health Welfare and Sports, Directorate of Long-Term Care"},{"name":"German Federal Ministry of Food and Agriculture (BMEL) through the Federal Office for Agriculture and Food","award":["2820ERA18E"],"award-info":[{"award-number":["2820ERA18E"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Rationale<\/jats:title>\n                  <jats:p>Poor appetite is considered a key factor in the development of malnutrition, a link that can be explained by alterations in dietary intake. Given the limited data on dietary characteristics in community-dwelling older adults with poor appetite, the present study aimed to examine whether poor appetite is associated with lower nutrient intake and more unfavourable food choices.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In 569 participants of the Longitudinal Aging Study Amsterdam aged \u226570\u00a0years appetite was assessed using the Simplified Nutritional Appetite Questionnaire and dichotomised into normal (&amp;gt;14) and poor (\u226414). Intake of energy, 19 nutrients, 15 food groups, the Dutch Healthy Diet Index 2015 (DHD15) and Mediterranean Diet Score (MDS) were calculated from a food frequency questionnaire. Dietary differences between appetite groups were examined using Mann\u2013Whitney U test and binary logistic regression adjusted for potential confounders.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Mean age was 78\u2009\u00b1\u20096\u00a0years and 52% were female. Appetite was poor in 12.5% of participants. Energy intake was 1951 (median; quartiles 1\u20133: 1,653\u20132,384) kcal\/day with no difference between appetite groups. Poor appetite was associated with lower intake of protein (OR 0.948, 95%CI 0.922\u20130.973), folate (0.981, 0.973\u20130.989), zinc (0.619, 0.454\u20130.846), vegetables (0.988, 0.982\u20130.994) and lower scores of DHD15 (0.964, 0.945\u20130.983) and MDS (0.904, 0.850\u20130.961), as well as higher intake of carbohydrates (1.015, 1.006\u20131.023), and vitamins B2 (4.577, 1.650\u201312.694) and C (1.013, 1.005\u20131.021).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Community-dwelling older adults with poor appetite showed poorer diet quality with a lower intake of protein, folate, zinc and vegetables, compared with those reporting normal appetite and should be advised accordingly.<\/jats:p>\n               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Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg , Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5136-298X","authenticated-orcid":false,"given":"Marjolein","family":"Visser","sequence":"additional","affiliation":[{"name":"Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam Department of Health Sciences, , Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1721-215X","authenticated-orcid":false,"given":"Eva","family":"Kiesswetter","sequence":"additional","affiliation":[{"name":"Institute for Biomedicine of Ageing, Faculty of Medicine, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg , Nuremberg, Germany"},{"name":"University of Freiburg Institute for Evidence in Medicine, Faculty of Medicine and Medical Center, , Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1003-6395","authenticated-orcid":false,"given":"Dorothee","family":"Volkert","sequence":"additional","affiliation":[{"name":"Institute for Biomedicine of Ageing, Faculty of Medicine, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg , Nuremberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,5,15]]},"reference":[{"key":"2024051506112466300_ref1","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1093\/ageing\/afaa014","article-title":"New horizons in appetite and the anorexia of ageing","volume":"49","author":"Cox","year":"2020","journal-title":"Age Ageing"},{"key":"2024051506112466300_ref2","doi-asserted-by":"crossref","first-page":"11","DOI":"10.3390\/nu11040777","article-title":"Appetite and protein intake strata of older adults in the European Union: socio-demographic and health 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