{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:06:19Z","timestamp":1790517979853,"version":"4.1.0"},"reference-count":43,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,8,23]],"date-time":"2018-08-23T00:00:00Z","timestamp":1534982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify determinants of incident malnutrition in community\u2010dwelling older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Meta\u2010analysis of 6 community\u2010based longitudinal datasets with follow\u2010up of 1 to 3 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>\n                      Datasets from MaNuEL (\n                      <jats:styled-content>Ma<\/jats:styled-content>\n                      l\n                      <jats:styled-content>Nu<\/jats:styled-content>\n                      trition in the\n                      <jats:styled-content>El<\/jats:styled-content>\n                      derly) partners were included: 3 studies from Germany and 1 each from Ireland, the Netherlands, and New Zealand.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>community\u2010dwelling adults aged 65 and older (N=4,844).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurement<\/jats:title>\n                    <jats:p>\n                      The same definition of incident malnutrition was used for all cohorts (body mass index\u2009&lt;\u200920.0 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      at follow\u2010up or weight loss \u226510 % between baseline and follow\u2010up). Twenty\u2010one potential baseline determinants from 7 domains (demographic, nutritional, lifestyle, social, psychological, physical functioning, medical) and 2 follow\u2010up variables (hospitalization, falls) were harmonized for all studies. Binary logistic regression analyses were performed to assess the association between each variable, adjusted for specific confounders, and incident malnutrition. Combined odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using random\u2010effects meta\u2010analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Studies included between 209 and 1,841 participants without malnutrition at baseline; mean age ranged from 71.7 to 84.6. Incidence of malnutrition varied from 5.1% and 17.2%. Meta\u2010analyses identified 6 variables as independent determinants of incident malnutrition; with increasing age, the risk of developing malnutrition increased continuously. Unmarried, separated, or divorced participants were more likely to develop malnutrition than married participants, whereas no association was found for widowed participants. Participants with difficulty walking (OR=1.41, 95% CI=1.06\u20131.89) or difficulty climbing stairs (OR=1.45, 95% CI=1.14\u20131.85) and those who were hospitalized before baseline (OR=1.49, 95% CI=1.25\u20131.76) and during follow\u2010up (OR=2.02, 95% CI=1.41\u20132.88) had higher odds of incident malnutrition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      In this harmonized meta\u2010analysis based on prospective data of older, community\u2010dwelling adults, age, marital status, limitations with walking and climbing stairs, and hospitalization were identified as determinants of incident malnutrition.\n                      <jats:bold>J Am Geriatr Soc 66:2335\u20132343, 2018<\/jats:bold>\n                      .\n                    <\/jats:p>\n                  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