{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:51:19Z","timestamp":1772160679174,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T00:00:00Z","timestamp":1705363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Both malnutrition and at\u2010risk of malnutrition are prevalent among older patients receiving home medical care. Discontinuation of home medical care usually occurs when an older patient is admitted to a hospital or nursing home or dies. This study aimed to assess prospective associations between nutritional status and discontinuation of home medical care in older patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three hundred and thirty\u2010three Japanese older patients receiving home\u2010visit nursing care services were included in this study. Their nutritional status was assessed using the Mini Nutritional Assessment\u00ae\u2010Short Form, and patients were classified into three groups (well\u2010nourished, at\u2010risk of malnutrition and malnourished). Outcomes were confirmed at the 1\u2010year follow\u2010up survey. Hazard ratios (HRs) and 95% confidence intervals (CIs) for discontinuation of home medical care based on nutritional status were calculated using a Cox proportional hazard model. Covariates included age, sex, living status, economic status, activities of daily living, comorbidities and dysphagia status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 297 patients (median age: 84 years) were analysed. At baseline, 48.5% of the patients were at\u2010risk of malnutrition and 18.9% were malnourished. During the observation period of 1 year, 27.6% patients discontinued their home medical care. In the adjusted model, the HR for discontinuation of home medical care among those at\u2010risk of malnutrition was 2.44 (95% CI: 1.34\u20134.45) times than that of the well\u2010nourished group, although the malnourished group was not significantly associated with discontinuation of home medical care (HR: 1.69, 95% CI: 0.77\u20133.72; referent: well\u2010nourished).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>At\u2010risk of malnutrition was associated with discontinuation of home medical care among older patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.13281","type":"journal-article","created":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T00:49:16Z","timestamp":1705452556000},"page":"574-582","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between being at\u2010risk of malnutrition and discontinued home medical care among older patients: a 1\u2010year follow\u2010up study"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4452-962X","authenticated-orcid":false,"given":"Taeko","family":"Tsuji","sequence":"first","affiliation":[{"name":"Department of Health and Nutrition, Faculty of Human Science Osaka Aoyama University Minoh Japan"},{"name":"Department of Nutrition, Graduate School of Human Life and Ecology Osaka Metropolitan University Osaka\u2010shi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuyo","family":"Yamasaki","sequence":"additional","affiliation":[{"name":"Division of Visiting Nursing Nishinomiya Social Welfare Corporation Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyoko","family":"Kondo","sequence":"additional","affiliation":[{"name":"Research Support Platform Osaka Metropolitan University Graduate School of Medicine Osaka\u2010shi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuko","family":"Hongu","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Graduate School of Human Life and Ecology Osaka Metropolitan University Osaka\u2010shi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshinari","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Graduate School of Human Life and Ecology Osaka Metropolitan University Osaka\u2010shi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keisuke","family":"Fukuo","sequence":"additional","affiliation":[{"name":"Research Institute for Nutrition Sciences Mukogawa Women's University Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daiki","family":"Habu","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Graduate School of Human Life and Ecology Osaka Metropolitan University Osaka\u2010shi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,16]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Cabinet office [Internet]. Existing state and trends of elderly people and their environment. Annual report on the aging society 2013.2023. Available from:http:\/\/www8.cao.go.jp\/kourei\/english\/annualreport\/2013\/pdf\/1-2-2.pdf"},{"key":"e_1_2_11_3_1","unstructured":"Ministry of Health Labour and Welfare [Internet]. The results of \u201cSurvey of Long\u2010term Care Benefit Expenditures\u201d for 2020.2023. Available from:https:\/\/www.mhlw.go.jp\/toukei\/saikin\/hw\/kaigo\/kyufu\/20\/dl\/02.pdf"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2003.51152.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000381171"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610214002609"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-014-2141-2"},{"key":"e_1_2_11_8_1","first-page":"245","article-title":"Predictive factors for early hospital readmission and 1\u2010year mortality in elder patients following surgical treatment of a hip fracture","volume":"23","author":"Sofu H","year":"2017","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"e_1_2_11_9_1","unstructured":"EliaM RussellCA editors.Combating malnutrition: recommendations for action. In:Report from the Advisory Group on malnutrition led by BAPEN.2009."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.03.008"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607112440285"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.09.004"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12341"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15764"},{"key":"e_1_2_11_15_1","unstructured":"Otsuka Pharmaceutical Factory Inc [Internet]. Report on the results of a questionnaire on the implementation of dietary and nutritional care in elderly people receiving home care 2023. Available from:https:\/\/www.otsukakj.jp\/news_release\/20220617_1.pdf"},{"key":"e_1_2_11_16_1","first-page":"456","article-title":"Overview of the MNA\u24c7\u2014its history and challenges","volume":"10","author":"Vellas B","year":"2006","journal-title":"J Nutr Health Aging"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.6.M366"},{"key":"e_1_2_11_18_1","first-page":"466","article-title":"The Mini\u2010Nutritional Assessment (MNA\u24c7) review of the literature\u2014what does it tell us?","volume":"10","author":"Guigoz Y","year":"2006","journal-title":"J Nutr Health Aging"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-009-0214-7"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-019-1206-z"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-015-0606-9"},{"key":"e_1_2_11_22_1","first-page":"61","article-title":"FUNCTIONAL EVALUATION: THE BARTHEL INDEX","volume":"14","author":"Mahoney FI","year":"1965","journal-title":"Md State Med J"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_2_11_24_1","first-page":"857","article-title":"Indication of dysphagia rehabilitation","volume":"9","author":"Baba M","year":"2000","journal-title":"Rinsho Reha"},{"key":"e_1_2_11_25_1","first-page":"1117","article-title":"[Effects of dietary variety on declines in high\u2010level functional capacity in elderly people living in a community]","volume":"50","author":"Kumagai S","year":"2003","journal-title":"[Nihon koshu eisei zasshi] Jpn J Public Health"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-13-8"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12283"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607109344724"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1159\/000052836"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/1743-7075-5-24"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.3.M146"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2020.101148"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-015-0457-4"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S196770"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12683"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcsm.12330"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1994.03520200057036"},{"key":"e_1_2_11_38_1","first-page":"279","article-title":"Impact of sarcopenia and frailty on elderly health","volume":"46","author":"Kuzuya M","year":"2009","journal-title":"Jpn J Geriatr"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/32.3.321"},{"key":"e_1_2_11_40_1","first-page":"105","article-title":"Effects of indirect nutritional intervention by a registered dietitian through visiting nurses in nutritionally at\u2010risk older home\u2010care recipients: a randomized pilot study","volume":"6","author":"Tsuji T","year":"2017","journal-title":"J Aging Res Clin Pract"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.13281","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T11:21:42Z","timestamp":1711106502000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.13281"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,16]]},"references-count":39,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1111\/jhn.13281"],"URL":"https:\/\/doi.org\/10.1111\/jhn.13281","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JHN.13281\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13281\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13281\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13281\/v1\/review1","asserted-by":"object"}]},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,16]]},"assertion":[{"value":"2023-08-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}