{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T13:43:37Z","timestamp":1778507017979,"version":"3.51.4"},"reference-count":59,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,2,9]],"date-time":"2025-02-09T00:00:00Z","timestamp":1739059200000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>London has the highest proportion of people experiencing homelessness (PEH) living in temporary accommodation in the United Kingdom. PEH have poorer health outcomes, greater dietary inequalities, and die younger than the general population. Despite this, little is known about the nutrition status of PEH. This study aimed to examine the dietary health inequalities experienced by PEH in London, specifically assessing malnutrition among PEH living in temporary accommodation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective cross\u2010sectional study in 18 hostels in London. Participants were recruited from the temporary accommodation in which they resided through a combination of purposive, snowballing and convenience sampling. Demographic information was gathered, including age, gender, ethnicity and hostel of residence. The primary outcome was malnutrition risk assessed by the Malnutrition Universal Screening Tool (MUST), other outcomes included body composition, dietary intake and quality, mental health and food insecurity. Ethical approval was obtained from the University College London Ethics Committee (16191\/006).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Two hundred participants were recruited between July and December 2023. The majority were male (84.5%), were of White ethnicity (61%), with a mean (SD) age of 45.7 years (11.6) and a BMI of 23.4\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (4.7). The median MUST score was 2 (interquartile range [IQR]: 0.0, 3.0), and 60% had a risk of malnutrition. The median mental health score was 6 (3.0, 10.0), with 55% having moderate to severe depression\/anxiety. Median food security score was low (4.5 [(0.0, 8.0]), with 44% experiencing very low food security. The median dietary quality score was low (8.0 [6.0, 9.0]) with low intakes of energy, fibre, and micronutrients, including vitamin D, iron, folate, and calcium, with a higher intake of free sugars compared with UK dietary recommendations and intakes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This is the first study to show that PEH living in temporary residences had a high risk of malnutrition and experienced dietary inequalities related to poor diet quality and severe food insecurity. There is an urgent need for improved food environments, dietary quality of donated foods and improved nutrition screening and nutrition support provision for PEH in temporary accommodation. Findings could help inform policymakers, health services and food aid charities to set nutrition standards for temporary accommodation to promote the dietary health of PEH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70024","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T08:42:21Z","timestamp":1739263341000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Nutrition Status of People Experiencing Homelessness Residing in Temporary Accommodation in London"],"prefix":"10.1111","volume":"38","author":[{"given":"Hannah","family":"Style","sequence":"first","affiliation":[{"name":"FEAST With Us (FEAST), Epsom London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Vickerstaff","sequence":"additional","affiliation":[{"name":"The Centre for Methodology and Evaluation Queen Mary University of London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Brown","sequence":"additional","affiliation":[{"name":"Centre for Obesity Research University College London (UCL) London UK"},{"name":"Bariatric Centre for Weight Management and Metabolic Surgery University College London Hospital NHS Trust (UCLH) London UK"},{"name":"UCLH NIHR Biomedical Research Unit London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,9]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Crisis \u201cHomelessness: Causes Types and Facts \u201d 2022 https:\/\/www.crisis.org.uk\/ending-homelessness-1\/about-homelessness\/."},{"key":"e_1_2_12_3_1","unstructured":"Shelter \u201cTemporary Housing When Homeless \u201d 2024 https:\/\/england.shelter.org.uk\/housing_advice\/homelessness\/temporary_housing_when_homeless."},{"key":"e_1_2_12_4_1","unstructured":"Public Health England \u201cHealth Matters: Rough Sleeping \u201d 2020 https:\/\/www.gov.uk\/government\/publications\/health-matters-rough-sleeping\/health-matters-rough-sleeping."},{"key":"e_1_2_12_5_1","unstructured":"Ministry of Housing Communities & Local Government \u201cHomelessness statistics \u201d 2024 https:\/\/www.gov.uk\/government\/statistics\/statutory-homelessness-in-england-january-to-march-2024\/statutory-homelessness-in-england-january-to-march-2024."},{"key":"e_1_2_12_6_1","unstructured":"Crisis \u201c25% Rise in People Sleeping Rough for the First Time in London During 2023 \u201d2023 https:\/\/www.crisis.org.uk\/about-us\/crisis-media-centre\/25-rise-in-people-sleeping-rough-for-the-first-time-in-london-during-2023\/."},{"key":"e_1_2_12_7_1","unstructured":"Pathway and Faculty for Homeless and Inclusion Health \u201cHomeless and Inclusion Health Standards for Commissioners and Service Providers \u201d 2018 https:\/\/www.pathway.org.uk\/wp-content\/uploads\/Version-3.1-Standards-2018-Final.pdf."},{"key":"e_1_2_12_8_1","unstructured":"Office of National Statistics \u201cDeaths of Homeless People in England and Wales: 2021 Registrations \u201d ONS Website; 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