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Basic information, including cognitive function, was evaluated. Hierarchical MNA (dependent variable)\u2010based multiple regression analysis was performed, followed by path analysis using factors with significant associations with MNA scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>RSST, ODK, tongue pressure, FIM, and DRQOL were positively correlated with MNA scores and GDS was negatively correlated. Hierarchical multiple regression demonstrated associations with tongue pressure, GDS, FIM, DRQOL scores, and gender. Path analysis confirmed significant paths from tongue pressure to MNA, tongue pressure to FIM, and FIM to MNA (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). Significant paths were confirmed from GDS to MNA (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01), from DRQOL to MNA (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05), and from gender to MNA (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Tongue pressure, GDS, FIM, DRQOL scores, and gender were identified as factors that directly affect MNA. Tongue pressure showed the greatest effect and indirectly affected MNA via FIM. These findings emphasize the importance of early detection of low nutritional risk for preventing depression and oral function deterioration, and of evaluation of dietary satisfaction and improvement of quality of life in diets.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jjns.12552","type":"journal-article","created":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T09:47:43Z","timestamp":1688464063000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Effects of oral function and depressive tendencies on nutritional status in older adults requiring support or low\u2010level care: An investigation using path analysis"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8036-8563","authenticated-orcid":false,"given":"Minaka","family":"Nagata","sequence":"first","affiliation":[{"name":"Akita University Graduate School of Health Sciences  Akita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiko","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Akita University Graduate School of Health Sciences  Akita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.5114\/pg.2015.49476"},{"key":"e_1_2_10_3_1","unstructured":"Cabinet Office. 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