{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T10:13:24Z","timestamp":1789035204640,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T00:00:00Z","timestamp":1782604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T00:00:00Z","timestamp":1782604800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Oral health and nutritional status are key determinants of healthy aging, yet population\u2011level evidence linking self\u2011assessed oral health to objectively defined nutritional risk in older adults is limited. We examined associations between self\u2011reported oral health domains and nutritional risk, defined by the Geriatric Nutritional Risk Index (GNRI), in a nationally representative sample of U.S. adults aged 60 years and older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>Cross\u2011sectional data from the 2009\u20132014 National Health and Nutrition Examination Survey were analyzed for 3898 older participants with complete oral health questionnaire and covariate data, representing approximately 44.65 million noninstitutionalized U.S. adults aged \u226560 years. Self\u2011reported measures included periodontal history and oral hygiene behaviors. GNRI was computed from serum albumin and body weight relative to ideal weight and dichotomized as high nutritional risk (GNRI\u00a0&lt;\u00a098) versus low risk (GNRI\u00a0\u2265\u00a098). Weighted logistic regression models assessed associations controlling for demographic, socioeconomic, behavioral variables, and multimorbidity. Having ever received treatment for gum disease was associated with lower odds of nutritional risk [odds ratio (OR): 0.67, 95% confidence interval (CI): 0.45\u20130.99]. Frequent use of dental floss or interdental cleaning devices was also associated with lower odds of nutritional risk (OR: 0.57, 95% CI: 0.40\u20130.81). Other self\u2011reported oral symptoms were not significantly associated with GNRI classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Specific self\u2011assessed oral health domains were independently associated with GNRI\u2011defined malnutrition risk in older adults. Targeted subjective oral health measures may aid in identifying individuals at elevated nutritional risk and support integrative screening strategies in geriatric care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70200","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T06:30:03Z","timestamp":1782714603000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self\u2011Reported Oral Health and Malnutrition Risk in Community\u2010Dwelling Older U.S. Adults"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9880-0481","authenticated-orcid":false,"given":"Vittorio","family":"Dibello","sequence":"first","affiliation":[{"name":"Department of Orofacial Pain and Dysfunction Academic Centre for Dentistry Amsterdam (ACTA) University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam the Netherlands"},{"name":"\u201cCesare Frugoni\u201d Internal and Geriatric Medicine and Memory Unit University of Bari \u201cAldo Moro\u201d  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvano","family":"Quarto","sequence":"additional","affiliation":[{"name":"\u201cCesare Frugoni\u201d Internal and Geriatric Medicine and Memory Unit University of Bari \u201cAldo Moro\u201d  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Dibello","sequence":"additional","affiliation":[{"name":"\u201cCesare Frugoni\u201d Internal and Geriatric Medicine and Memory Unit University of Bari \u201cAldo Moro\u201d  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madia","family":"Lozupone","sequence":"additional","affiliation":[{"name":"Department of Translational Biomedicine and Neuroscience \u201cDiBrain\u201d University of Bari Aldo Moro  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Daniele","sequence":"additional","affiliation":[{"name":"Department of Neuroscience Catholic University of Sacred Heart  Rome Italy"},{"name":"Neurology Unit IRCCS Fondazione Policlinico Universitario A. Gemelli  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Vertucci","sequence":"additional","affiliation":[{"name":"Marrelli Health SrL  Crotone Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola Alberto","family":"Valente","sequence":"additional","affiliation":[{"name":"Division of Periodontics Faculty of Medicine Department of Surgical Sciences School of Dental Medicine University of Cagliari  Cagliari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Solfrizzi","sequence":"additional","affiliation":[{"name":"\u201cCesare Frugoni\u201d Internal and Geriatric Medicine and Memory Unit University of Bari \u201cAldo Moro\u201d  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7220-0656","authenticated-orcid":false,"given":"Francesco","family":"Panza","sequence":"additional","affiliation":[{"name":"\u201cCesare Frugoni\u201d Internal and Geriatric Medicine and Memory Unit University of Bari \u201cAldo Moro\u201d  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2022.1113060"},{"key":"e_1_2_12_3_1","unstructured":"World Health Organization \u201cDecade of Healthy Ageing: Plan of Action \u201d World Health Organization 2020 https:\/\/www.who.int\/publications\/m\/item\/decade\u2010of\u2010healthy\u2010ageing\u2010plan\u2010of\u2010action."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11122898"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(22)02612\u20105"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13082764"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.12.007"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.0650"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu17020221"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14122392"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12986\u2010024\u201000827\u20107"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520\u2010024\u201002899\u20100"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2026.106135"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102024\u2010083973"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaf182"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.70006"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12123"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12580"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2023.11.006"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-025-06601-0"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-019-0777-6"},{"key":"e_1_2_12_22_1","unstructured":"National Center for Health Statistics National Health and Nutrition Examination Survey Data 2009\u20132014(Centers for Disease Control and Prevention 2009\u20132014)."},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-69668-x"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13103584"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11357-025-01884-3"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.14283\/jfa.2023.33"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16214132"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.2186\/jpr.JPR_D_20_00207"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-025-8642-2"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53468.x"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.14328"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41999-020-00303-4"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0894-0959.2004.17603.x"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S325008"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2023.11.001"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.3109\/0886022X.2011.643351"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.identj.2021.10.001"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2010.100178"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-24904-5"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.301930"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20075243"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114521000180"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/82.4.777"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034511421931"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.1994.tb00116.x"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu18010168"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12317"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2021.03.010"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41405-024-00195-7"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdmed.2025.1522892"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj11090222"}],"container-title":["Special Care in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.70200","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/scd.70200","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.70200","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T09:44:35Z","timestamp":1789033475000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scd.70200"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,28]]},"references-count":50,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/scd.70200"],"URL":"https:\/\/doi.org\/10.1111\/scd.70200","archive":["Portico"],"relation":{},"ISSN":["0275-1879","1754-4505"],"issn-type":[{"value":"0275-1879","type":"print"},{"value":"1754-4505","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,28]]},"assertion":[{"value":"2026-02-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70200"}}