{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T17:09:45Z","timestamp":1768324185720,"version":"3.49.0"},"reference-count":52,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,3,9]],"date-time":"2015-03-09T00:00:00Z","timestamp":1425859200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"German Federal Ministry of Education and Research"},{"name":"SILQUA-FH - Social Innovation for Quality of Life in the Elderly","award":["FKZ 17S04X09"],"award-info":[{"award-number":["FKZ 17S04X09"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Malnutrition in the elderly is an important nursing challenge. Persons with dementia disease are often affected by malnutrition. During recent years, shared\u2010housing arrangements (<jats:styled-content style=\"fixed-case\">SHA<\/jats:styled-content>) for older care\u2010dependent people, frequently with dementia disease, have evolved in Germany. <jats:styled-content style=\"fixed-case\">SHA<\/jats:styled-content> can be an alternative to traditional residential care in nursing homes. The prevalence of malnutrition in <jats:styled-content style=\"fixed-case\">SHA<\/jats:styled-content> is compared to the prevalence in community dwellings and lower than the prevalence of malnutrition in nursing homes. There are no scientific data about the development of the nutritional status of older care\u2010dependent people in <jats:styled-content style=\"fixed-case\">SHA<\/jats:styled-content> over one year. The aim of this study is to describe the nutritional status of care\u2010dependent people with dementia disease living in <jats:styled-content style=\"fixed-case\">SHA<\/jats:styled-content> and to investigate changes over a period of one year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A longitudinal study with a one\u2010year follow\u2010up was performed. Standardised interviews with nurses were conducted concerning nutritional status (Mini Nutritional Assessment \u2013 <jats:styled-content style=\"fixed-case\">MNA<\/jats:styled-content>), cognitive capacities (Mini Mental State Examination \u2013 <jats:styled-content style=\"fixed-case\">MMSE<\/jats:styled-content>), activities of daily living (Extended Barthel\u2010Index \u2013 <jats:styled-content style=\"fixed-case\">EBI<\/jats:styled-content>) and socio\u2010demographic characteristics. Nutritional data were available for 45 residents at baseline and 36 residents at follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At baseline, 45 residents with an average age of 78.4\u00a0years living in <jats:styled-content style=\"fixed-case\">SHA<\/jats:styled-content> in the state of Berlin, Germany, were included in the study. Predominantly, residents were female (73.3%) and diagnosed with dementia (88.9%), with a moderate to severe cognitive impairment (<jats:styled-content style=\"fixed-case\">MMSE<\/jats:styled-content>: 10.8) and low daily living abilities (<jats:styled-content style=\"fixed-case\">EBI<\/jats:styled-content>: 33.7). Most residents (80.6%) have a risk of malnutrition regarding the <jats:styled-content style=\"fixed-case\">MNA<\/jats:styled-content>. The average <jats:styled-content style=\"fixed-case\">MNA<\/jats:styled-content> score did decline slightly within one year (t<jats:sub>0\u00a0<\/jats:sub>=\u00a020.8 vs. t<jats:sub>1\u00a0<\/jats:sub>=\u00a019.7).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Regular screenings for malnutrition using validated standardised assessments, which are easy to apply, should be implemented in <jats:styled-content style=\"fixed-case\">SHA<\/jats:styled-content> to avoid nutritional and health\u2010related problems arising from malnutrition. Flexible structures for care, as in <jats:styled-content style=\"fixed-case\">SHA<\/jats:styled-content>, can facilitate coping with nutritional problems.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scs.12210","type":"journal-article","created":{"date-parts":[[2015,3,9]],"date-time":"2015-03-09T07:48:10Z","timestamp":1425887290000},"page":"785-792","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Nutritional status of care\u2010dependent people with dementia in shared\u2010housing arrangements \u2013 a one\u2010year follow\u2010up"],"prefix":"10.1111","volume":"29","author":[{"given":"Saskia","family":"Meyer","sequence":"first","affiliation":[{"name":"University of Bremen Bremen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Gr\u00e4ske","sequence":"additional","affiliation":[{"name":"University of Bremen Bremen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Worch","sequence":"additional","affiliation":[{"name":"University of Bremen Bremen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Wolf\u2010Ostermann","sequence":"additional","affiliation":[{"name":"University of Bremen Bremen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,3,9]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"PfaffH.Pflegestatistik 2011. 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