{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:22:13Z","timestamp":1747196533382,"version":"3.40.5"},"reference-count":30,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T00:00:00Z","timestamp":1718928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Conseil Departemental de la Guadeloupe"},{"name":"ARS de Guadeloupe, Saint-Martin et Saint-Barth\u00e9l\u00e9my"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Foster families may represent an alternative model for dependent older adults in many countries where nursing homes are insufficiently developed. This study aimed to assess the prevalence of malnutrition and its determinants in older adults living in foster families in Guadeloupe (French West Indies).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>This cross-sectional study was gathered from the KASAF (Karukera Study of Ageing in Foster families) study (n = 107, 41M\/66F, Mdn 81.8 years). Nutritional status was assessed with the Mini Nutritional Assessment Short\u2010Form (MNA\u2010SF). Clinical characteristics and scores on geriatric scales (Mini-Mental State Examination (MMSE), Activities of Daily Living (ADL), Short Physical Performance Battery (SPPB), Center for Epidemiologic Studies- Depression (CESD) and Questionnaire Quality of Life Alzheimer\u2019s Disease (QoL-AD)) were extracted. Bivariate analysis and logistic models adjusted for age and gender were performed to test the association of nutritional status with socio-demographic variables and geriatric scales.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Thirty (28.0%) older adults were malnourished (MNA-SF score \u22647). In bivariate analysis, malnutrition was associated with an increased prevalence of cardiovascular diseases (46.7% versus 19.5%, p = 0.004), the presence of hemiplegia (30.0% versus 6.5%, p = 0.003), a poorer cognitive status (MMSE score 4.7 \u00b1 7.1versus 9.7 \u00b1 10.7; p = 0.031), higher risk of depression (CESD score 27.3 \u00b1 23.0 versus 13.5 \u00b1 14.4; p = 0.035) and dependency (ADL score 1.9 \u00b1 1.9 versus 2.3 \u00b1 2.1; p&lt;0.001). Malnutrition was also associated with lower caregivers\u2019rating of QoL (QoL-AD score 21.8 \u00b1 6.4 versus 26.0 \u00b1 5.7; p = 0.001) but not by older adult\u2019s rating (24.1 \u00b1 11.2 versus 28.3 \u00b1 7.7; p = 0.156). Similar associations were observed in logistic models adjusted for age and gender.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Malnutrition was common among foster families for older adults. Special attention towards the prevention and treatment of malnutrition in older adults from cardiovascular diseases, cognitive impairment, dependency and depression is necessary in this model of dependency support.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0304998","type":"journal-article","created":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T17:47:29Z","timestamp":1718992049000},"page":"e0304998","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Malnutrition and its determinants among older adults living in foster families in Guadeloupe (French West Indies). A cross-sectional study"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7797-241X","authenticated-orcid":true,"given":"Denis","family":"Boucaud-Maitre","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadine","family":"Simo-Tabue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1473-4390","authenticated-orcid":true,"given":"Ludwig","family":"Mounsamy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Rambhojan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurys","family":"Letchimy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Rinaldo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Fran\u00e7ois","family":"Dartigues","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9l\u00e8ne","family":"Amieva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moustapha","family":"Dram\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maturin","family":"Tabu\u00e9-Teguo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2024,6,21]]},"reference":[{"issue":"1","key":"pone.0304998.ref001","doi-asserted-by":"crossref","first-page":"e10","DOI":"10.1016\/S2666-7568(22)00288-4","article-title":"Foster families to support older people with dependency: a neglected strategy","volume":"4","author":"D Boucaud-Maitre","year":"2023","journal-title":"Lancet Healthy Longev"},{"issue":"4","key":"pone.0304998.ref002","first-page":"CD009844","article-title":"Home or foster home care versus institutional long-term care for functionally dependent older people.","volume":"4","author":"C Young","year":"2017","journal-title":"Cochrane Database Syst Rev."},{"journal-title":"Innov in Aging (under review).","article-title":"Clinical characteristics of older adults living in foster families in Guadeloupe (French West Indies): baseline screening of the KASAF Cohort.","author":"D Boucaud-Maitre","key":"pone.0304998.ref003"},{"issue":"10380","key":"pone.0304998.ref004","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/S0140-6736(22)02612-5","article-title":"Malnutrition in older adults","volume":"401","author":"E Dent","year":"2023","journal-title":"Lancet"},{"issue":"4","key":"pone.0304998.ref005","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1007\/s12603-014-0533-1","article-title":"The Mini Nutritional Assessment-Short Form and mortality in nursing home residents\u2014results from the INCUR study","volume":"19","author":"M Lilamand","year":"2015","journal-title":"J Nutr Health Aging"},{"issue":"5","key":"pone.0304998.ref006","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1007\/s12603-010-0302-8","article-title":"Nutritional status and associations with falls, balance, mobility, and functionality during hospital admission","volume":"15","author":"A Vivanti","year":"2011","journal-title":"J Nutr Health Aging"},{"issue":"4","key":"pone.0304998.ref007","first-page":"247","article-title":"The association between nutritional risk and falls among frail elderly","volume":"7","author":"CS Johnson","year":"2003","journal-title":"J Nutr Health Aging"},{"issue":"11","key":"pone.0304998.ref008","doi-asserted-by":"crossref","first-page":"3716","DOI":"10.3390\/nu13113716","article-title":"The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty.","volume":"13","author":"I Mugica-Errazquin","year":"2021","journal-title":"Nutrients"},{"key":"pone.0304998.ref009","doi-asserted-by":"crossref","first-page":"e40604","DOI":"10.2196\/40604","article-title":"The Health Care Trajectories of Older People in Foster Families: Protocol for an Observational Study.","volume":"12","author":"D Boucaud-Maitre","year":"2023","journal-title":"JMIR Res Protoc."},{"key":"pone.0304998.ref010","doi-asserted-by":"crossref","first-page":"M366","DOI":"10.1093\/gerona\/56.6.M366","article-title":"Screening for undernutrition in geriatric practice developing the short\u2010form mini\u2010nutritional assessment (MNA\u2010SF).","volume":"56","author":"LZ Rubenstein","year":"2001","journal-title":"J Gerontol A Biol Sci Med Sci"},{"issue":"3","key":"pone.0304998.ref011","first-page":"189","article-title":"Mini-mental state\". 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