{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T03:19:39Z","timestamp":1792293579532,"version":"4.4.0"},"reference-count":63,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Global population aging and the transition toward empty-nest households have sharply increased solitary dining. This change in meal pattern is a key concern in geriatric health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To quantify the differences in dietary intake and depression risk between communal and solitary dining among community-dwelling older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following PRISMA guidelines, we synthesized evidence from PubMed, Web of Science, Embase, and Cochrane Library from database inception through December 2025. Effect sizes were pooled using random-effects models. The PROSPERO registration of this systematic review and meta-analysis is CRD420251177507.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 12,088 records screened, 21 studies were included (11 Japan, 4 South Korea, 3 USA, 1 UK, 1 China, 1 Brazil, 1 Sweden; 16 high-quality, 5 moderate-quality per AHRQ). Compared to solitary dining, commensality is significantly associated with higher total energy intake (MD = 109.51 kcal, 17.39\u2013201.62;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.047), dietary fat intake (MD = 4.07 g, 95% CI 0.14\u20137.99,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.0489), and meat\/seafood consumption (MD = 21.28 g, 95% CI 2.27\u201340.29,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.011). Solitary dining is a potent risk factor for depression (OR = 1.58, 95% CI: 1.33\u20131.87,\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001). Across mealtimes, the highest depression risk is associated with solitary dinner (OR = 2.13, 1.57\u20132.89,\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Communal dining is associated with a reduced risk of nutritional inadequacy and psychological distress through integrated mechanisms of social engagement and dietary diversification. Our findings support the inclusion of commensality as a strategic, non-pharmacological component in global geriatric health policy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic review registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/www.crd.york.ac.uk\/PROSPERO\/view\/CRD420251177507<\/jats:ext-link>\n                      , identifier: CRD420251177507.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnut.2026.1878848","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T04:23:32Z","timestamp":1783916612000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["The association of communal vs. solitary dining on nutritional intake and depression risk in older adults: a systematic review and meta-analysis"],"prefix":"10.3389","volume":"13","author":[{"given":"Yingying","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Radiotherapy, The First Affiliated Hospital of Soochow University","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaqun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy, The First Affiliated Hospital of Soochow University","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianzheng","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Nursing, The First Affiliated Hospital of Soochow University","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weixia","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, The First Affiliated Hospital of Soochow University","place":["Suzhou, 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