{rfName}
As

License and use

Icono OpenAccess

Altmetrics

Grant support

Not applicable.

Analysis of institutional authors

Yevenes-Briones, HumbertoAuthorGuallar-Castillon, PilarAuthorRodriguez-Artalejo, FernandoAuthorLopez-Garcia, EstherCorresponding Author

Share

Publications
>
Article

Association between diet quality and malnutrition: pooled results from two population-based studies in older adults

Publicated to:BMC Geriatrics. 24 (1): 417- - 2024-05-10 24(1), DOI: 10.1186/s12877-024-04984-5

Authors: Marcos-Delgado, Alba; Yevenes-Briones, Humberto; Fernandez-Villa, Tania; Martin-Sanchez, Vicente; Guallar-Castillon, Pilar; Rodriguez-Artalejo, Fernando; Lopez-Garcia, Esther

Affiliations

Abstract

Background The role of diet quality on malnutrition in older adults is uncertain, due the paucity of the research conducted and the use of use of screening tools that did not consider phenotypic criteria of malnutrition. Objective To evaluate the association of two indices of diet quality, namely the Mediterranean Diet Adherence Screener (MEDAS) and the Alternative Healthy Eating Index (AHEI-2010), with malnutrition among community-dwelling older adults in Spain. Methods Cross-sectional analysis of data from 1921 adults aged >= 60 years from the Seniors-ENRICA-1 (SE-1) study, and 2652 adults aged >= 65 years from the Seniors-ENRICA-2 (SE-2) study. Habitual food consumption was assessed through a validated diet history. Malnutrition was defined according to the Global Leadership Initiative on Malnutrition (GLIM) phenotypic criteria. Statistical analyses were performed with logistic regression with adjustment for socioeconomic and lifestyle variables as well as for total energy and protein intake. Results The prevalence of malnutrition in the SE-1 study was 9.5% (95% confidence interval: 8.2 to 10.9) and 11.7% (10.5 to 13.9) in the SE-2. Adherence to the MEDAS score was associated with lower prevalence of malnutrition [pooled odds ratio for high (>= 9 points) vs. low adherence (< 7 points): 0.64 (0.48-0.84); p-trend < 0.001]. Higher adherence to the AHEI-2010 also showed an inverse association with malnutrition (pooled odds ratio for quartile 4 vs. 1: 0.65 (0.49-0.86); p-trend 0.006). Among the individual components, higher consumption of fish and long-chain n-3 fatty acids in MEDAS and AHEI-2010, and of vegetables and nuts and legumes in AHEI-2010, and lower intake of trans-fat and sugar-sweetened beverages and fruit juice in AHEI-2010 were independently associated with lower odds of malnutrition. Conclusion Adherence to high diet-quality patterns was associated with lower frequency of malnutrition among older adults. Clinical trial registry ClinicalTrials.gov identifier: NCT02804672. June 17, 2016.; ClinicalTrials.gov NCT03541135. May 30, 2018.

Keywords

AdherenceAgedAged, 80 and overAlternative healthy eating indexCross-sectional studiesDietDiet qualityDiet, mediterraneanFemaleFrailtGlim criteriaHealthHumansIndependent livingMaleMalnutritionMediterranean dietMetaanalysisMiddle agedOlder adultOlder adultsPatternsRiskSpainValidity

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal BMC Geriatrics due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2024 there are still no calculated indicators, but in 2023, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Geriatrics and Gerontology.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-06-06:

  • WoS: 1
  • Scopus: 3

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-06:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 24 (PlumX).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (LOPEZ GARCIA, ESTHER).

the author responsible for correspondence tasks has been LOPEZ GARCIA, ESTHER.