title: Malnutrition in Community-Dwelling Elderly in Turkey: A Multicenter, Cross-Sectional Study.
abstract: BACKGROUND
  This study aimed to investigate the prevalence of malnutrition and explore the somatic, psychological, functional, and social or lifestyle characteristics linked to malnutrition in elderly people at a hospital in Turkey.
  
  
  METHODS
  This study included 1030 patients older than 65 years of age who were seen at the internal medicine and geriatrics outpatient clinics of the study centers in Istanbul, Ankara, Duzce, Corum, Mardin, Malatya, and Diyarbakir provinces between January and December 2014. All patients underwent Mini Nutritional Assessment (MNA) and Geriatric Depression Scale (GDS) tests via one-on-one interview method. The demographic properties of the patients were also recorded during this interview.
  
  
  RESULTS
  Among 1030 patients included in this study, 196 (19%) had malnutrition and 300 (29.1%) had malnutrition risk. The malnutrition group and the other groups were significantly different with respect to mean GDS score, income status, educational status, the number of children, functional status (ADL, IADL), the number of patients with depression, and the number of comorbid disorders. According to the results of the logistic regression analysis, age (OR=95% CI: 1.007-1.056; p=0.012), BMI (OR=95% CI: 0.702-0.796; p<0.001), educational status (OR=95% CI: 0.359-0.897; p=0.015), comorbidity (OR=95% CI: 2.296-5.448; p<0.001), and depression score (OR=95% CI: 1.104-3.051; p=0.02) were independently associated with malnutrition.
  
  
  CONCLUSIONS
  Our study demonstrates that age, depression, BMI, comorbidity, and the educational status were independently associated with malnutrition in an elderly population.
authors.affiliation: Department of Emergency Medicine, Dicle University, Diyarbakır, Turkey.
authors.forename: Ercan
authors.initials: E
authors.lastname: Gündüz
authors.affiliation: Department of Internal Medicine, Hitit University, Çorum, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Eskin
authors.affiliation: Department of Hematology, Ankara University, Ankara, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Gündüz
authors.affiliation: Department of Internal Medicine, Inonu University, Malatya, Turkey.
authors.forename: Recep
authors.initials: R
authors.lastname: Bentli
authors.affiliation: Emergency Medicine, Dicle University Medical Faculty, Diyarbakır, Turkey.
authors.forename: Yılmaz
authors.initials: Y
authors.lastname: Zengin
authors.affiliation: Department of Emergency Medicine, Dicle University, Diyarbakır, Turkey.
authors.forename: Recep
authors.initials: R
authors.lastname: Dursun
authors.affiliation: Department of Emergency Medicine, Dicle University, Diyarbakır, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: İçer
authors.affiliation: Department of Emergency Medicine, Dicle University, Diyarbakır, Turkey.
authors.forename: Hasan Mansur
authors.initials: HM
authors.lastname: Durgun
authors.affiliation: Department of Emergency Medicine, Dicle University, Diyarbakır, Turkey.
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Gürbüz
authors.affiliation: Department of Emergency Medicine, Dicle University, Diyarbakır, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ekinci
authors.affiliation: Department of Geriatrics, Hacettepe University, Ankara, Turkey.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Yeşil
authors.affiliation: Department of Emergency Medicine, Dicle University, Diyarbakır, Turkey.
authors.forename: Cahfer
authors.initials: C
authors.lastname: Güloğlu
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis; D005260:Female; D006801:Humans; D057187:Independent Living; D008019:Life Style; D016015:Logistic Models; D008297:Male; D044342:Malnutrition / Q000453:epidemiology*; D015596:Nutrition Assessment; D009752:Nutritional Status; D012307:Risk Factors; D014421:Turkey / Q000453:epidemiology