{
  "abstract": "Objectives\n\nTo (1) describe the prevalence of malnutrition risk in older hospitalised patients with and without dementia across annual cross-sectional assessments between 2017 and 2025; (2) examine nutritional interventions among older hospitalised patients at malnutrition risk with and without dementia between 2017 and 2025; and (3) identify clinical and demographic factors associated with the co-occurrence of dementia and malnutrition risk.Design\n\nMulticentre, cross-sectional secondary data analysis.Setting\n\nAustrian acute care hospitals participating in the Nursing Quality Measurement 2.0 (LPZ) between 2017 and 2025.Participants\n\nA total of 9,991 hospitalised patients aged ≥65 years were included; 616 (6.2%) had a documented dementia diagnosis, 2,369 (23.7%) were at risk of malnutrition, and 144 (1.4%) had both dementia and malnutrition risk.Measurements\n\nData collection included a standardized questionnaire using patient interviews, clinical assessments, and review of medical records. Malnutrition risk was assessed using the Malnutrition Universal Screening Tool (MUST). Dementia diagnoses were based on ICD-10 documentation. Thirteen nutritional interventions were recorded dichotomously. Group comparisons and multivariable logistic regression analyses (with co-occurrence of dementia and malnutrition risk according to MUST as the dependent variable) were performed.Results\n\nThe overall malnutrition risk was 23.7% and did not differ between patients with and without dementia (23.4% vs. 23.7%, = 0.840). Among patients at malnutrition risk, those with dementia more frequently received mealtime assistance (59.7% vs. 15.3%, p < 0.001), modification of the mealtime environment (57.6% vs. 26.3%, p < 0.001), texture-modified diets (47.9% vs. 16.7%, p < 0.001), enriched diets (47.5% vs. 16.0%, p < 0.001) and oral nutritional supplements (28.5% vs. 19.2%, p = .008) than those without dementia. Between 2017 and 2025, the use of several nutritional interventions varied. The co-occurrence of dementia and malnutrition risk was independently associated with female sex (OR 1.56, CI 1.07-2.29), higher age (OR 1.07 per year, CI 1.04-1.09), end-of-life condition (OR 1.89, CI 1.21-2.95), higher number of medical diagnoses (OR 1.37, CI 1.24-1.50), and greater care dependency (OR 0.95 per CDS point, CI 0.94-0.96) in the multivariable analysis.Conclusion\n\nOlder hospitalised patients with dementia and malnutrition risk received a broad range of nutritional interventions in routine clinical practice, particularly interventions supporting oral intake. Nevertheless, variation in nutritional care and the comparatively modest use of some guideline-recommended interventions indicate a need for further research on the appropriateness and implementation of nutritional care in this population.",
  "abstract_shown": true,
  "affiliations": [
    "Medical University of Graz, Institute of Nursing Science, Graz, Austria. Electronic address: doris.eglseer@medunigraz.at.",
    "Medical University of Graz, Institute of Nursing Science, Graz, Austria."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Doris Eglseer"
    },
    {
      "affs": [
        1
      ],
      "name": "Silvia Bauer"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/8cw2j92r3d521.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jnha.2026.101007",
  "fulltext_url": "https://europepmc.org/articles/PMC13694772",
  "id": "8cw2j92r3d521",
  "issns": [
    "1760-4788"
  ],
  "landing_url": "https://europepmc.org/article/MED/42887093",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2737|Nutrition and Health in Aging"
    ]
  ],
  "openalex": "W7222534405",
  "pdf_url": "https://europepmc.org/articles/PMC13694772?pdf=render",
  "pmcid": "PMC13694772",
  "pmid": "42887093",
  "published": "2026-10-16",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/8cw2j92r3d521.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:18:46Z",
      "native_id": "MED:42887093",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42887093"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2737|Nutrition and Health in Aging",
      "subfield": "physiology"
    }
  ],
  "title": "Malnutrition risk and nutritional interventions among older hospitalised patients with and without dementia: a multicentre nine-year study.",
  "title_text": "Malnutrition risk and nutritional interventions among older hospitalised patients with and without dementia: a multicentre nine-year study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:18:46Z",
  "url": "https://research.draconitic.com/paper/8cw2j92r3d521",
  "venue": "The journal of nutrition, health & aging",
  "versions": []
}