Potentially modifiable determinants of malnutrition in older adults: A systematic review.
Identifieur interne : 000475 ( Main/Exploration ); précédent : 000474; suivant : 000476Potentially modifiable determinants of malnutrition in older adults: A systematic review.
Auteurs : M. O'Keeffe [Irlande (pays)] ; M. Kelly [Irlande (pays)] ; E. O'Herlihy [Irlande (pays)] ; P W O'Toole [Irlande (pays)] ; P M Kearney [Irlande (pays)] ; S. Timmons [Irlande (pays)] ; E. O'Shea [Irlande (pays)] ; C. Stanton [Irlande (pays)] ; M. Hickson [Royaume-Uni] ; Y. Rolland [France] ; C. Sulmont Rossé [France] ; S. Issanchou [France] ; I. Maitre [France] ; M. Stelmach-Mardas [Pologne] ; G. Nagel [Allemagne] ; M. Flechtner-Mors [Allemagne] ; M. Wolters [Allemagne] ; A. Hebestreit [Allemagne] ; L C P G M. De Groot [Pays-Bas] ; O. Van De Rest [Pays-Bas] ; R. Teh [Nouvelle-Zélande] ; M A Peyron [France] ; D. Dardevet [France] ; I. Papet [France] ; K. Schindler [Autriche] ; M. Streicher [Allemagne] ; G. Torbahn [Allemagne] ; E. Kiesswetter [Allemagne] ; M. Visser [Pays-Bas] ; D. Volkert [Allemagne] ; E M O'Connor [Irlande (pays)]Source :
- Clinical nutrition (Edinburgh, Scotland) [ 1532-1983 ] ; 2019.
Descripteurs français
- KwdFr :
- MESH :
- physiopathologie : Malnutrition.
- psychologie : Malnutrition.
- épidémiologie : Malnutrition.
- Cognition, Exercice physique, Facteurs de risque, Femelle, Hospitalisation, Humains, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- MESH :
- epidemiology : Malnutrition.
- physiopathology : Malnutrition.
- psychology : Malnutrition.
- Aged, Aged, 80 and over, Cognition, Exercise, Female, Hospitalization, Humans, Male, Risk Factors.
Abstract
BACKGROUND & AIMS
Malnutrition in older adults results in significant personal, social, and economic burden. To combat this complex, multifactorial issue, evidence-based knowledge is needed on the modifiable determinants of malnutrition. Systematic reviews of prospective studies are lacking in this area; therefore, the aim of this systematic review was to investigate the modifiable determinants of malnutrition in older adults.
METHODS
A systematic approach was taken to conduct this review. Eight databases were searched. Prospective cohort studies with participants of a mean age of 65 years or over were included. Studies were required to measure at least one determinant at baseline and malnutrition as outcome at follow-up. Study quality was assessed using a modified version of the Quality in Prognosis Studies (QUIPS) tool. Pooling of data in a meta-analysis was not possible therefore the findings of each study were synthesized narratively. A descriptive synthesis of studies was used to present results due the heterogeneity of population source and setting, definitions of determinants and outcomes. Consistency of findings was assessed using the schema: strong evidence, moderate evidence, low evidence, and conflicting evidence.
RESULTS
Twenty-three studies were included in the final review. Thirty potentially modifiable determinants across seven domains (oral, psychosocial, medication and care, health, physical function, lifestyle, eating) were included. The majority of studies had a high risk of bias and were of a low quality. There is moderate evidence that hospitalisation, eating dependency, poor self-perceived health, poor physical function and poor appetite are determinants of malnutrition. Moderate evidence suggests that chewing difficulties, mouth pain, gum issues co-morbidity, visual and hearing impairments, smoking status, alcohol consumption and physical activity levels, complaints about taste of food and specific nutrient intake are not determinants of malnutrition. There is low evidence that loss of interest in life, access to meals and wheels, and modified texture diets are determinants of malnutrition. Furthermore, there is low evidence that psychological distress, anxiety, loneliness, access to transport and wellbeing, hunger and thirst are not determinants of malnutrition. There appears to be conflicting evidence that dental status, swallowing, cognitive function, depression, residential status, medication intake and/or polypharmacy, constipation, periodontal disease are determinants of malnutrition.
CONCLUSION
There are multiple potentially modifiable determinants of malnutrition however strong robust evidence is lacking for the majority of determinants. Better prospective cohort studies are required. With an increasingly ageing population, targeting modifiable factors will be crucial to the effective treatment and prevention of malnutrition.
DOI: 10.1016/j.clnu.2018.12.007
PubMed: 30685297
Affiliations:
- Allemagne, Autriche, France, Irlande (pays), Nouvelle-Zélande, Pays-Bas, Pologne, Royaume-Uni
- Auvergne (région administrative), Auvergne-Rhône-Alpes, Bade-Wurtemberg, Bourgogne, Bourgogne-Franche-Comté, Brême (Land), District de Tübingen, Hollande-Septentrionale, Midi-Pyrénées, Munster (Irlande), Occitanie (région administrative), Pays de la Loire, Vienne (Autriche)
- Amsterdam, Angers, Brême, Clermont-Ferrand, Dijon, Limerick (Irlande), Toulouse, Ulm, Vienne (Autriche)
- Université de Limerick
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Kelly</name><affiliation wicri:level="4"><nlm:affiliation>Department of Biological Sciences, University of Limerick, Limerick, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Biological Sciences, University of Limerick, Limerick</wicri:regionArea><orgName type="university">Université de Limerick</orgName><placeName><settlement type="city">Limerick (Irlande)</settlement><region type="région" nuts="2">Munster (Irlande)</region></placeName></affiliation></author><author><name sortKey="O Herlihy, E" sort="O Herlihy, E" uniqKey="O Herlihy E" first="E" last="O'Herlihy">E. 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Timmons</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="O Shea, E" sort="O Shea, E" uniqKey="O Shea E" first="E" last="O'Shea">E. O'Shea</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="Stanton, C" sort="Stanton, C" uniqKey="Stanton C" first="C" last="Stanton">C. Stanton</name><affiliation wicri:level="1"><nlm:affiliation>Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="Hickson, M" sort="Hickson, M" uniqKey="Hickson M" first="M" last="Hickson">M. Hickson</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Health & Community, University of Plymouth, England, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Health & Community, University of Plymouth, England</wicri:regionArea><wicri:noRegion>England</wicri:noRegion></affiliation></author><author><name sortKey="Rolland, Y" sort="Rolland, Y" uniqKey="Rolland Y" first="Y" last="Rolland">Y. Rolland</name><affiliation wicri:level="3"><nlm:affiliation>Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), UMR INSERM 1027, University of ToulouseIII, Toulouse, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), UMR INSERM 1027, University of ToulouseIII, Toulouse</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Midi-Pyrénées</region><settlement type="city">Toulouse</settlement></placeName></affiliation></author><author><name sortKey="Sulmont Rosse, C" sort="Sulmont Rosse, C" uniqKey="Sulmont Rosse C" first="C" last="Sulmont Rossé">C. Sulmont Rossé</name><affiliation wicri:level="3"><nlm:affiliation>Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, F-21000 Dijon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, F-21000 Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author><author><name sortKey="Issanchou, S" sort="Issanchou, S" uniqKey="Issanchou S" first="S" last="Issanchou">S. Issanchou</name><affiliation wicri:level="3"><nlm:affiliation>Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, F-21000 Dijon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, F-21000 Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author><author><name sortKey="Maitre, I" sort="Maitre, I" uniqKey="Maitre I" first="I" last="Maitre">I. Maitre</name><affiliation wicri:level="3"><nlm:affiliation>GRAPPE USC 1422 INRA, Ecole supérieure d'Agricultures (ESA), Univ. Bretagne Loire, Angers, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>GRAPPE USC 1422 INRA, Ecole supérieure d'Agricultures (ESA), Univ. Bretagne Loire, Angers</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Angers</settlement></placeName></affiliation></author><author><name sortKey="Stelmach Mardas, M" sort="Stelmach Mardas, M" uniqKey="Stelmach Mardas M" first="M" last="Stelmach-Mardas">M. Stelmach-Mardas</name><affiliation wicri:level="1"><nlm:affiliation>German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany; Poznan University of Medical Sciences, Poznan, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany; Poznan University of Medical Sciences, Poznan</wicri:regionArea><wicri:noRegion>Poznan</wicri:noRegion></affiliation></author><author><name sortKey="Nagel, G" sort="Nagel, G" uniqKey="Nagel G" first="G" last="Nagel">G. Nagel</name><affiliation wicri:level="3"><nlm:affiliation>Institute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Epidemiology and Medical Biometry, Ulm University, Ulm</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Ulm</settlement></placeName></affiliation></author><author><name sortKey="Flechtner Mors, M" sort="Flechtner Mors, M" uniqKey="Flechtner Mors M" first="M" last="Flechtner-Mors">M. Flechtner-Mors</name><affiliation wicri:level="3"><nlm:affiliation>Division of Sports and Rehabilitation Medicine, Medical Center, Ulm University, Ulm, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Sports and Rehabilitation Medicine, Medical Center, Ulm University, Ulm</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Ulm</settlement></placeName></affiliation></author><author><name sortKey="Wolters, M" sort="Wolters, M" uniqKey="Wolters M" first="M" last="Wolters">M. Wolters</name><affiliation wicri:level="3"><nlm:affiliation>Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen</wicri:regionArea><placeName><region type="land" nuts="3">Brême (Land)</region><settlement type="city">Brême</settlement></placeName></affiliation></author><author><name sortKey="Hebestreit, A" sort="Hebestreit, A" uniqKey="Hebestreit A" first="A" last="Hebestreit">A. Hebestreit</name><affiliation wicri:level="3"><nlm:affiliation>Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen</wicri:regionArea><placeName><region type="land" nuts="3">Brême (Land)</region><settlement type="city">Brême</settlement></placeName></affiliation></author><author><name sortKey="De Groot, L C P G M" sort="De Groot, L C P G M" uniqKey="De Groot L" first="L C P G M" last="De Groot">L C P G M. De Groot</name><affiliation wicri:level="1"><nlm:affiliation>Division of Human Nutrition, Wageningen University & Research, Wageningen, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Division of Human Nutrition, Wageningen University & Research, Wageningen</wicri:regionArea><wicri:noRegion>Wageningen</wicri:noRegion></affiliation></author><author><name sortKey="Van De Rest, O" sort="Van De Rest, O" uniqKey="Van De Rest O" first="O" last="Van De Rest">O. Van De Rest</name><affiliation wicri:level="1"><nlm:affiliation>Division of Human Nutrition, Wageningen University & Research, Wageningen, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Division of Human Nutrition, Wageningen University & Research, Wageningen</wicri:regionArea><wicri:noRegion>Wageningen</wicri:noRegion></affiliation></author><author><name sortKey="Teh, R" sort="Teh, R" uniqKey="Teh R" first="R" last="Teh">R. Teh</name><affiliation wicri:level="1"><nlm:affiliation>Department of General Practice and Primary Health Care, The University of Auckland, Auckland, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of General Practice and Primary Health Care, The University of Auckland, Auckland</wicri:regionArea><wicri:noRegion>Auckland</wicri:noRegion></affiliation></author><author><name sortKey="Peyron, M A" sort="Peyron, M A" uniqKey="Peyron M" first="M A" last="Peyron">M A Peyron</name><affiliation wicri:level="3"><nlm:affiliation>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Dardevet, D" sort="Dardevet, D" uniqKey="Dardevet D" first="D" last="Dardevet">D. Dardevet</name><affiliation wicri:level="3"><nlm:affiliation>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Papet, I" sort="Papet, I" uniqKey="Papet I" first="I" last="Papet">I. Papet</name><affiliation wicri:level="3"><nlm:affiliation>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Schindler, K" sort="Schindler, K" uniqKey="Schindler K" first="K" last="Schindler">K. Schindler</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medicine III, Medical University of Vienna, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Medicine III, Medical University of Vienna, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Streicher, M" sort="Streicher, M" uniqKey="Streicher M" first="M" last="Streicher">M. Streicher</name><affiliation wicri:level="1"><nlm:affiliation>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg</wicri:regionArea><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion></affiliation></author><author><name sortKey="Torbahn, G" sort="Torbahn, G" uniqKey="Torbahn G" first="G" last="Torbahn">G. Torbahn</name><affiliation wicri:level="1"><nlm:affiliation>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg</wicri:regionArea><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion></affiliation></author><author><name sortKey="Kiesswetter, E" sort="Kiesswetter, E" uniqKey="Kiesswetter E" first="E" last="Kiesswetter">E. Kiesswetter</name><affiliation wicri:level="1"><nlm:affiliation>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg</wicri:regionArea><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion></affiliation></author><author><name sortKey="Visser, M" sort="Visser, M" uniqKey="Visser M" first="M" last="Visser">M. Visser</name><affiliation wicri:level="3"><nlm:affiliation>Department of Health Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Health Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Volkert, D" sort="Volkert, D" uniqKey="Volkert D" first="D" last="Volkert">D. Volkert</name><affiliation wicri:level="1"><nlm:affiliation>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg</wicri:regionArea><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion></affiliation></author><author><name sortKey="O Connor, E M" sort="O Connor, E M" uniqKey="O Connor E" first="E M" last="O'Connor">E M O'Connor</name><affiliation wicri:level="4"><nlm:affiliation>Department of Biological Sciences, University of Limerick, Limerick, Ireland; Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland. Electronic address: eibhlis.oconnor@ul.ie.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Biological Sciences, University of Limerick, Limerick, Ireland; Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork, Ireland; Health Research Institute, University of Limerick, Limerick</wicri:regionArea><orgName type="university">Université de Limerick</orgName><placeName><settlement type="city">Limerick (Irlande)</settlement><region type="région" nuts="2">Munster (Irlande)</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:30685297</idno><idno type="pmid">30685297</idno><idno type="doi">10.1016/j.clnu.2018.12.007</idno><idno type="wicri:Area/Main/Corpus">000598</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000598</idno><idno type="wicri:Area/Main/Curation">000598</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000598</idno><idno type="wicri:Area/Main/Exploration">000598</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Potentially modifiable determinants of malnutrition in older adults: A systematic review.</title><author><name sortKey="O Keeffe, M" sort="O Keeffe, M" uniqKey="O Keeffe M" first="M" last="O'Keeffe">M. O'Keeffe</name><affiliation wicri:level="4"><nlm:affiliation>Department of Biological Sciences, University of Limerick, Limerick, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Biological Sciences, University of Limerick, Limerick</wicri:regionArea><orgName type="university">Université de Limerick</orgName><placeName><settlement type="city">Limerick (Irlande)</settlement><region type="région" nuts="2">Munster (Irlande)</region></placeName></affiliation></author><author><name sortKey="Kelly, M" sort="Kelly, M" uniqKey="Kelly M" first="M" last="Kelly">M. Kelly</name><affiliation wicri:level="4"><nlm:affiliation>Department of Biological Sciences, University of Limerick, Limerick, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Biological Sciences, University of Limerick, Limerick</wicri:regionArea><orgName type="university">Université de Limerick</orgName><placeName><settlement type="city">Limerick (Irlande)</settlement><region type="région" nuts="2">Munster (Irlande)</region></placeName></affiliation></author><author><name sortKey="O Herlihy, E" sort="O Herlihy, E" uniqKey="O Herlihy E" first="E" last="O'Herlihy">E. O'Herlihy</name><affiliation wicri:level="1"><nlm:affiliation>School of Microbiology, University College Cork, Cork, Ireland; Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>School of Microbiology, University College Cork, Cork, Ireland; Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="O Toole, P W" sort="O Toole, P W" uniqKey="O Toole P" first="P W" last="O'Toole">P W O'Toole</name><affiliation wicri:level="1"><nlm:affiliation>School of Microbiology, University College Cork, Cork, Ireland; Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>School of Microbiology, University College Cork, Cork, Ireland; Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="Kearney, P M" sort="Kearney, P M" uniqKey="Kearney P" first="P M" last="Kearney">P M Kearney</name><affiliation wicri:level="1"><nlm:affiliation>School of Public Health, University College Cork, Cork, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>School of Public Health, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="Timmons, S" sort="Timmons, S" uniqKey="Timmons S" first="S" last="Timmons">S. Timmons</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="O Shea, E" sort="O Shea, E" uniqKey="O Shea E" first="E" last="O'Shea">E. O'Shea</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="Stanton, C" sort="Stanton, C" uniqKey="Stanton C" first="C" last="Stanton">C. Stanton</name><affiliation wicri:level="1"><nlm:affiliation>Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="Hickson, M" sort="Hickson, M" uniqKey="Hickson M" first="M" last="Hickson">M. Hickson</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Health & Community, University of Plymouth, England, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Health & Community, University of Plymouth, England</wicri:regionArea><wicri:noRegion>England</wicri:noRegion></affiliation></author><author><name sortKey="Rolland, Y" sort="Rolland, Y" uniqKey="Rolland Y" first="Y" last="Rolland">Y. Rolland</name><affiliation wicri:level="3"><nlm:affiliation>Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), UMR INSERM 1027, University of ToulouseIII, Toulouse, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), UMR INSERM 1027, University of ToulouseIII, Toulouse</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Midi-Pyrénées</region><settlement type="city">Toulouse</settlement></placeName></affiliation></author><author><name sortKey="Sulmont Rosse, C" sort="Sulmont Rosse, C" uniqKey="Sulmont Rosse C" first="C" last="Sulmont Rossé">C. Sulmont Rossé</name><affiliation wicri:level="3"><nlm:affiliation>Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, F-21000 Dijon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, F-21000 Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author><author><name sortKey="Issanchou, S" sort="Issanchou, S" uniqKey="Issanchou S" first="S" last="Issanchou">S. Issanchou</name><affiliation wicri:level="3"><nlm:affiliation>Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, F-21000 Dijon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, F-21000 Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author><author><name sortKey="Maitre, I" sort="Maitre, I" uniqKey="Maitre I" first="I" last="Maitre">I. Maitre</name><affiliation wicri:level="3"><nlm:affiliation>GRAPPE USC 1422 INRA, Ecole supérieure d'Agricultures (ESA), Univ. Bretagne Loire, Angers, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>GRAPPE USC 1422 INRA, Ecole supérieure d'Agricultures (ESA), Univ. Bretagne Loire, Angers</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Angers</settlement></placeName></affiliation></author><author><name sortKey="Stelmach Mardas, M" sort="Stelmach Mardas, M" uniqKey="Stelmach Mardas M" first="M" last="Stelmach-Mardas">M. Stelmach-Mardas</name><affiliation wicri:level="1"><nlm:affiliation>German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany; Poznan University of Medical Sciences, Poznan, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany; Poznan University of Medical Sciences, Poznan</wicri:regionArea><wicri:noRegion>Poznan</wicri:noRegion></affiliation></author><author><name sortKey="Nagel, G" sort="Nagel, G" uniqKey="Nagel G" first="G" last="Nagel">G. Nagel</name><affiliation wicri:level="3"><nlm:affiliation>Institute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Epidemiology and Medical Biometry, Ulm University, Ulm</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Ulm</settlement></placeName></affiliation></author><author><name sortKey="Flechtner Mors, M" sort="Flechtner Mors, M" uniqKey="Flechtner Mors M" first="M" last="Flechtner-Mors">M. Flechtner-Mors</name><affiliation wicri:level="3"><nlm:affiliation>Division of Sports and Rehabilitation Medicine, Medical Center, Ulm University, Ulm, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Sports and Rehabilitation Medicine, Medical Center, Ulm University, Ulm</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Ulm</settlement></placeName></affiliation></author><author><name sortKey="Wolters, M" sort="Wolters, M" uniqKey="Wolters M" first="M" last="Wolters">M. Wolters</name><affiliation wicri:level="3"><nlm:affiliation>Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen</wicri:regionArea><placeName><region type="land" nuts="3">Brême (Land)</region><settlement type="city">Brême</settlement></placeName></affiliation></author><author><name sortKey="Hebestreit, A" sort="Hebestreit, A" uniqKey="Hebestreit A" first="A" last="Hebestreit">A. Hebestreit</name><affiliation wicri:level="3"><nlm:affiliation>Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen</wicri:regionArea><placeName><region type="land" nuts="3">Brême (Land)</region><settlement type="city">Brême</settlement></placeName></affiliation></author><author><name sortKey="De Groot, L C P G M" sort="De Groot, L C P G M" uniqKey="De Groot L" first="L C P G M" last="De Groot">L C P G M. De Groot</name><affiliation wicri:level="1"><nlm:affiliation>Division of Human Nutrition, Wageningen University & Research, Wageningen, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Division of Human Nutrition, Wageningen University & Research, Wageningen</wicri:regionArea><wicri:noRegion>Wageningen</wicri:noRegion></affiliation></author><author><name sortKey="Van De Rest, O" sort="Van De Rest, O" uniqKey="Van De Rest O" first="O" last="Van De Rest">O. Van De Rest</name><affiliation wicri:level="1"><nlm:affiliation>Division of Human Nutrition, Wageningen University & Research, Wageningen, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Division of Human Nutrition, Wageningen University & Research, Wageningen</wicri:regionArea><wicri:noRegion>Wageningen</wicri:noRegion></affiliation></author><author><name sortKey="Teh, R" sort="Teh, R" uniqKey="Teh R" first="R" last="Teh">R. Teh</name><affiliation wicri:level="1"><nlm:affiliation>Department of General Practice and Primary Health Care, The University of Auckland, Auckland, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of General Practice and Primary Health Care, The University of Auckland, Auckland</wicri:regionArea><wicri:noRegion>Auckland</wicri:noRegion></affiliation></author><author><name sortKey="Peyron, M A" sort="Peyron, M A" uniqKey="Peyron M" first="M A" last="Peyron">M A Peyron</name><affiliation wicri:level="3"><nlm:affiliation>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Dardevet, D" sort="Dardevet, D" uniqKey="Dardevet D" first="D" last="Dardevet">D. Dardevet</name><affiliation wicri:level="3"><nlm:affiliation>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Papet, I" sort="Papet, I" uniqKey="Papet I" first="I" last="Papet">I. Papet</name><affiliation wicri:level="3"><nlm:affiliation>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Schindler, K" sort="Schindler, K" uniqKey="Schindler K" first="K" last="Schindler">K. Schindler</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medicine III, Medical University of Vienna, Vienna, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Medicine III, Medical University of Vienna, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Streicher, M" sort="Streicher, M" uniqKey="Streicher M" first="M" last="Streicher">M. Streicher</name><affiliation wicri:level="1"><nlm:affiliation>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg</wicri:regionArea><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion></affiliation></author><author><name sortKey="Torbahn, G" sort="Torbahn, G" uniqKey="Torbahn G" first="G" last="Torbahn">G. Torbahn</name><affiliation wicri:level="1"><nlm:affiliation>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg</wicri:regionArea><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion></affiliation></author><author><name sortKey="Kiesswetter, E" sort="Kiesswetter, E" uniqKey="Kiesswetter E" first="E" last="Kiesswetter">E. Kiesswetter</name><affiliation wicri:level="1"><nlm:affiliation>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg</wicri:regionArea><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion></affiliation></author><author><name sortKey="Visser, M" sort="Visser, M" uniqKey="Visser M" first="M" last="Visser">M. Visser</name><affiliation wicri:level="3"><nlm:affiliation>Department of Health Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Health Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Volkert, D" sort="Volkert, D" uniqKey="Volkert D" first="D" last="Volkert">D. Volkert</name><affiliation wicri:level="1"><nlm:affiliation>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg</wicri:regionArea><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion></affiliation></author><author><name sortKey="O Connor, E M" sort="O Connor, E M" uniqKey="O Connor E" first="E M" last="O'Connor">E M O'Connor</name><affiliation wicri:level="4"><nlm:affiliation>Department of Biological Sciences, University of Limerick, Limerick, Ireland; Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland. Electronic address: eibhlis.oconnor@ul.ie.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Biological Sciences, University of Limerick, Limerick, Ireland; Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork, Ireland; Health Research Institute, University of Limerick, Limerick</wicri:regionArea><orgName type="university">Université de Limerick</orgName><placeName><settlement type="city">Limerick (Irlande)</settlement><region type="région" nuts="2">Munster (Irlande)</region></placeName></affiliation></author></analytic><series><title level="j">Clinical nutrition (Edinburgh, Scotland)</title><idno type="eISSN">1532-1983</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Cognition (MeSH)</term><term>Exercise (MeSH)</term><term>Female (MeSH)</term><term>Hospitalization (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Malnutrition (epidemiology)</term><term>Malnutrition (physiopathology)</term><term>Malnutrition (psychology)</term><term>Risk Factors (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Cognition (MeSH)</term><term>Exercice physique (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Hospitalisation (MeSH)</term><term>Humains (MeSH)</term><term>Malnutrition (physiopathologie)</term><term>Malnutrition (psychologie)</term><term>Malnutrition (épidémiologie)</term><term>Mâle (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Malnutrition</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Malnutrition</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Malnutrition</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Malnutrition</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Malnutrition</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Malnutrition</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cognition</term><term>Exercise</term><term>Female</term><term>Hospitalization</term><term>Humans</term><term>Male</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Cognition</term><term>Exercice physique</term><term>Facteurs de risque</term><term>Femelle</term><term>Hospitalisation</term><term>Humains</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND & AIMS</b></p><p>Malnutrition in older adults results in significant personal, social, and economic burden. To combat this complex, multifactorial issue, evidence-based knowledge is needed on the modifiable determinants of malnutrition. Systematic reviews of prospective studies are lacking in this area; therefore, the aim of this systematic review was to investigate the modifiable determinants of malnutrition in older adults.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A systematic approach was taken to conduct this review. Eight databases were searched. Prospective cohort studies with participants of a mean age of 65 years or over were included. Studies were required to measure at least one determinant at baseline and malnutrition as outcome at follow-up. Study quality was assessed using a modified version of the Quality in Prognosis Studies (QUIPS) tool. Pooling of data in a meta-analysis was not possible therefore the findings of each study were synthesized narratively. A descriptive synthesis of studies was used to present results due the heterogeneity of population source and setting, definitions of determinants and outcomes. Consistency of findings was assessed using the schema: strong evidence, moderate evidence, low evidence, and conflicting evidence.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Twenty-three studies were included in the final review. Thirty potentially modifiable determinants across seven domains (oral, psychosocial, medication and care, health, physical function, lifestyle, eating) were included. The majority of studies had a high risk of bias and were of a low quality. There is moderate evidence that hospitalisation, eating dependency, poor self-perceived health, poor physical function and poor appetite are determinants of malnutrition. Moderate evidence suggests that chewing difficulties, mouth pain, gum issues co-morbidity, visual and hearing impairments, smoking status, alcohol consumption and physical activity levels, complaints about taste of food and specific nutrient intake are not determinants of malnutrition. There is low evidence that loss of interest in life, access to meals and wheels, and modified texture diets are determinants of malnutrition. Furthermore, there is low evidence that psychological distress, anxiety, loneliness, access to transport and wellbeing, hunger and thirst are not determinants of malnutrition. There appears to be conflicting evidence that dental status, swallowing, cognitive function, depression, residential status, medication intake and/or polypharmacy, constipation, periodontal disease are determinants of malnutrition.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>There are multiple potentially modifiable determinants of malnutrition however strong robust evidence is lacking for the majority of determinants. Better prospective cohort studies are required. With an increasingly ageing population, targeting modifiable factors will be crucial to the effective treatment and prevention of malnutrition.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30685297</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>21</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>21</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-1983</ISSN><JournalIssue CitedMedium="Internet"><Volume>38</Volume><Issue>6</Issue><PubDate><Year>2019</Year><Month>12</Month></PubDate></JournalIssue><Title>Clinical nutrition (Edinburgh, Scotland)</Title><ISOAbbreviation>Clin Nutr</ISOAbbreviation></Journal><ArticleTitle>Potentially modifiable determinants of malnutrition in older adults: A systematic review.</ArticleTitle><Pagination><MedlinePgn>2477-2498</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0261-5614(18)32575-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.clnu.2018.12.007</ELocationID><Abstract><AbstractText Label="BACKGROUND & AIMS">Malnutrition in older adults results in significant personal, social, and economic burden. To combat this complex, multifactorial issue, evidence-based knowledge is needed on the modifiable determinants of malnutrition. Systematic reviews of prospective studies are lacking in this area; therefore, the aim of this systematic review was to investigate the modifiable determinants of malnutrition in older adults.</AbstractText><AbstractText Label="METHODS">A systematic approach was taken to conduct this review. Eight databases were searched. Prospective cohort studies with participants of a mean age of 65 years or over were included. Studies were required to measure at least one determinant at baseline and malnutrition as outcome at follow-up. Study quality was assessed using a modified version of the Quality in Prognosis Studies (QUIPS) tool. Pooling of data in a meta-analysis was not possible therefore the findings of each study were synthesized narratively. A descriptive synthesis of studies was used to present results due the heterogeneity of population source and setting, definitions of determinants and outcomes. Consistency of findings was assessed using the schema: strong evidence, moderate evidence, low evidence, and conflicting evidence.</AbstractText><AbstractText Label="RESULTS">Twenty-three studies were included in the final review. Thirty potentially modifiable determinants across seven domains (oral, psychosocial, medication and care, health, physical function, lifestyle, eating) were included. The majority of studies had a high risk of bias and were of a low quality. There is moderate evidence that hospitalisation, eating dependency, poor self-perceived health, poor physical function and poor appetite are determinants of malnutrition. Moderate evidence suggests that chewing difficulties, mouth pain, gum issues co-morbidity, visual and hearing impairments, smoking status, alcohol consumption and physical activity levels, complaints about taste of food and specific nutrient intake are not determinants of malnutrition. There is low evidence that loss of interest in life, access to meals and wheels, and modified texture diets are determinants of malnutrition. Furthermore, there is low evidence that psychological distress, anxiety, loneliness, access to transport and wellbeing, hunger and thirst are not determinants of malnutrition. There appears to be conflicting evidence that dental status, swallowing, cognitive function, depression, residential status, medication intake and/or polypharmacy, constipation, periodontal disease are determinants of malnutrition.</AbstractText><AbstractText Label="CONCLUSION">There are multiple potentially modifiable determinants of malnutrition however strong robust evidence is lacking for the majority of determinants. Better prospective cohort studies are required. With an increasingly ageing population, targeting modifiable factors will be crucial to the effective treatment and prevention of malnutrition.</AbstractText><CopyrightInformation>Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>O'Keeffe</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Biological Sciences, University of Limerick, Limerick, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kelly</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Biological Sciences, University of Limerick, Limerick, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>O'Herlihy</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>School of Microbiology, University College Cork, Cork, Ireland; Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>O'Toole</LastName><ForeName>P W</ForeName><Initials>PW</Initials><AffiliationInfo><Affiliation>School of Microbiology, University College Cork, Cork, Ireland; Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kearney</LastName><ForeName>P M</ForeName><Initials>PM</Initials><AffiliationInfo><Affiliation>School of Public Health, University College Cork, Cork, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Timmons</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>O'Shea</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stanton</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hickson</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Institute of Health & Community, University of Plymouth, England, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rolland</LastName><ForeName>Y</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Gérontopôle de Toulouse, Institut du Vieillissement, Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), UMR INSERM 1027, University of ToulouseIII, Toulouse, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sulmont Rossé</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, F-21000 Dijon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Issanchou</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, F-21000 Dijon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maitre</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>GRAPPE USC 1422 INRA, Ecole supérieure d'Agricultures (ESA), Univ. Bretagne Loire, Angers, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stelmach-Mardas</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany; Poznan University of Medical Sciences, Poznan, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nagel</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Institute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Flechtner-Mors</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of Sports and Rehabilitation Medicine, Medical Center, Ulm University, Ulm, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wolters</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hebestreit</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>De Groot</LastName><ForeName>L C P G M</ForeName><Initials>LCPGM</Initials><AffiliationInfo><Affiliation>Division of Human Nutrition, Wageningen University & Research, Wageningen, the Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van de Rest</LastName><ForeName>O</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Division of Human Nutrition, Wageningen University & Research, Wageningen, the Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Teh</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of General Practice and Primary Health Care, The University of Auckland, Auckland, New Zealand.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Peyron</LastName><ForeName>M A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dardevet</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Papet</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Université Clermont Auvergne, Institut National de la Recherche Agronomique (INRA), Unité de Nutrition Humaine (UNH), Centre de Recherche en Nutrition Humaine (CRNH), Auvergne, 63000, Clermont-Ferrand, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schindler</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Medicine III, Medical University of Vienna, Vienna, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Streicher</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Torbahn</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kiesswetter</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Visser</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Health Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Volkert</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>O'Connor</LastName><ForeName>E M</ForeName><Initials>EM</Initials><AffiliationInfo><Affiliation>Department of Biological Sciences, University of Limerick, Limerick, Ireland; Alimentary Pharmabiotic Centre Microbiome Irelan, University College Cork, Cork, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland. Electronic address: eibhlis.oconnor@ul.ie.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>MaNuEL consortium</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>12</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Clin Nutr</MedlineTA><NlmUniqueID>8309603</NlmUniqueID><ISSNLinking>0261-5614</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003071" MajorTopicYN="N">Cognition</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015444" MajorTopicYN="N">Exercise</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D044342" MajorTopicYN="Y">Malnutrition</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Determinants</Keyword><Keyword MajorTopicYN="Y">Malnutrition</Keyword><Keyword MajorTopicYN="Y">Older adults</Keyword><Keyword MajorTopicYN="Y">Prospective cohort studies</Keyword><Keyword MajorTopicYN="Y">Systematic review</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>09</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2018</Year><Month>11</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>12</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>1</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>1</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30685297</ArticleId><ArticleId IdType="pii">S0261-5614(18)32575-5</ArticleId><ArticleId IdType="doi">10.1016/j.clnu.2018.12.007</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li><li>Autriche</li><li>France</li><li>Irlande (pays)</li><li>Nouvelle-Zélande</li><li>Pays-Bas</li><li>Pologne</li><li>Royaume-Uni</li></country><region><li>Auvergne (région administrative)</li><li>Auvergne-Rhône-Alpes</li><li>Bade-Wurtemberg</li><li>Bourgogne</li><li>Bourgogne-Franche-Comté</li><li>Brême (Land)</li><li>District de Tübingen</li><li>Hollande-Septentrionale</li><li>Midi-Pyrénées</li><li>Munster (Irlande)</li><li>Occitanie (région administrative)</li><li>Pays de la Loire</li><li>Vienne (Autriche)</li></region><settlement><li>Amsterdam</li><li>Angers</li><li>Brême</li><li>Clermont-Ferrand</li><li>Dijon</li><li>Limerick (Irlande)</li><li>Toulouse</li><li>Ulm</li><li>Vienne (Autriche)</li></settlement><orgName><li>Université de Limerick</li></orgName></list><tree><country name="Irlande (pays)"><region name="Munster (Irlande)"><name sortKey="O Keeffe, M" sort="O Keeffe, M" uniqKey="O Keeffe M" first="M" last="O'Keeffe">M. O'Keeffe</name></region><name sortKey="Kearney, P M" sort="Kearney, P M" uniqKey="Kearney P" first="P M" last="Kearney">P M Kearney</name><name sortKey="Kelly, M" sort="Kelly, M" uniqKey="Kelly M" first="M" last="Kelly">M. Kelly</name><name sortKey="O Connor, E M" sort="O Connor, E M" uniqKey="O Connor E" first="E M" last="O'Connor">E M O'Connor</name><name sortKey="O Herlihy, E" sort="O Herlihy, E" uniqKey="O Herlihy E" first="E" last="O'Herlihy">E. O'Herlihy</name><name sortKey="O Shea, E" sort="O Shea, E" uniqKey="O Shea E" first="E" last="O'Shea">E. O'Shea</name><name sortKey="O Toole, P W" sort="O Toole, P W" uniqKey="O Toole P" first="P W" last="O'Toole">P W O'Toole</name><name sortKey="Stanton, C" sort="Stanton, C" uniqKey="Stanton C" first="C" last="Stanton">C. Stanton</name><name sortKey="Timmons, S" sort="Timmons, S" uniqKey="Timmons S" first="S" last="Timmons">S. Timmons</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Hickson, M" sort="Hickson, M" uniqKey="Hickson M" first="M" last="Hickson">M. Hickson</name></noRegion></country><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Rolland, Y" sort="Rolland, Y" uniqKey="Rolland Y" first="Y" last="Rolland">Y. Rolland</name></region><name sortKey="Dardevet, D" sort="Dardevet, D" uniqKey="Dardevet D" first="D" last="Dardevet">D. Dardevet</name><name sortKey="Issanchou, S" sort="Issanchou, S" uniqKey="Issanchou S" first="S" last="Issanchou">S. Issanchou</name><name sortKey="Maitre, I" sort="Maitre, I" uniqKey="Maitre I" first="I" last="Maitre">I. Maitre</name><name sortKey="Papet, I" sort="Papet, I" uniqKey="Papet I" first="I" last="Papet">I. Papet</name><name sortKey="Peyron, M A" sort="Peyron, M A" uniqKey="Peyron M" first="M A" last="Peyron">M A Peyron</name><name sortKey="Sulmont Rosse, C" sort="Sulmont Rosse, C" uniqKey="Sulmont Rosse C" first="C" last="Sulmont Rossé">C. Sulmont Rossé</name></country><country name="Pologne"><noRegion><name sortKey="Stelmach Mardas, M" sort="Stelmach Mardas, M" uniqKey="Stelmach Mardas M" first="M" last="Stelmach-Mardas">M. Stelmach-Mardas</name></noRegion></country><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Nagel, G" sort="Nagel, G" uniqKey="Nagel G" first="G" last="Nagel">G. Nagel</name></region><name sortKey="Flechtner Mors, M" sort="Flechtner Mors, M" uniqKey="Flechtner Mors M" first="M" last="Flechtner-Mors">M. Flechtner-Mors</name><name sortKey="Hebestreit, A" sort="Hebestreit, A" uniqKey="Hebestreit A" first="A" last="Hebestreit">A. Hebestreit</name><name sortKey="Kiesswetter, E" sort="Kiesswetter, E" uniqKey="Kiesswetter E" first="E" last="Kiesswetter">E. Kiesswetter</name><name sortKey="Streicher, M" sort="Streicher, M" uniqKey="Streicher M" first="M" last="Streicher">M. Streicher</name><name sortKey="Torbahn, G" sort="Torbahn, G" uniqKey="Torbahn G" first="G" last="Torbahn">G. Torbahn</name><name sortKey="Volkert, D" sort="Volkert, D" uniqKey="Volkert D" first="D" last="Volkert">D. Volkert</name><name sortKey="Wolters, M" sort="Wolters, M" uniqKey="Wolters M" first="M" last="Wolters">M. Wolters</name></country><country name="Pays-Bas"><noRegion><name sortKey="De Groot, L C P G M" sort="De Groot, L C P G M" uniqKey="De Groot L" first="L C P G M" last="De Groot">L C P G M. De Groot</name></noRegion><name sortKey="Van De Rest, O" sort="Van De Rest, O" uniqKey="Van De Rest O" first="O" last="Van De Rest">O. Van De Rest</name><name sortKey="Visser, M" sort="Visser, M" uniqKey="Visser M" first="M" last="Visser">M. Visser</name></country><country name="Nouvelle-Zélande"><noRegion><name sortKey="Teh, R" sort="Teh, R" uniqKey="Teh R" first="R" last="Teh">R. Teh</name></noRegion></country><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Schindler, K" sort="Schindler, K" uniqKey="Schindler K" first="K" last="Schindler">K. Schindler</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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