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Center for Excellence in Assisted Living

Center for Excellence in Assisted Living CEAL@UNC

Advancing the well-being of the people who live and work in assisted living through research, practice, and policy.

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Vision Impairment is a Risk Factor for Malnutrition in Older Long-Term Care Residents

Date: December 2025Topics: Medical CareType: Academic PublicationPublication: European Geriatric MedicineAuthors: Jyväkorpi, S. K., Soini, H., Pitkala, K. H., Saarela, R. K., & Muurinen, S.
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Purpose: To examine how vision is associated with nutritional status in long-term residents.

Methods: Voluntary residents of 47 assisted-living facilities and 7 nursing homes, including 2513 permanent long-term care residents (age ≥ 65 years) were examined by trained nurses about various health-related aspects. Nutritional status was assessed using the Mini Nutritional Assessment long version and vision was estimated using a question from 15D-health-related quality of life questionnaire.

Results: 18% of the participants were characterised by having vision impairment. Vision impairment was independently associated with residents’ malnutrition (OR 1.62, 95% [1.22, 2.15], p < .001). Chewing problems (OR 2.78, 95% [2.18, 3.55], p < .001) and Clinical Dementia Rating memory item (OR 2.20, 95% [1.68, 2.87], p < .001) were also associated with malnutrition.

Conclusion: Vision impairment was associated with malnutrition, problems with oral health and poorer cognition. Vision impairment should be addressed when managing nutrition in this vulnerable population.

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