naa a22 4500 510786111 CHVBK 20180411083302.0 cr unu---uuuuu 180411e20130801xx s 000 0 eng 10.1007/s12603-013-0018-7 doi (NATIONALLICENCE)springer-10.1007/s12603-013-0018-7 The mediating effects of depressive symptoms on nutritional status of older adults in long-term care facilities [Elektronische Daten] [I-chuan Li, H. Kuo, Y. Lin] Objective: To test whether depressive symptoms mediate the effects of activities of daily living (ADLs) on nutritional status of older adults living in long-term care (LTC) facilities in Taiwan. Design: A cross-sectional study. Setting: Seventy-three community-based LTC facilities in northern Taiwan. Participants: This study sampled 306 adults ranging in age from 65 to 97 years who were free of acute infection or disease and who were able to communicate. Measurements: Nutritional status was assessed by the Mini-Nutritional Assessment (MNA) scale and depressive symptoms were assessed by the short form of the Geriatric Depressive Scale (GDSSF). Results: MNA scores revealed that 65% of the subjects were at risk for malnutrition (17 to 23.5 points). In addition, depressive symptoms partially mediated the relationship between ADLs and nutritional status, with 10.7% of the effect of depressive symptoms on nutritional status going through the mediator. Conclusion: Interventions to reduce depressive symptoms among institutionalized older adults should focus on improving nutritional status rather than promoting ADLs, which are believed to be difficult to change. Serdi and Springer-Verlag France, 2013 Depressive symptoms nationallicence institutionalized older adults nationallicence mediating effect nationallicence nutritional status nationallicence Li I-chuan Institute of Clinical and Community Health Nursing, Taipei, Taiwan aut Kuo H. Institute of Clinical and Community Health Nursing, Taipei, Taiwan aut Lin Y. Institute of Clinical and Community Health Nursing, Taipei, Taiwan aut The journal of nutrition, health & aging Springer Paris 17/7(2013-08-01), 633-636 1279-7707 17:7<633 2013 17 12603 https://doi.org/10.1007/s12603-013-0018-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-013-0018-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Li I-chuan Institute of Clinical and Community Health Nursing, Taipei, Taiwan aut NATIONALLICENCE 700 1- Kuo H. Institute of Clinical and Community Health Nursing, Taipei, Taiwan aut NATIONALLICENCE 700 1- Lin Y. Institute of Clinical and Community Health Nursing, Taipei, Taiwan aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer Paris 17/7(2013-08-01), 633-636 1279-7707 17:7<633 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer