{"doi":"10.1111/jgs.70042","title":"Malnutrition Mortality Among Older Adults by County and Race and/or Ethnicity in the United States, 2000–2019","abstract":"BACKGROUND: Older adults are at an increased risk of malnutrition due to chronic diseases and social vulnerabilities. This study estimates protein-energy malnutrition mortality rates among adults aged 65-74 and ≥ 75 by race and ethnic population group and county. METHODS: We analyzed death data from the National Vital Statistics System and population data from the National Center for Health Statistics from 2000 to 2019. We calculated county-level mortality rates using small-area estimation methods, adjusting for misclassifications in death certificates. The primary outcome was deaths attributed to malnutrition. The exposures were to populations (American Indian/Alaskan Native [AIAN], Asian, Black, Hispanic/Latino, and White) and the county. RESULTS: From 2000 to 2019, malnutrition mortality rates increased in individuals aged ≥ 75 from 19.5 (95% uncertainty interval [UI]: 18.8-20.1) to 49.2 (48.4-50.0) deaths per 100,000, and in those aged 65-74 from 2.2 (2.0-2.3) to 4.6 (4.4-4.7). In 2019, Black individuals had the highest national mortality rates: 60.8 (58.2-63.3) for ≥ 75 years and 7.7 (7.3-8.2) for 65-74 years. In 2019, a county in Georgia had the highest rate for White individuals aged ≥ 75 at 334.9 (236.6-464.8), and a county in Montana had the highest for AIAN individuals aged 65-74 at 34.9 (13.1-72.0). Counties in the New York metro had the lowest mortality rates across all population groups and ages. CONCLUSION: Malnutrition mortality rates have increased among older adults, varying by geography and population group, underscoring the need for targeted nutritional interventions.","journal":"Journal of the American Geriatrics Society","year":2025,"id":532913,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.6736,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":748114,"name":"Jessica Otero Machuca","orcid":"0000-0002-3466-1881","position":1,"is_corresponding":false},{"id":781394,"name":"Amanda S. Hinerman","orcid":"0000-0001-8167-2463","position":2,"is_corresponding":false},{"id":107677,"name":"Erik J. Rodriquez","orcid":"0000-0002-7456-4218","position":3,"is_corresponding":false},{"id":234911,"name":"Christian S. Álvarez","orcid":"0000-0002-5338-0444","position":4,"is_corresponding":false},{"id":22306,"name":"George A. Mensah","orcid":"0000-0002-0387-5326","position":5,"is_corresponding":false},{"id":16813,"name":"Stephanie M. George","orcid":"0000-0002-6783-139X","position":6,"is_corresponding":false},{"id":727443,"name":"Frank C. Bandiera","orcid":"0000-0003-2227-091X","position":7,"is_corresponding":false},{"id":952970,"name":"Zhuochen Li","orcid":"0000-0002-6102-110X","position":8,"is_corresponding":false},{"id":61382,"name":"Dillon O Sylte","orcid":null,"position":9,"is_corresponding":false},{"id":842935,"name":"Yekaterina O. Kelly","orcid":null,"position":10,"is_corresponding":false},{"id":1204849,"name":"Theresa A. McHugh","orcid":null,"position":11,"is_corresponding":false},{"id":252607,"name":"Mathew M Baumann","orcid":null,"position":12,"is_corresponding":false},{"id":811384,"name":"Michael Celone","orcid":"0000-0002-1963-2353","position":13,"is_corresponding":false},{"id":370960,"name":"Demewoz Haile","orcid":"0000-0003-0047-4276","position":14,"is_corresponding":false},{"id":1211289,"name":"Wichada La Motte‐Kerr","orcid":"0000-0003-0422-8400","position":15,"is_corresponding":false},{"id":1018664,"name":"Christopher Murray","orcid":"0000-0003-2574-8149","position":16,"is_corresponding":false},{"id":841685,"name":"Laura Dwyer‐Lindgren","orcid":"0000-0002-3872-6451","position":17,"is_corresponding":false},{"id":103412,"name":"Ali H. Mokdad","orcid":"0000-0002-4994-3339","position":18,"is_corresponding":false},{"id":107675,"name":"Eliseo J. Pérez‐Stable","orcid":"0000-0002-1577-2738","position":19,"is_corresponding":false},{"id":411926,"name":"Juliana Teruel Camargo","orcid":"0000-0003-0288-7744","position":0,"is_corresponding":true}],"reference_count":47,"raw_metadata":null,"created_at":"2026-07-19T02:51:27.893975Z","pmid":"40939057","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}