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Background: Malnutrition is a state of deficiency, imbalance or excess of energy, protein and other nutrients with adverse clinical outcomes 1 . Malnutrition, low body mass index (BMI) and unintentional weight loss are risk factors for mortality and have a negative influence on the functional status and psychosocial well-being of the elderly population 2 . The research of Otero et al. proved a relation between malnutrition and mortality among the elderly and clarifies the crucial need to pay more attention to this population and intervene whenever necessary 3 . Residing in nursing homes increases the risk of malnutrition due to a variety of factors including sensory loss, chewing and swallowing problems, a decrease in or loss of appetite, mobility restrictions, cognitive impairment, depressed mood and acute or chronic diseases demanding the use of multiple medications 4 . Environmental factors affect food intake and should be considered in nutritional evaluation. The food preferences, food consistency, food temperature, and availability of snacks should be addressed. Provision of pleasant, well-lighted, unhurried mealtimes in a social environment is associated with enhanced food intake 5 .

Food System as a Crucial Factor Defining Nutritional Status of Nursing Home Female Residents