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J Nutr Gerontol Geriatr. 2017 Oct-Dec;36(4):199-203. doi: 10.1080/21551197.2017.1401502.

Letter to the Editor: RE: Costa et al. (''Nutritional Risk is Associated with Chronic Musculoskeletal Pain in Community-Dwelling Older Persons: The PAINEL Study'').

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a Boul. de l'Université , Université de Sherbrooke , Sherbrooke , QC , Canada.
b Research Center on Aging , Sherbrooke , QC , Canada.
c PRIMUS Research Group , Sherbrooke , QC , Canada.


We read Costa and colleagues' report1 in 2016 in the Journal of Nutrition in Gerontology and Geriatrics with great interest. In this article, the authors reported a statistically significant association between chronic musculoskeletal pain and nutritional risk after controlling for age, gender, body mass index (BMI), depression (GDS, geriatric depression scale), and diabetes in a Brazilian community-dwelling older adult's population (the PAINEL study, see Table 2 in Costa et al. 1 . However, in their study, Costa and colleagues used the DETERMINE 2 Questionnaire, a questionnaire in which 3 out of the 10 questions are directly or indirectly related to pain (i.e., presence of an illness, tooth or mouth problems, and physical disability). The purpose of this letter is to discuss the potential drawbacks of including pain-related questions in nutrition risk screening tool when these tools are used to investigate the relationship between pain and nutritional risk.


Aging; nutritional risk; pain

[Indexed for MEDLINE]

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