Groups at Highest Risk for Malnutrition in the United States

While malnutrition can affect anyone, two populations are disproportionately vulnerable in the U.S.:

1. Older adults: Reduced appetite, impaired absorption, polypharmacy, chronic diseases (dementia, cancer), social isolation, limited income/transport.
2. Children from low‑income families: Food insecurity, limited access to nutrient‑dense foods, higher rates of obesity‑malnutrition paradox.

Consequences

• Older adults: frailty, falls, poor wound healing, increased mortality.
• Children: stunted growth, cognitive deficits, immune impairment, long‑term metabolic risks.

Interventions

Screening (MUST, MNA), community meal programs (Meals on Wheels, school meals), SNAP/WIC enrollment, clinical nutrition support.