Figure - PMC

Skip to main content

An official website of the United States government

Here's how you know

Here's how you know

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

View full-text article in PMC

. 2019 Jun 21;5:2333721419858438. doi: 10.1177/2333721419858438

Search in PMC
Search in PubMed
View in NLM Catalog
Add to search

© The Author(s) 2019

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

PMC Copyright notice

Figure 2. — DoMAP model.

All factors—independent of the level—are regarded as (potential) “determinants” of MN meaning that they may contribute to the development of MN in a causative manner. The levels illustrate different modes of action: Level 1 (dark green): Central etiologic mechanisms; Level 2 (light green): Factors in this level directly lead to one of the three mechanisms in Level 1 (e.g., swallowing problems may directly cause low intake); Level 3 (yellow): Factors in this level may indirectly lead to one (or more) of the three central mechanisms through one (or more) of the direct factors in the light green triangle (e.g., stroke may cause low intake via dysphagia or difficulties with eating); surrounding factors in red are age-related changes and general aspects which also contribute to the development of MN, but act even more indirectly or subtle. DoMAP = Determinants of Malnutrition in Aged Persons; MN = malnutrition.