Background Poor appetite is a common problem among older people; it is known to contribute to weight loss,
nutritional deficiencies, and increased mortality, which can affect their community participation and psychological
status. In this study, we aimed to identify the relationship between community participation, nutritional appetite,
and psychological distress among comorbid older people. This cross-sectional study included 300 elderly people,
of whom 100 participated in geriatric clubs and 200 did not. Older people assessment sheet, the Australian Community
Participation Questionnaire, the Council on Nutrition Appetite Questionnaire, and Kessler Psychological Distress
Scale were used.
Results Majority of geriatric club members had high community participation, while half of the older people who
were not members of the club had moderate community participation levels. Approximately 41.0% of the participants
at geriatric clubs had no risk at this time for a nutritional decline, while less than three-quarters of those who are
not geriatric club members need frequent appetite reassessment. A correlation was observed between community
participation with appetite and psychological distress in those who attended geriatric clubs. Those who are not geriatric
club members had correlation between appetite with community participation and psychological distress
(P ≤ 0.001).
Conclusions Good appetite and psychological status are positively impacted by engaging in social activities
among older people. Findings suggest that community programs, such as Meal on Wheels programs, and shared
group activities can improve appetite and social interaction among older people.

CONCLUSIONS: Egyptian Nurses in ICUs showed high internal work motivation, quality of work performance, job satisfaction, and high absenteeism rate. To motivate nurses and reduce the absenteeism rate, nurses should receive from their workplaces the opportunities to develop themselves in the career.