Concerns about obesity underlie much of the current emphasis on the importance of good diet. For older people, however, insufficient protein and energy intake is the main concern. Recent guidelines and policy initiatives on treating and preventing malnutrition have been developed in Europe and the United Kingdom for older people in hospitals and institutions for long term care and in the community.1^–3

On p 1180 Nijs and colleagues report a trial of family-style meals in Dutch nursing homes, an encouraging study for all those interested in the wellbeing of our increasing population of frail older people. 4 In our recent systematic review of 55 trials evaluating protein and energy supplementation in older people at risk of malnutrition in different settings, we found modest reductions in mortality and morbidity, but only in the undernourished groups in hospital.5 The evidence …