Background: Among the countless diseases that affect the world population, malnutrition has stood out in several social and demographic contexts; among them, there has been an exponential progression in elderly people, a population group that presents a strong tendency to develop depression and malnutrition. Data from the World Health Organization show that the worldwide prevalence of depressive disorders among elderly people is in the range of 10 to 20%. Similarly, the prevalence of depression, in turn, combined with chronic diseases, accounts for 50% of premature mortality.Objective: To compare the nutritional status and the level of depressive symptoms and to evaluate the correlation between both aspects in Brazilian and Portuguese elderly people assisted in Primary Health Care (PHC).Methods: A cross-sectional, comparative study with a quantitative approach conducted among PHC elderly people in Brazil and Portugal. The sociodemographic and health questionnaire, Mini-Mental State Examination (MMSE), Geriatric Depression scale (GDS-15) and Mini-Nutritional Assessment (MNA) were used.Results: We included 160 participants (110 Brazilians and 50 Portuguese) in the study. In this sample, 81.9% of participants had a risk of malnutrition or malnutrition and 45.0% of participants had mild depressive symptoms. There was a significant association and correlation in Brazil with the presence of a risk of malnutrition and mild symptoms of depression. Portugal also demonstrated a significant association, however, for the chance of not presenting alterations.Conclusion: Our research showed that the risk of malnutrition or the presence of malnutrition was associated with the presence of depressive symptoms in the studied sample. In the intergroup comparison, among Brazilians, those at risk of malnutrition were more likely to have changes associated with depression, while for participants in Portugal, the odds ratio tended to show no changes, as the majority were individuals without nutritional or depressive demands. Screening and prevention measures should be emphasized in PHC to avoid the progression of symptoms in order to refer patients with medium and high complexity since this segment of the public is susceptible to malnutrition and depression.