Prospective Validation of the Modified Mini Nutritional Assessment Short-Forms in the Community, Nursing Home, and Rehabilitation Setting

被引:105
作者
Kaiser, Matthias J. [1 ]
Bauer, Juergen M. [1 ]
Uter, Wolfgang [2 ]
Donini, Lorenzo M. [3 ]
Stange, Inken [1 ]
Volkert, Dorothee [1 ]
Diekmann, Rebecca [1 ]
Drey, Michael [1 ]
Bollwein, Julia [1 ]
Tempera, Settimio [4 ]
Guerra, Alessandro [4 ]
Ricciardi, Laura M. [4 ]
Sieber, Cornel C. [1 ]
机构
[1] Univ Erlangen Nurnberg, Inst Biomed Aging, Erlangen, Germany
[2] Univ Erlangen Nurnberg, Dept Med Informat Biometry & Epidemiol, Erlangen, Germany
[3] Sapienza Univ Rome, Food Sci & Nutr Unit, Med Physiopathol & Endocrinol Sect, Dept Expt Med, Rome, Italy
[4] Villa delle Querce Rehabil Inst, Rome, Italy
关键词
malnutrition; nutrition screening; older people; Mini Nutritional Assessment; SUBJECTIVE GLOBAL ASSESSMENT; MALNUTRITION; RISK;
D O I
10.1111/j.1532-5415.2011.03659.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
OBJECTIVES: To validate the modified Mini Nutritional Assessment (MNA) short-forms (MNA-SFs) with respect to agreement with full MNA classification in the target populations of the MNA. DESIGN: Prospective analysis. SETTING: Community, nursing home, rehabilitation. PARTICIPANTS: Six hundred fifty-seven individuals aged 65 and older (75.3% female; mean age 82.3 +/- 7.4). MEASUREMENTS: Classification agreement between full MNA score and MNA-SF scores. RESULTS: Agreement between the full MNA and classification using the MNA-SFs was 84.6% when the MNA-SF using body mass index (BMI) was applied and 81.4% when the MNA-SF using calf circumference (CC) was applied. The highest agreement of classification was found in the community setting (90.8% and 90.4%, respectively) and the lowest in the rehabilitation setting (72.4% and 71.4%, respectively). Both MNA-SFs tended to underestimate nutritional status, but that was significant only for the MNA-SF with CC. CONCLUSION: The modified MNA-SFs represent a valuable tool for rapid and reliable nutritional screening. J Am Geriatr Soc 59:2124-2128, 2011.
引用
收藏
页码:2124 / 2128
页数:5
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