JNHA - The Journal of Nutrition, Health and Aging

, 13:782

Validation of the Mini Nutritional Assessment short-form (MNA®-SF): A practical tool for identification of nutritional status

Authors

  • M. J. Kaiser
    • Institute for the Biomedicine of AgingFriedrich-Alexander University Erlangen-Nürnberg
  • J. M. Bauer
    • Institute for the Biomedicine of AgingFriedrich-Alexander University Erlangen-Nürnberg
  • C. Ramsch
    • Department of Medical Informatics, Biometry and EpidemiologyFriedrich-Alexander University Erlangen-Nürnberg
  • W. Uter
    • Department of Medical Informatics, Biometry and EpidemiologyFriedrich-Alexander University Erlangen-Nürnberg
  • Y. Guigoz
    • Nestlé Nutrition/HealthCare Nutrition
  • T. Cederholm
    • Clinical Nutrition and Metabolism, Department of Public Health and Caring SciencesUppsala University
  • D. R. Thomas
    • Division of Geriatric MedicineSaint Louis University Health Sciences Center
  • P. Anthony
    • Nestlé Nutrition/HealthCare Nutrition
  • K. E. Charlton
    • School of Health Sciences, Faculty of Health and Behavioural SciencesUniversity of Wollongong
  • M. Maggio
    • Department of Internal Medicine and Biomedical Sciences, Section of GeriatricsUniversity Hospital of Parma
  • A. C. Tsai
    • Graduate Institute of Long-Term Care, Department of Healthcare AdministrationAsia University
  • D. Grathwohl
    • Nestlé Research Center, Vers-chez-les-Blancs
  • B. Vellas
    • Department of Geriatrics, INSERM U 558Toulouse University Hospital Center
  • C. C. Sieber
    • Institute for the Biomedicine of AgingFriedrich-Alexander University Erlangen-Nürnberg
  • MNA-International Group
Validation of the Mini Nutritional Assessment® Short-Form (MNA-SF)

DOI: 10.1007/s12603-009-0214-7

Cite this article as:
Kaiser, M.J., Bauer, J.M., Ramsch, C. et al. J Nutr Health Aging (2009) 13: 782. doi:10.1007/s12603-009-0214-7

Abstract

Objective

To validate a revision of the Mini Nutritional Assessment short-form (MNA®-SF) against the full MNA, a standard tool for nutritional evaluation.

Methods

A literature search identified studies that used the MNA for nutritional screening in geriatric patients. The contacted authors submitted original datasets that were merged into a single database. Various combinations of the questions on the current MNA-SF were tested using this database through combination analysis and ROC based derivation of classification thresholds.

Results

Twenty-seven datasets (n=6257 participants) were initially processed from which twelve were used in the current analysis on a sample of 2032 study participants (mean age 82.3y) with complete information on all MNA items. The original MNA-SF was a combination of six questions from the full MNA. A revised MNA-SF included calf circumference (CC) substituted for BMI performed equally well. A revised three-category scoring classification for this revised MNA-SF, using BMI and/or CC, had good sensitivity compared to the full MNA.

Conclusion

The newly revised MNA-SF is a valid nutritional screening tool applicable to geriatric health care professionals with the option of using CC when BMI cannot be calculated. This revised MNA-SF increases the applicability of this rapid screening tool in clinical practice through the inclusion of a “malnourished” category.

Key words

Mini Nutritional Assessmentshort-formweightbody mass indexcalf circumferenceelderly

Copyright information

© Serdi and Springer Verlag France 2009