The journal of nutrition, health & aging

, Volume 15, Issue 3, pp 175–180

Predicting the value of the mini nutritional assessment (MNA) as an indicator of functional ability in older Iranian adults (Kahrizak elderly study)

  • M. Mirarefin
  • Farshad Sharifi
  • H. Fakhrzadeh
  • N. Nazari
  • M. Ghaderpanahi
  • Z. Badamchizade
  • Y. Tajalizadekhoob
JNHA: Nutrition

DOI: 10.1007/s12603-011-0032-6

Cite this article as:
Mirarefin, M., Sharifi, F., Fakhrzadeh, H. et al. J Nutr Health Aging (2011) 15: 175. doi:10.1007/s12603-011-0032-6



We aimed to investigate the appropriateness of the Mini Nutritional Assessment (MNA) in predicting functional ability in older adults.


Cross-sectional study.


Participants were recruited from the Kahrizak Charity Foundation (KCF).


Nutritional and ability status were examined using the MNA and the Barthel Index (BI). Participants were divided according to MNA (≤23.5 and > 23.5).


Two hundred and thirty-five ≥ 60-year-old subjects were studied. The MNA and BI were positively correlated (r = 0.199; P = 0.001). The optimal cut-off point for BI with the highest sensitivity and specificity derived from the ROC curve was approximately 91.5 for males and 83.5 for females. The BI was significantly associated with MNA (odds ratio (OR): 1.89; 95% CI: 1.17–3.05, P = 0.009), mobility (OR: 6.39; 95% CI: 3.43–11.89, P < 0.001), consuming ≥ 2 servings of fruit and vegetables (OR: 2.27; 95% CI: 1.09–4.72, P = 0.02) and self-view of nutritional status (OR: 4.15; 95%CI: 1.26–13.63, P = 0.01). The sensitivity (62.9% in males; 68.2% in females) and specificity (51.4% in males and 52.9% in females) of these cut-off points justifies the appropriateness of the MNA for determining functional ability.


The MNA is potentially able to verify functional status among the elderly (as BI ≥ 91.5 with those of < 91.5 in males and ≥ 83.5 with those of < 83.5 in females) of KCF. It is suggested that this relationship should be further studied in a larger prospective population-based study.

Key words

Nutritional assessment functional ability older adults 



Mini Nutritional Assessment


Barthel Index


Mid Upper Arm Circumference


Body Mass Index


Kahrizak Charity Foundation


Geriatric Nutritional Risk Index


Activities of Daily Living

Copyright information

© Serdi and Springer Verlag France 2011

Authors and Affiliations

  • M. Mirarefin
    • 1
    • 2
  • Farshad Sharifi
    • 2
    • 3
    • 7
  • H. Fakhrzadeh
    • 4
  • N. Nazari
    • 5
  • M. Ghaderpanahi
    • 1
    • 2
  • Z. Badamchizade
    • 2
    • 6
  • Y. Tajalizadekhoob
    • 2
  1. 1.Master of Nutrition, Endocrinology and Metabolism Research CenterTehran University of Medical SciencesTehranIran
  2. 2.Endocrinology and Metabolism Research CenterTehran University of Medical SciencesTehranIran
  3. 3.MPH of Gerontology, Director of Research and Educational AffairsKahrizak Charity FoundationTehranIran
  4. 4.Dr Shareeati HospitalTehran University of Medical SciencesTehranIran
  5. 5.Bachelor of Nutrition, ResearcherKahrizak Charity FoundationTehranIran
  6. 6.Bachelor of Nursing, Endocrinology and Metabolism Research CenterTehran University of Medical SciencesTehranIran
  7. 7.Endocrinology & Metabolism Research CenterTehran University of Medical SciencesTehranIran

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