The short-form mini-nutritional assessment is as effective as the full-mini nutritional assessment in predicting follow-up 4-year mortality in elderly Taiwanese
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
To compare the mortality-predictive ability of the full- and short-form (SF) Mini Nutritional Assessment (MNA).
A prospective cohort study.
2872 ≥65-year old men and women.
The study analyzed 1999 and 2003 datasets of the Taiwan Longitudinal Survey on Aging (TLSA). Subjects were graded for nutritional status with the full-MNA and MNA-SF of a Taiwanese-specific version (T2, containing calf circumference instead of BMI) at baseline (1999) and tracked their survival status for 4 years. Mortality-predictive abilities of the full-MNA and MNA-SF were compared using Cox regression analysis and Net Reclassification Improvement (NRI).
The full-MNA and MNA-SF have comparable abilities in predicting follow-up 4-year mortality risk according to the hazard ratios (all p<0.001) and Akaike information criterion (AIC). It also showed a slight improvement (not significant) if the full-MNA in a predictive model was replaced by the MNA-SF (NRI=0.09%, p=0.956).
The MNA-SF has at least comparable or even slightly better ability in predicting follow-up 4-year mortality risk of elderly Taiwanese. Results suggest that MNA-SF with calf circumference may possess some basic characteristics of a comprehensive and universal geriatric screening scale.
- Keller HH. Nutrition and health-related quality of life in frail older adults. J Nutr Health Aging. 2004; 8:245–252.
- Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med 2002; 18, 737–757. CrossRef
- Vellas B, Guigoz Y, Garry PJ et al. The mini nutritional assessment (MNA) and its use in grading the nutritional state of the elderly patients. Nutrition 1999;15:116–122. CrossRef
- Rubenstein LZ, Harker JO, Salva A et al. (2001) Screening for undernutrition in geriatric practice: developing the short-form Mini-Nutritional Assessment (MNASF). J Gerontol Series A: Med Sci 2001; 56A; M366–M372. CrossRef
- Kaiser MJ, Bauer JM, Uter W et al. Prospective validation of the modified Mini Nutritional Assessment short-forms in the community, nursing home, and rehabilitation settings. JAG 2011; 59:2124–2128. CrossRef
- Kaiser MJ, Bauer JM, Rämsch C et al. Validation of the Mini Nutritional Assessment® Short-Form (MNA-SF): A practical tool for identification of nutritional status. J Nutr, Health Aging 2009;13:782–788. CrossRef
- Tsai AC, Ku PY, Tsai JD. Population-specific anthropometric cutoff standards improve the functionality of the Mini Nutritional Assessment without BMI in institutionalized elderly in Taiwan. J Nutr Health Aging 2008;12:696–700. CrossRef
- Tsai AC, Ho CS, Chang MC. Population-specific anthropometric cut-points improve the functionality of the Mini Nutritional Assessment (MNA) in elderly Taiwanese. Asia Pacific J Clin Nutr 2007;16:656–662.
- Tsai AC, Chang TL, Wang YC et al. Population-specific short-form Mini Nutritional Assessment with BMI or calf-circumference can predict risk of malnutrition in community-living or institutionalized elderly in Taiwan. J Am Dietet Assoc. 2010;110:1328–1334. CrossRef
- Dent E, Visvanathan R, Piantadosi C et al. Nutritional screening tools as predictors of mortality, functional decline, and move to higher level care in older people: a systematic review. J Nutr Gerontol Geriatr 2012;31:97–145. CrossRef
- Dent E, Visvanathan R, Piantadosi C, et al. Use of the Mini Nutritional Assessment to detect frailty in hospitalised older people. J Nutr Health Aging 2012;16:764–767. CrossRef
- Salvi F, Giorgi R, Grilli A et al. Mini Nutritional Assessment (short form) and functional decline in older patients admitted to an acute medical ward. Aging Clin Exp Res 2008; 20:322–328. CrossRef
- Tsai AC, Chang TL, Wang YC et al. Population-specific short-form Mini Nutritional Assessment with BMI or calf-circumference can predict risk of malnutrition in community-living or institutionalized elderly in Taiwan. J Am Dietet Assoc 2010; 110:1328–1334. CrossRef
- Lee LC, Tsai AC. Mini-Nutritional Assessment predicts functional decline of elderly Taiwanese: result of a population-representative sample. Br J Nutr 2011;107:1707–1713. CrossRef
- Bureau of Health Promotion, Department of Health, Taiwan (1989) Survey of the Elderly in Taiwan. Available at: http://www.bhp.doh.gov.tw/BHPnet/Portal/Them.aspx?No=200712270002 Accessed 10 June 2011.
- Fitti JE, Kovar MG. The Supplement on Aging to the 1984 National Health Interview Survey. Vital Health Stat 1 1987:21:1–115.
- Burnham KP, Anderson DR. Model selection and multi-model inference: a practical information-theoretic approach. 2002. Springer, New York.
- Pencina MJ, D’Agostino RB Sr, D’Agostino RB Jr, et al. Evaluating the added predictive ability of a new marker: from area under the ROC curve to reclassification and beyond. Stat Med 2008; 27:157–172. CrossRef
- Guigoz Y. The Mini Nutritional Assessment (MNA) review of the literature: what does it tell us? J Nutr Health Aging 2006;10:466–485; discussion 485–487.
- Cereda E. Mini nutritional assessment. Curr Opin Clin Nutr Metab Care 2012;15:29–41. CrossRef
- Donini LM, Savina C, Rosano A et al. MNA predictive value in the follow-up geriatric patients. J Nutr Health Aging 2003;7:282–293.
- Tsai AC, Lee L-C, Wang J-Y. Complementarity of the Mini-Nutritional Assessment and Activities of Daily Living for predicting follow-up mortality risk in elderly Taiwanese. Br J Nutr 2012; doi:10.1017/S0007114512001730.
- The short-form mini-nutritional assessment is as effective as the full-mini nutritional assessment in predicting follow-up 4-year mortality in elderly Taiwanese
The journal of nutrition, health & aging
Volume 17, Issue 7 , pp 594-598
- Cover Date
- Print ISSN
- Online ISSN
- Springer Paris
- Additional Links
- Nutritional status
- Mini Nutritional Assessment
- Industry Sectors
- Author Affiliations
- 1. From the Department of Healthcare Administration, Asia University, 500 Liufeng Road, Wufeng, Taichung, 41354, Taiwan
- 2. Department of Health Services, School of Public Health, China Medical University, 91 Hsueh-Shih Road, Taichung, 40402, Taiwan