Skip to main content

Advertisement

Log in

Nutritional profiles of older adults according the Mini-Nutritional Assessment

  • Original Article
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

Background

Malnutrition among older adults plays an important role in clinical and functional impairment.

Aims

The aim of our study was to evaluate all parameters of Mini-Nutritional Assessment (MNA), according to the nutritional status and to define the risk factors that may cause at risk of malnutrition and malnutrition in more detail.

Methods

One thousand outpatients aged 65 years or older who underwent the Comprehensive Geriatric Assessment (CGA) were included the study.

Results

A total of 1000 patients (men vs women; 27.1% vs 72.9%), of whom the mean age was 74.30 ± 8.28, were enrolled. We found that 6.6% of patients were malnourished, 31.6% of patients were at risk of malnutrition and 61.8% of patients were well-nourished. The mean MNA score was 23.71 ± 4.19. In patients with malnourished subgroup, the parameters that cause the most loss of points were self-perception of health (87.9%), protein intake (86.4%) and taking at least 3 medications per day (77.3%). At the risk of malnutrition subgroup, protein intake (86.7%), self-perception of health (74.7%) and taking at least 3 medications per day (65.2%) were the three parameters that cause the most loss of points.

Discussion

In the at-risk and malnourished subgroups, perception of health status, protein intake and taking at least three medications per day were the same MNA parameters that cause the most loss of points, but the rates were different.

Conclusions

A nutritional intervention should be done as soon as possible in patients who are at risk of malnutrition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ahmed T, Haboubi N (2010) Assessment and management of nutrition in older people and its importance to health. Clin Interv Aging 5:207–216

    PubMed  PubMed Central  Google Scholar 

  2. Donini LM, Felice MR, De Savina C et al (2011) Predicting the outcome of long-term care by clinical and functional indices: the role of nutritional status. J Nutr Health Aging 15:586–592

    Article  CAS  Google Scholar 

  3. Pirlich M, Lochs H (2001) Nutrition in the elderly. Best Pract Res Clin Gastroenterol 15:869–884. https://doi.org/10.1053/bega.2001.0246

    Article  CAS  PubMed  Google Scholar 

  4. Muscaritoli M, Molfino A (2013) Malnutrition: the hidden killer in healthcare systems. BMJ (Clin Res ed) 346:f1547. https://doi.org/10.1136/bmj.f1547

    Article  Google Scholar 

  5. Vellas B, Guigoz Y, Garry PJ et al (1999) The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition (Burbank, Los Angeles County, Calif) 15:116–122

    Article  CAS  Google Scholar 

  6. Omran ML, Salem P (2002) Diagnosing undernutrition. Clin Geriatr Med 18:719–736

    Article  Google Scholar 

  7. Reuben DB, Greendale GA, Harrison GG (1995) Nutrition screening in older persons. J Am Geriatr Soc 43:415–425

    Article  CAS  Google Scholar 

  8. Salva A (2010) Health and nutritional promotion program for patients with dementia (Nutrialz Study): design and baseline data. J Nutr Health Aging 14:78

    Article  CAS  Google Scholar 

  9. Salva A, Coll-Planas L, Bruce S et al (2009) Nutritional assessment of residents in long-term care facilities (LTCFs): recommendations of the task force on nutrition and ageing of the IAGG European region and the IANA. J Nutr Health Aging 13:475–483

    Article  CAS  Google Scholar 

  10. Vellas B, Guigoz Y, Baumgartner M et al (2000) Relationships between nutritional markers and the mini-nutritional assessment in 155 older persons. J Am Geriatr Soc 48:1300–1309

    Article  CAS  Google Scholar 

  11. Vellas B, Villars H, Abellan G et al (2006) Overview of the MNA—its history and challenges. J Nutr Health Aging 10:456–463 (discussion 463–455)

    CAS  PubMed  Google Scholar 

  12. Guigoz Y, Vellas B, Garry PJ (1996) Assessing the nutritional status of the elderly: the Mini Nutritional Assessment as part of the geriatric evaluation. Nutr Rev 54:S59–65

    Article  CAS  Google Scholar 

  13. Bauer JM, Kaiser MJ, Anthony P et al (2008) The Mini Nutritional Assessment—its history, today's practice, and future perspectives. Nutr Clin Pract 23:388–396. https://doi.org/10.1177/0884533608321132

    Article  PubMed  Google Scholar 

  14. Volkert D, Saeglitz C, Gueldenzoph H et al (2010) Undiagnosed malnutrition and nutrition-related problems in geriatric patients. J Nutr Health Aging 14:387–392

    Article  CAS  Google Scholar 

  15. Sarikaya D, Halil M, Kuyumcu ME et al (2015) Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr 61:56–60. https://doi.org/10.1016/j.archger.2015.04.006

    Article  PubMed  Google Scholar 

  16. Granic A, Mendonca N, Hill TR et al (2018) Nutrition in the very old. Nutrients. https://doi.org/10.3390/nu10030269

    Article  PubMed  PubMed Central  Google Scholar 

  17. Saka B, Kaya O, Ozturk GB et al (2010) Malnutrition in the elderly and its relationship with other geriatric syndromes. Clin Nutr (Edinb, Scotl) 29:745–748. https://doi.org/10.1016/j.clnu.2010.04.006

    Article  Google Scholar 

  18. Gunduz E, Eskin F, Gunduz M et al (2015) Malnutrition in community-dwelling elderly in turkey: a multicenter, cross-sectional study. Med Sci Monit Int Med J Exp Clin Res 21:2750–2756. https://doi.org/10.12659/msm.893894

    Article  Google Scholar 

  19. Ulger Z, Halil M, Kalan I et al (2010) Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adults. Clin Nutr (Edinb, Scotl) 29:507–511. https://doi.org/10.1016/j.clnu.2010.01.006

    Article  Google Scholar 

  20. de Groot L, Beck AM, Schroll M et al (1998) Evaluating the DETERMINE Your Nutritional Health Checklist and the Mini Nutritional Assessment as tools to identify nutritional problems in elderly Europeans. Eur J Clin Nutr 52:877. https://doi.org/10.1038/sj.ejcn.1600658

    Article  PubMed  Google Scholar 

  21. Soini H, Routasalo P, Lagstrom H (2004) Characteristics of the Mini-Nutritional Assessment in elderly home-care patients. Eur J Clin Nutr 58:64–70. https://doi.org/10.1038/sj.ejcn.1601748

    Article  CAS  PubMed  Google Scholar 

  22. Buffa R, Floris G, Lodde M et al (2010) Nutritional status in the healthy longeval population from Sardinia (Italy). J Nutr Health Aging 14:97–102

    Article  CAS  Google Scholar 

  23. Salva A, Andrieu S, Fernandez E et al (2009) Health and nutritional promotion program for patients with dementia (NutriAlz Study): design and baseline data. J Nutr Health Aging 13:529–537

    Article  CAS  Google Scholar 

  24. Kocyigit SE, Soysal P, Ates Bulut E et al (2018) Malnutrition and malnutrition risk can be associated with systolic orthostatic hypotension in older adults. J Nutr Health Aging 22:928–933. https://doi.org/10.1007/s12603-018-1032-6

    Article  CAS  PubMed  Google Scholar 

  25. Slee A, Birch D, Stokoe D (2016) The relationship between malnutrition risk and clinical outcomes in a cohort of frail older hospital patients. Clin Nutr ESPEN 15:57–62. https://doi.org/10.1016/j.clnesp.2016.06.002

    Article  PubMed  Google Scholar 

  26. Vedantam A, Subramanian V, Rao NV et al (2010) Malnutrition in free-living elderly in rural south India: prevalence and risk factors. Public Health Nutr 13:1328–1332. https://doi.org/10.1017/s1368980009991674

    Article  PubMed  Google Scholar 

  27. Donini LM, Poggiogalle E, Molfino A et al (2016) Mini-nutritional assessment, malnutrition universal screening tool, and nutrition risk screening tool for the nutritional evaluation of older nursing home residents. J Am Med Dir Assoc 17:959.e911–958. https://doi.org/10.1016/j.jamda.2016.06.028

    Article  Google Scholar 

  28. Mowe M, Bohmer T, Kindt E (1994) Reduced nutritional status in an elderly population (%3e 70 y) is probable before disease and possibly contributes to the development of disease. Am J Clin Nutr 59:317–324. https://doi.org/10.1093/ajcn/59.2.317

    Article  CAS  PubMed  Google Scholar 

  29. Kabir ZN, Ferdous T, Cederholm T et al (2006) Mini Nutritional Assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors. Public Health Nutr 9:968–974

    Article  Google Scholar 

  30. Arslan P, Mercanligil S, Ozel H (2006) Nutritional habits and nutritional patterns of participants of the Turkish Adult Risk Factor Survey 2003–2004. Arch Turk Soc Cardiol 34:331–339

    Google Scholar 

  31. Soysal P, Isik AT, Arik F et al (2018) Validity of the Mini-Nutritional Assessment Scale for evaluating frailty status in older adults. J Am Med Dir Assoc. https://doi.org/10.1016/j.jamda.2018.07.016

    Article  PubMed  Google Scholar 

  32. Luchsinger JA, Patel B, Tang MX et al (2008) Body mass index, dementia, and mortality in the elderly. J Nutr Health Aging 12:127–131

    Article  CAS  Google Scholar 

  33. Chan M, Lim YP, Ernest A et al (2010) Nutritional assessment in an Asian nursing home and its association with mortality. J Nutr Health Aging 14:23–28

    Article  CAS  Google Scholar 

  34. Reuben DB, Moore AA, Damesyn M et al (1997) Correlates of hypoalbuminemia in community-dwelling older persons. Am J Clin Nutr 66:38–45. https://doi.org/10.1093/ajcn/66.1.38

    Article  CAS  PubMed  Google Scholar 

Download references

Funding

None of the authors received any funding for this work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pinar Soysal.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The study design and all procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (Ethics Committee of Erciyes University Health Application and Research Center Hospital - 2017/405) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Human and animal rights disclosure

This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kalan, U., Arik, F., Isik, A.T. et al. Nutritional profiles of older adults according the Mini-Nutritional Assessment. Aging Clin Exp Res 32, 673–680 (2020). https://doi.org/10.1007/s40520-019-01235-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40520-019-01235-1

Keywords

Navigation