The journal of nutrition, health & aging

, Volume 13, Issue 10, pp 871–875 | Cite as

Clinical study of Mini-Nutritional Assessment for older Chinese inpatients

  • Z. Lei
  • D. Qingyi
  • G. Feng
  • W. Chen
  • R. Shoshana Hock
  • Wang Changli



Malnutrition is a common problem in older patients. Early detection of malnutrition is an important task in clinical practice. The MNA has become an extensively used tool to evaluate nutritional status in European countries and the United States.


We evaluated the Mini-Nutritional Assessment (MNA) test and the short-form MNA (MNA-SF) test as screening tools for malnutrition in older Chinese inpatients and focused on finding an optimal cutoff point for MNA total score and MNA-SF score.


One hundred eighty-four older Chinese inpatients were enrolled in this study from July to August 2006. Nutritional assessment included MNA, anthropometric measurements, and biochemical markers.


According to the original cutoff point of the full MNA, 19.6% of those assessed were malnourished, 53.2% were at risk of malnutrition and 27.2% were well nourished. Correlations were found between MNA, MNA-SF and body mass index, triceps skinfold thickness, serum albumin, lymphocyte count, hemoglobin, lymphocyte ratio. With the most proper cutoff point lower than 19 indicating malnutrition, when using serum albumin (<35.0 g/L) as the indicator, the sensitivity and specificity of the MNA total score were 0.6286 and 0.7466; when using BMI (<18.5 kg/m2) as the indicator, the sensitivity and specificity were 0.8636 and 0.7469. The incidence rate of malnutrition was 32.6%. The most proper cutoff point of MNA-SF was lower than 12.


The MNA and MNA-SF were useful tools to identify older Chinese inpatients with malnutrition. However, the cutoff point of the MNA should be modulated for this population.

Key words

Nutritional assessment gerontology screening 


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  1. 1.
    Corish CA & Kennedy NP. (2000) Protein-energy undernutrition in hospital inpatients. Br J Nutr 83, 575–591.CrossRefPubMedGoogle Scholar
  2. 2.
    Yu K & Chen W. (1999) The Nutritional Assessment of Surgical Elderly Inpatients. Acta Nutrimenta Sinica 21, 212–215.Google Scholar
  3. 3.
    Green SM & Watson R. (2006) Nutritional screening and assessment tools for older adults: literature review. J Adv Nurs 54, 477–490.CrossRefPubMedGoogle Scholar
  4. 4.
    Guigoz Y, Vallas BJ & Garry PJ. (1996) Assessing the nutritional status of the elderly: the Mini-Nutritional Assessment as part of the geriatric evaluation. Nutr Rev 54, 59–65.CrossRefGoogle Scholar
  5. 5.
    Charlton KE, Kolbe-Alexander TL & Nel JH. (2007) The MNA, but not the DETERMINE, screening tool is a valid indicator of nutritional status in elderly Africans. Nutrition 23,533–542CrossRefPubMedGoogle Scholar
  6. 6.
    Kabir ZN, Ferdous T, Cederholm T, Khanam MA, Streatfied K, Wahlin A. (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.CrossRefPubMedGoogle Scholar
  7. 7.
    Rubenstein LZ, Harber JO & Salva A. (2001) Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). Gerontology: Medical Sciences 56, 366–372.Google Scholar
  8. 8.
    Vellas B, Guigoz Y & Garry PJ. (1999) The mini nutritional assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 15, 116.CrossRefPubMedGoogle Scholar
  9. 9.
    Liao EY & Chao CS. (2001) Endocrinology. The People’s Health Publishing House, Beijing, 1767–1973.Google Scholar
  10. 10.
    Chen CM & Shao ZM. (1994) The status of food nutrition and health in seven provinces in China. China Statistical Publishing House, Beijing.Google Scholar
  11. 11.
    Yin QF, Chen WK & Mo ZF. (2005) Nutrition status evaluation of 280 in-patients. Modern Hospital 5, 26–27.Google Scholar
  12. 12.
    Wang L, Li YY & Jiang W. (2005) A study of nutritional assessment for the long term hospitalized elderly patients. Chinese Journal of Geriatrics 24, 589–591.Google Scholar
  13. 13.
    Sungurtekin H, Sungurtekin U, Balci C, Zencir M, Erdem E.(2004) The influence of nutritional status on complications after major intra-abdominal surgery. J Am Coll Nutr 23,227–232.PubMedGoogle Scholar
  14. 14.
    Chen CH, Schilling LS & Lyder CH. (2001) A concept analysis of malnutrition in the elderly. J Adv Nurs 36, 131–142.CrossRefPubMedGoogle Scholar
  15. 15.
    He YL, Jian ZJ & Ouyang M. (2004) Using Mini-Nutritional Assessment to Investigate the Nutritional Status of the Aged Hospitalized Patients. Chinese Journal of Clinical Nutrition 12, 93–96.Google Scholar

Copyright information

© Serdi and Springer Verlag France 2009

Authors and Affiliations

  • Z. Lei
    • 1
  • D. Qingyi
    • 2
  • G. Feng
    • 1
  • W. Chen
    • 3
  • R. Shoshana Hock
    • 4
  • Wang Changli
    • 1
  1. 1.Tianjin Lung Cancer Center, Department of Thoracic SurgeryTianjin Medical University Cancer Institute and HospitalTianjinP.R.China
  2. 2.The Xiangya Medical School of Central-South UniversityChangshaP.R.China
  3. 3.Tianjin Medical UniversityTianjinP.R.China
  4. 4.Wesleyan UniversityMiddletownUSA

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