The journal of nutrition, health & aging

, Volume 15, Issue 3, pp 187–191 | Cite as

Suitability of the short-form Mini nutritional assessment in free-living elderly people in the northwest of Spain

JNHA: Nutrition

Abstract

Objective

To evaluate the Mini Nutritional Assessment (MNA) test and the short-form MNA (MNA-SF) as screening tools for malnutrition risk and malnutrition in the free-living elderly of northwestern Spain.

Design

transversal study.

Setting

free-living elderly people of northwestern Spain.

Subjects

728 participants (36.4% men and 63.6% women), the average of age for both genders was 80.7±7.4.

Results

according to MNA screening 12.5% subjects were classified as undernutrition (MNA<17) and 57.5% were at risk for undernutrition (17≤ MNA ≤23.5). Significant correlations were found between MNA-SF and the full version (r=0.916; p<0.000). The sensibility and specificity of the MNA-SF for the full MNA version were 81.4% and 92.7%, respectively. The regression analyses showed that weight loss had more influence on the MNA score, followed by the Body Mass Index (BMI), acute illness or psychological stress, mobility, self-perceived health status and neuropsychological problems.

Conclusions

These data showed a high prevalence of undernutrition risk among the free-living elderly people in northwestern Spain using the MNA test in two steps. The high sensitivity and specificity of MNA-SF might be sufficient for medical practice to identify patients at undernutrition risk or undernutrition. Generally, the full MNA confirmed the diagnosis for persons identified at risk by the MNA-SF, and planning was needed for nutritional interventions.

Keywords

Mini Nutritional Assessment (MNA) nutritional status elderly people free-living 

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References

  1. 1.
    Reynish W, Vellas BJ (2001) Nutritional assessment: a simple step forward. Age Ageing 30(2):115–116.PubMedCrossRefGoogle Scholar
  2. 2.
    Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S et al (1999) The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutr 15(2):116–122.CrossRefGoogle Scholar
  3. 3.
    Unosson M, Ek A-C, Bjurulf P, Larsson J (1991) Demographical, sociomedical and physical characteristics in relation to malnutrition in geriatric patients. J Adv Nurs 16(12):1406–1412.PubMedCrossRefGoogle Scholar
  4. 4.
    Larsson J, Unosson M, Ek AC, Nilsson L, Thorslund S, Bjurulf P (1990) Effect of dietary supplement on nutritional status and clinical outcome in 501 geriatric patients-a randomised study. Clin Nutr 9(4):179–184.PubMedCrossRefGoogle Scholar
  5. 5.
    Gómez MA, Bañuelos de Lucas C, Ribera JM, Perez F (2006) Advances in geriatric cardiology (in Spanish) Rev Esp Cardiol 59Suppl1:105–109.CrossRefGoogle Scholar
  6. 6.
    Sieber C (2006) Nutritional screening tools-How does the MNA® compare?. Proceedings of the sesión held in Chicago may 2–3, 2006 (15 years of Mini Nutritional Assessment). J Nutr Health Aging 10(6):488–494.PubMedGoogle Scholar
  7. 7.
    Casimiro C, García de Lorenzo A, Usán L, Grupo de Estudio Cooperativo Geriátrico (2001) Evaluación del riesgo nutricional en pacientes ancianos ambulatorios. Nutr Hosp 16(3):97–103.PubMedGoogle Scholar
  8. 8.
    Cuervo M, García A, Ansorena D, Sanchez-Villegas A, Martínez-González MA, Astiasarán I et al (2008) Nutritional assessment interpretation on 22007 spanish community-dwelling elders through the Mini Nutritional Assessment test. Public Health Nutr 12(1):82–90.PubMedCrossRefGoogle Scholar
  9. 9.
    Omran ML, Morley JE (2000) Assessment of protein energy malnutrition in older persons, part 1: history, examination, body composition and screening tools. Nutr 16(1):50–63.CrossRefGoogle Scholar
  10. 10.
    Guigoz Y, Vellas B, Garry PJ (1994) Mini Nutritional Assessment: A practical assessment tool for grading the nutritional state of elderly patients. Facts Res Gerontol 4Suppl2:15–59.Google Scholar
  11. 11.
    Guigoz Y, Vellas B, Garry PJ (1996) Assessing the nutritional status of the elderly: mini nutritional assessment as a part of geriatric evaluation. Nutr Rev 54(1):59–65.CrossRefGoogle Scholar
  12. 12.
    Guigoz Y, Lauque S, Vellas BJ (2002) Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatric Med 18:737–757.CrossRefGoogle Scholar
  13. 13.
    Bauer JM, Kaiser MJ, Anthony P, Guigoz Y, Sieber CC (2008) The Mini Nutritional Assessment-its history, today`s practice, and future perspectives. Nutr Clin Pract 23(4):388–396.PubMedCrossRefGoogle Scholar
  14. 14.
    Kondrup J, Allison SP, Elia M, Vellas B, Plauth M (2003) ESPEN guidelines for nutrition screening 2002. Clin Nutr 22(4):415–421.PubMedCrossRefGoogle Scholar
  15. 15.
    Guigoz Y (2006) The Mini Nutritional Assessment Review of the literature-What does it tell us?. J Nutr Health Aging 10(6):466–487.PubMedGoogle Scholar
  16. 16.
    Vellas B, Villars H, Abellan G, Soto ME, Rolland Y, Guigoz Y et al (2006) Overview of the MNA®. Its history and Challenges. J Nutr Health Aging 10(6):456–465.PubMedGoogle Scholar
  17. 17.
    Rubenstein L, Harker J, Salvá A, Guigoz Y, Vellas B (2001) Screening for undernutrition in geriatric practice: developing the Short-Form Mini Nutritional Assessment (MNA-SF). J Gerontol Med Sci 56(6):M366–M372.Google Scholar
  18. 18.
    Kaiser MJ, Bauer JM, Ramsch C, Uetr W, Guigoz Y, Cederholm D et al (2009) Validation of the Mini Nutritional Assessment Short-Form (MNA-SF): a practical tool for identification of nutrition status. J Nutr Health Aging 13(9):782–788PubMedCrossRefGoogle Scholar
  19. 19.
    Guigoz Y, Vellas B, Garry PJ (1997) The Mini Nutritional Assessment (MNA): a practical assessment tool for grading the nutritional state of elderly patients. In Vellas B, Guigoz Y, Garry PJ, Albarede JL (ed) Nutrition in the elderly the Mini Nutritional Assessment (MNA). Facts Research and Intervention in Geriatrics. Serdi Publishing Co, Paris, pp:15–60.Google Scholar
  20. 20.
    Chumlea WC, Roche AF, Steinbaugh ML (1985) Estimating stature from knee height for person 60 to 90 years of age. J Am Geriatr Soc 33:116–120.PubMedGoogle Scholar
  21. 21.
    Gomez MJ, González FM, Sánchez C (2005) Nutritional status of a hospitalised aged population (in Spanish). Nutr Hosp 20(4):286–292.Google Scholar
  22. 22.
    Ramón JM, Subirá C, Grupo Español de Investigación en Gerontología (2001) Prevalencia de malnutrición en la población anciana española. Med Clin (Barc) 117(20):766–770.Google Scholar
  23. 23.
    Tur JA, Colomer M, Monino M, Bonnin T, Llompart I, Pons A (2005) Dietary intake and nutritional risk among free-living elderly people in Palma de Mallorca. J Nutr Health Aging 9(6):390–396.PubMedGoogle Scholar
  24. 24.
    Morillas J, García-Talavera N, Martín-Pozuelo A, Reina AB, Zafrilla P (2006) Detection of hyponutrition risk in non-institutionalised elderly (in Spanish). Nutr Hosp 21(6):650–656.PubMedGoogle Scholar
  25. 25.
    Delacorte RR, Moriguti JC, Matos FD, Pfrimer K, Marchini JS, Ferriolli E (2004) Mini Nutritional Assessment score and the risk for undernutrition in free-living older persons. J Nutr Health Aging 8(6):531–534.PubMedGoogle Scholar
  26. 26.
    De Marchi RJ, Neves F, Balbinot J, Pereira DM (2008) Association between oral health status and nutritional status in south Brazilian independent-living older people. Nutr 24(6):546–553.CrossRefGoogle Scholar
  27. 27.
    Eriksson BG, Dey DK, Hessler RM, Steen G, Steen B (2005) Relationship between MNA and SF-36 in a free-living elderly population aged 70 to 75. J Nutr Health Aging 9(4):212–220.PubMedGoogle Scholar
  28. 28.
    Soini H, Routasalo P, Lagstrom H (2004) Characteristics of the Mini Nutritional Assessment in elderly home-care patients. Eur J Clin Nutr 58(1):64–70.PubMedCrossRefGoogle Scholar
  29. 29.
    Soini H, Routasalo P, Lagstrom H (2005) Nutritional status in cognitively intact older people receiving home care services. A pilot study. J Nutr Health Aging 9(4):249–253.PubMedGoogle Scholar
  30. 30.
    Tsai AC, Ho CS, Chang MC (2008) Assessing the prevalence of malnutrition with the Mini Nutritional Assessment (MNA) in a nationally representative simple of elderly taiwenese. J. Nutr. Health Aging 12(4):239–243.PubMedCrossRefGoogle Scholar
  31. 31.
    Tsai AC, Chang T-L, Chen JT, Yang T-W (2009) Population-specific modifications of the short-form Mini Nutritional Assessment and Malnutrition Universal Screening Tool for elderly Taiwanese. Int J Nurs Stud 46(8):1431–1438).PubMedCrossRefGoogle Scholar
  32. 32.
    Unanue S, Badia-Capdevila H, Rodríguez-Requejo S, Sánchez-Pérez I, Coderch-Lassaletta J (2009) Factors related to nutritional status in geriatric patients receiving institutional and home care. Rev Esp Geriatr Gerontol 44(1):38–41.CrossRefGoogle Scholar
  33. 33.
    Sandoval L, Varela L (1998) Evaluación del estado nutricional de pacientes adultos mayores ambulatorios. Rev Med Hered 9(3):104–108.Google Scholar
  34. 34.
    Inoue K, Kato M (2007) Usefulness of the Mini Nutritional Assessment (MNA) to evaluate the nutritional status of Japanese frail elderly under home care. Geriatric Gerontol Int 7:238:244.CrossRefGoogle Scholar
  35. 35.
    Ziegler F, Déchelotte P (2009) L’évaluation nutritionnelle chez le sujet âgé en 2008. Nutr Clin Metab (Paris) 23(3):124–128.Google Scholar
  36. 36.
    Kuzuya M, Kanda S, Koike T, Suzuki Y, Satake S, Iguchi A (2005) Evaluation of Mini Nutritional Assessment for frail elderly. Nutr 21(4):498–503.CrossRefGoogle Scholar
  37. 37.
    Cohendy R, Rubenstein LZ, Eledjam JJ (2001) The Mini Nutritional Assessment-Short Form for preoperative nutritional evaluation of elderly patients. Aging 13(4):293–297.PubMedGoogle Scholar
  38. 38.
    Wikby K, Ek AC, Christensson L (2008) The two-step Mini Nutritional Assessment procedure in community resident homes. J Clin Nurs 17(9):1211–1218.PubMedCrossRefGoogle Scholar
  39. 39.
    Christensson L, Unosson M, Ek AC (2002) Evaluation of nutritional assessment techniques in elderly people newly admitted municipal care. Eu J Clin Nutr 56:810–818.CrossRefGoogle Scholar
  40. 40.
    Cuervo M, Ansorena D, García A, Astiasarán I, Martínez JA (2008) Food consumption analysis in spanish elderly based upon the Mini Nutritional Assessment test. Nutr Metab 52:299–307.CrossRefGoogle Scholar

Copyright information

© Serdi and Springer Verlag France 2011

Authors and Affiliations

  1. 1.Area of Nutrition and Bromatology. Faculty of Science of OurenseUniversity of VigoAs Lagoas sn.Ourense

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