Abstract
Objective
A number of other studies have been conducted to verify the Mini Nutritional Assessment (MNA) or the MNA short form (MNA-SF) as a nutritional assessment/screening tool in various clinical settings or communities. However, there are few longitudinal studies using these tools to analyze which factors affect the incidence of deteriorating nutritional status. We tried to identify the factors associated with deterioration of MNA-SF status of nursing home residents during a 2-year period.
Methods
Participants were 392 people with a mean age of 84.3 in 12 nursing homes in Japan. The factors associated with deterioration in MNA-SF categories during the study period compared to stable/improved MNA-SF categories were identified.
Results
At baseline, 19.9% of the participants were malnourished and 60.2% were at risk of malnutrition, according to the MNA-SF classification. After 2 years, 66.3% participants maintained and 6.1% participants improved their nutritional status according to the MNA-SF classification, while 27.6% showed deterioration in MNA-SF status. Stepwise logistic-regression procedure indicated that basic ADL impairment and hospitalization during the follow-up period were associated with declining MNA-SF status.
Conclusions
Poor basic ADL status and hospitalization during the follow-up period were associated with malnutrition and risk of malnutrition as assessed by MNA-SF of nursing homes residents during a 2-year period.
Similar content being viewed by others
References
Topinkova E (2008) Aging, disability and frailty. Ann Nutr Metab 52,Suppl. 1:6–11
Akner G, Cederholm T. Treatment of protein-energy malnutrition in chronic nonmalignant disorders. Am J Clin Nutri 2001;74: 6–24
Margetts BM, Thomoson RL, Elia M, Jackson AA. Prevalence of risk of undernutrition is associated with poor health status in older people in the UK. Eur J Clin Nutr 2003;57:69–74
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 485–87)
Izawa S, Kuzuya M, Okada K, Enoki H, Koike T, Kanda S, Iguchi A. The nutritional status of frail elderly with care needs according to the mini-nutritional assessment. Clin Nutr 2006;25: 962–967
Saletti A, Lindgren EY, Johansson L, Cederholm T. Nutritional status according to mini nutritional assessment in an institutionalized elderly population in Sweden. Gerontology 2000;46:139–145
Bauer JM, Kaiser MJ, Anthony P, Guigoz Y, Sieber CC. The Mini Nutritional Assessment-its history, today’s practice, and future perspectives. Nutr Clin Pract 2008;23:388–396
Kaiser MJ, Bauer JM, Ramsch 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
Kuzuya M, Kanda S, Koike T, Suzuki Y, Satake S, Iguchi A. Evaluation of Mini-Nutritional Assessment for Japanese frail elderly. Nutrition 2005;21: 498–503
Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987;40:373–383
Pauly L, Stehle P, Volkert D. Nutritional situation of elderly nursing home residents. Z Gerontol Geriatr 2007;40: 3–12
Kaiser MJ, Bauer JM, Rämsch C et al. Frequency of malnutrition in older adults: a multinational perspective using the mini nutritional assessment. J Am Geriatr Soc 2010;58:1734–1738
Stange I, Poeschl K, Stehle P et al. Screening for malnutrition in nursing home residents: comparison of different risk markers and their association to functional impairment. J Nutr Health Aging 2013;17:357–363
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 setting. J Am Geriatr Soc 2011;59:2124–2128
Vandewoude M, Van Gossum A. Nutritional screening strategy in nonagenarians: the value of the MNA-SF (mini nutritional assessment short form) in NutriAction. J Nutr Health Aging 2013;17:310–314
Formiga F, Chivite D, Solé A, Manito N, Ramon JM, Pujol R. Functional outcomes of elderly patients after the first hospital admission for decompensated heart failure (HF). A prospective study. Arch Gerontol Geriatr 2006;43:175–185
Sancarlo D, D’Onofrio G, Franceschi M et al. Validation of a Modified-Multidimensional Prognostic Index (m-MPI) including the Mini Nutritional Assessment Short-Form (MNA-SF) for the prediction of one-year mortality in hospitalized elderly patients. J Nutr Health Aging 2011;15: 169–173
Dent E, Visvanathan R, Piantadosi C, Chapman I. 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
Suominen M, Muurinen S, Routasalo P et al. Malnutrition and associated factors among aged residents in all nursing homes in Helsinki. Eur J Clin Nutr 2005;59: 578–583
Saka B, Kaya O, Ozturk GB, Erten N, Karan MA. Malnutrition in the elderly and its relationship with other geriatric syndromes. Clin Nutr 2010; 29:745–748
Oliveira MR, Fogaça KC, Leandro-Merhi VA. Nutritional status and functional capacity of hospitalized elderly. Nutr J 2009;17:54
Tully CL, Snowdon DA. Weight change and physical function in older women: findings from the Nun Study. J Am Geriatr Soc 1995;43:1394–1397
Al Snih S, Raji MA, Markides KS, Ottenbacher KJ, Goodwin JS. Weight change and lower body disability in older Mexican Americans. J Am Geriatr Soc 2005;53:1730–1737
Ritchie CS, Locher JL, Roth DL, McVie T, Sawyer P, Allman R. Unintentional weight loss predicts decline in activities of daily living function and life-space mobility over 4 years among communitydwelling older adults. J Gerontol A Biol Sci Med Sci 2008;63: 67–75
Izawa S, Enoki H, Hirakawa Y, Iwata M, Hasegawa J, Iguchi A, Kuzuya M. The longitudinal change in anthropometric measurements and the association with physical function decline in Japanese community-dwelling frail elderly. Br J Nutr 2010;103:289–294
Feldblum I, German L, Castel H et al. Characteristics of undernourished older medical patients and the identification of predictors for undernutrition status. Nutr J 2007;2:37
Nykänen I, Lönnroos E, Kautiainen H, Sulkava R, Hartikainen S. Nutritional screening in a population-based cohort of community-dwelling older people. Eur J Public Health 2013;23:405–409
Okada K, Enoki H, Izawa S, Iguchi A, Kuzuya M. Association between masticatory performance and anthropometric measurements and nutritional status in the elderly. Geriatr Gerontol Int 2010;10:56–63
Johansson L, Sidenvall B, Malmberg B, Christensson L. Who will become malnourished? A prospective study of factors associated with malnutrition in older persons living at home. J Nutr Health Aging 2009;13:855–861
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Izawa, S., Enoki, H., Hasegawa, J. et al. Factors associated with deterioration of mini nutritional assessment-short form status of nursing home residents during a 2-year period. J Nutr Health Aging 18, 372–377 (2014). https://doi.org/10.1007/s12603-013-0400-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12603-013-0400-5