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The Mini Nutritional Assessment-Short Form and mortality in nursing home residents — Results from the INCUR study

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The journal of nutrition, health & aging

Abstract

Objectives

To examine whether the Mini Nutritional Assessment-Short Form (MNA-SF) score and its individual items are predictors of mortality in a nursing home population.

Design

Prospective, secondary analysis from the Incidence of pNeumonia and related ConseqUences in nursing home Residents (INCUR) study with 1-year follow-up.

Participants

A total of 773 older persons (women 74.4%) living in 13 French nursing homes.

Measurements

At baseline, nutritional status was assessed with the MNA-SF. Overall mortality rate was measured over a 12-month follow-up period after the baseline assessment visit. Cox proportional hazard models were performed to test the predictive capacity of the MNA-SF score and its single components for mortality.

Results

Mean age of participants was 86.2 (standard deviation, SD 7.5) years. Mean MNA-SF score was 9.8 (SD 2.4). Among participants, 198 (25.6%) presented a normal nutritional status (12–14 points), 454 (58.7%) were at risk of malnutrition (8–11 points), and 121 (15.7%) were malnourished. After one year of follow-up, 135 (17.5%) participants had died. Age, female gender, baseline weight, BMI and MNA-SF were significant predictors of mortality whereas no specific chronic disease was. The total MNA-SF score was a significant predictor of mortality (Hazard Ratio=0.83; 95% CI 0.75–0.91; p<0.001), even after adjustment for potential confounders. Four individual items: weight loss, decrease in food intake, recent stress and BMI were independent predictors of mortality.

Conclusion

The MNA-SF appears to be an accurate predictor of one-year mortality in nursing home residents. Thus, this tool may be regarded not only as a nutritional screening tool, but also as an instrument for identifying the most-at-risk individuals in this population.

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Authors and Affiliations

  1. Department of Internal Medicine and Geriatrics, Gérontopôle, Toulouse, France

    Matthieu Lilamand, E. Kelaiditi, L. Demougeot, Y. Rolland, B. Vellas & M. Cesari

  2. Department of Geriatrics, Bichat-Claude Bernard University Hospital, Paris, France

    Matthieu Lilamand

  3. INSERM UMR 1027, Toulouse, France

    Y. Rolland, B. Vellas & M. Cesari

  4. Institut du Vieillissement, Gérontopôle, 37 Allées Jules Guesde, 31000, Toulouse, France

    Matthieu Lilamand

Authors
  1. Matthieu Lilamand
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  2. E. Kelaiditi
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  3. L. Demougeot
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  4. Y. Rolland
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  5. B. Vellas
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  6. M. Cesari
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Correspondence to Matthieu Lilamand.

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Lilamand, M., Kelaiditi, E., Demougeot, L. et al. The Mini Nutritional Assessment-Short Form and mortality in nursing home residents — Results from the INCUR study. J Nutr Health Aging 19, 383–388 (2015). https://doi.org/10.1007/s12603-014-0533-1

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  • DOI: https://doi.org/10.1007/s12603-014-0533-1

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