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Nutritional and functional status in geriatric day hospital patients–MNA short form versus full MNA

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The journal of nutrition, health & aging

Abstract

Objectives

The aims of this study were to determine the prevalence of malnutrition in patients of a geriatric day hospital using the Mini Nutritional Assessment short form (MNA-SF) and the full MNA, to compare both tools, and to examine the relationship between nutritional and functional status.

Design

Cross-sectional study.

Setting

Geriatric day hospital.

Participants

190 patients (72.1% female, median 80 years) aged 65 years or older.

Measurements

In consecutively admitted geriatric day hospital patients nutritional status was assessed by MNA-SF and full MNA, and agreement between both tools calculated by Cohen’s kappa. Basic activities of daily living (ADL), instrumental activities of daily living (IADL) and short physical performance battery (SPPB) were determined and related to MNA categories (Chi2-test, Mann-Whitney-U-test).

Results

36.3 % and 44.7% of the patients were at risk of malnutrition, 8.9 % and 5.8 % were malnourished according to MNA-SF and full MNA, respectively. Agreement between both MNA forms was moderate (?=0.531). No significant associations between MNA-SF and ADL, IADL and SPPB, and between full MNA and SPPB were observed. According to full MNA, the proportion of patients with limitations in ADL and IADL significantly increased with declining nutritional status (ADL: 2.1 vs. 8.2 vs. 18.2 %, p=0.044; IADL: 25.5 vs. 47.1 vs. 54.5 %, p=0.005) with a simultaneous decrease of the proportion of patients without limitations. Well-nourished patients reached significantly higher ADL scores than patients at risk of malnutrition (95 (-100) vs. 95 (85- 100), p=0.005) and significantly higher IADL scores than patients at risk or malnourished (8 (6-8) vs. 7 (5-8) vs. 6 (4-8), p=0.004).

Conclusion

The high prevalence of risk of malnutrition and the observed association between functional status and nutritional status according to full MNA call for routine nutritional screening using this tool in geriatric day hospital patients.

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Authors and Affiliations

  1. Institute for Biomedicine of Aging (IBA), Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany

    E. Schrader, E. Grosch, C. C. Sieber & Dorothee Volkert

  2. Institute of Clinical Chemistry, Laboratory Medicine and Transfusion Medicine, Paracelsus Medical University, General Hospital Nuremberg, Nürnberg, Germany

    T. Bertsch

  3. Department of Internal Medicine and Geriatrics, Krankenhaus Barmherzige Brüder, Regensburg, Germany

    C. C. Sieber

  4. Institut für Biomedizin des Alterns, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstraße 60, 90408, Nürnberg, Germany

    Dorothee Volkert

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  1. E. Schrader
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  2. E. Grosch
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  3. T. Bertsch
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  4. C. C. Sieber
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  5. Dorothee Volkert
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Correspondence to Dorothee Volkert.

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Schrader, E., Grosch, E., Bertsch, T. et al. Nutritional and functional status in geriatric day hospital patients–MNA short form versus full MNA. J Nutr Health Aging 20, 918–926 (2016). https://doi.org/10.1007/s12603-016-0691-4

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  • DOI: https://doi.org/10.1007/s12603-016-0691-4

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