Journal ArticleDOI
Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status
Matthius Kaiser,Juergen M. Bauer,C. Rämsch,Wolfgang Uter,Yves Guigoz,Tommy Cederholm,David R. Thomas,P. Anthony,Karen E Charlton,Marcello Maggio,Alan Tsai,Dominik Grathwohl,Bruno Vellas,Cornel C. Sieber +13 more
Reads0
Chats0
TLDR
The newly revised MNA-SF is a valid nutritional screening tool applicable to geriatric health care professionals with the option of using CC when BMI cannot be calculated and increases the applicability of this rapid screening tool in clinical practice through the inclusion of a “malnourished” category.Abstract:
Objective: To validate a revision of the Mini Nutritional Assessment short-form (MNA®-SF) against the full MNA, a standard tool for nutritional evaluation. Methods: A literature search identified studies that used the MNA for nutritional screening in geriatric patients. The contacted authors submitted original datasets that were merged into a single database. Various combinations of the questions on the current MNA-SF were tested using this database through combination analysis and ROC based derivation of classification thresholds. Results: Twenty-seven datasets (n=6257 participants) were initially processed from which twelve were used in the current analysis on a sample of 2032 study participants (mean age 82.3y) with complete information on all MNA items. The original MNA-SF was a combination of six questions from the full MNA. A revised MNA-SF included calf circumference (CC) substituted for BMI performed equally well. A revised three-category scoring classification for this revised MNA-SF, using BMI and/or CC, had good sensitivity compared to the full MNA. Conclusion: The newly revised MNA-SF is a valid nutritional screening tool applicable to geriatric health care professionals with the option of using CC when BMI cannot be calculated. This revised MNA-SF increases the applicability of this rapid screening tool in clinical practice through the inclusion of a "malnourished" category.read more
Citations
More filters
Journal ArticleDOI
Hospital Malnutrition: Prevalence, Identification and Impact on Patients and the Healthcare System
TL;DR: It is strongly recommended that mandatory nutrition screening be widely adopted in line with published best-practice guidelines to effectively target and reduce the incidence of hospital malnutrition.
Journal ArticleDOI
Frailty in Older Adults Undergoing Aortic Valve Replacement: The FRAILTY-AVR Study
Jonathan Afilalo,Sandra Lauck,Dae Hyun Kim,Thierry Lefèvre,Nicolo Piazza,Kevin Lachapelle,Giuseppe Martucci,Andre Lamy,Marino Labinaz,Mark D. Peterson,Rakesh C. Arora,Nicolas Noiseux,Andrew N. Rassi,Igor F. Palacios,Philippe Généreux,Brian R. Lindman,Anita W. Asgar,Caroline A. Kim,Amanda Trnkus,José A. Morais,Yves Langlois,Lawrence G. Rudski,Jean-Francois Morin,Jeffrey J. Popma,John G. Webb,Louis P. Perrault +25 more
TL;DR: A brief 4-item scale encompassing lower-extremity weakness, cognitive impairment, anemia, and hypoalbuminemia outperformed other frailty scales and is recommended for use in this setting.
Journal ArticleDOI
Calf circumference as a surrogate marker of muscle mass for diagnosing sarcopenia in Japanese men and women
Ryoko Kawakami,Ryoko Kawakami,Haruka Murakami,Kiyoshi Sanada,Noriko Tanaka,Susumu S. Sawada,Izumi Tabata,Mitsuru Higuchi,Motohiko Miyachi +8 more
TL;DR: The relationship between calf circumference and muscle mass is examined and the suitability of calf circumference as a surrogate marker of muscle mass for the diagnosis of sarcopenia among middle‐aged and older Japanese men and women is evaluated.
Journal ArticleDOI
Nutrition screening tools: Does one size fit all? A systematic review of screening tools for the hospital setting
Marian A.E. van Bokhorst-de van der Schueren,Patrícia Realino Guaitoli,Elise P. Jansma,Henrica C.W. de Vet +3 more
TL;DR: Not one single screening or assessment tool is capable of adequate nutrition screening as well as predicting poor nutrition related outcome and development of new tools seems redundant and will most probably not lead to new insights.
Journal ArticleDOI
Risk Factors for Malnutrition in Older Adults: A Systematic Review of the Literature Based on Longitudinal Data
Nádia Cristina Fávaro-Moreira,Stefanie Krausch-Hofmann,Christophe Matthys,Carine Vereecken,Erika Vanhauwaert,Anja Declercq,Geertruida E Bekkering,Joke Duyck +7 more
TL;DR: These risk factors for malnutrition in older adults may be considered by health care professionals when developing new integrated assessment instruments to identify older adults' risk of malnutrition and to support the development of preventive and treatment strategies.
References
More filters
Journal ArticleDOI
ESPEN Guidelines for Nutrition Screening 2002
TL;DR: These guidelines deliberately make reference to the year 2002 in their title to indicate that this version is based on the evidence available until 2002 and that they need to be updated and adapted to current state of knowledge in the future.
Journal ArticleDOI
Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials.
TL;DR: The screening system appears to be able to distinguish between trials with a positive effect vs no effect, and it can therefore probably also identify patients who are likely to benefit from nutritional support.
Journal ArticleDOI
Screening for Undernutrition in Geriatric Practice Developing the Short-Form Mini-Nutritional Assessment (MNA-SF)
TL;DR: The Mini-Nutritional Assessment can identify persons with undernutrition and can be used in a two-step screening process in which persons, identified as "at risk" on the MNA-SF, would receive additional assessment to confirm the diagnosis and plan interventions.
Journal Article
The Mini Nutritional Assessment (MNA) review of the literature--What does it tell us?
TL;DR: The MNA® short-form (MNA®-SF) was developed and validated to allow a 2-step screening process as mentioned in this paper, which is sensitive, specific, and accurate in identifying nutrition risk.
Journal ArticleDOI
Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment.
TL;DR: The MNA-SF is a simple, noninvasive, well-validated screening tool for malnutrition in elderly persons and is recommended for early detection of risk of malnutrition as discussed by the authors.