| Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). | |
| | |
MedLine Citation:
|
PMID: 11382797 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The Mini-Nutritional Assessment (MNA) is a validated assessment instrument for nutritional problems, but its length limits its usefulness for screening. We sought to develop a screening version of this instrument, the MNA-SF, that retains good diagnostic accuracy. METHODS: We reanalyzed data from France that were used to develop the original MNA and combined these with data collected in Spain and New MEXICO: Of the 881 subjects with complete MNA data, 151 were from France, 400 were from Spain, and 330 were from New MEXICO: Independent ratings of clinical nutritional status were available for 142 of the French subjects. Overall, 73.8% were community dwelling, and mean age was 76.4 years. Items were chosen for the MNA-SF on the basis of item correlation with the total MNA score and with clinical nutritional status, internal consistency, reliability, completeness, and ease of administration. RESULTS: After testing multiple versions, we identified an optimal six-item MNA-SF total score ranging from 0 to 14. The cut-point score for MNA-SF was calculated using clinical nutritional status as the gold standard (n = 142) and using the total MNA score (n = 881). The MNA-SF was strongly correlated with the total MNA score (r = .945). Using an MNA-SF score of > or = 11 as normal, sensitivity was 97.9%, specificity was 100%, and diagnostic accuracy was 98.7% for predicting undernutrition. CONCLUSIONS: The MNA-SF 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. |
| | |
Authors:
|
L Z Rubenstein; J O Harker; A Salvà; Y Guigoz; B Vellas |
Related Documents
:
|
12100817 - Vulvar disease. 22313707 - Implementation of effective alcohol control strategies is needed at large sports and en... 21605227 - Exposure therapy for problem gambling in rural communities: a program model and early o... 6667187 - Ds and cs: do's and don'ts. 7354627 - An analysis of connected speech samples of aphasic and normal speakers. 8712187 - An ecological assessment of community-based interventions for prevention and health pro... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
|
Title: The journals of gerontology. Series A, Biological sciences and medical sciences Volume: 56 ISSN: 1079-5006 ISO Abbreviation: J. Gerontol. A Biol. Sci. Med. Sci. Publication Date: 2001 Jun |
Date Detail:
|
Created Date: 2001-05-30 Completed Date: 2001-06-28 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 9502837 Medline TA: J Gerontol A Biol Sci Med Sci Country: United States |
Other Details:
|
Languages: eng Pagination: M366-72 Citation Subset: AIM; IM |
Affiliation:
|
University of California at Los Angeles School of Medicine. lzrubens@ucla.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Discriminant Analysis Female Geriatrics / methods* Humans Male Mass Screening* Nutrition Assessment* Nutrition Disorders / diagnosis* Professional Practice* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Reasons prompting digitalis therapy in the acute care hospital.
Next Document: The recommended dietary allowance for protein may not be adequate for older people to maintain skele...