Prospective Validation of the Modified Mini Nutritional Assessment Short-Forms in the Community, Nursing Home, and Rehabilitation Setting

• Autores: Matthias J. Kaiser, Juergen M. Bauer, Wolfgang Uter, Lorenzo M. Donini, Inken Stange, Dorothee Volkert, Rebecca Diekmann, Michael Drey, Julia Bollwein, Settimio Tempera, Alessandro Guerra, L. M. Ricciardi, Cornel C. Sieber
• Localización: Journal of the American Geriatrics Society, ISSN 0002-8614, Vol. 59, Nº. 11, 2011, págs. 2124-2128
• Idioma: inglés
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• Dialnet Métricas: 1 Cita
• Resumen

  • Objectives: To validate the modified Mini Nutritional Assessment (MNA) short-forms (MNA-SFs) with respect to agreement with full MNA classification in the target populations of the MNA.

    Design: Prospective analysis.

    Setting: Community, nursing home, rehabilitation.

    Participants: Six hundred fifty-seven individuals aged 65 and older (75.3% female; mean age 82.3 ± 7.4).

    Measurements: Classification agreement between full MNA score and MNA-SF scores.

    Results: Agreement between the full MNA and classification using the MNA-SFs was 84.6% when the MNA-SF using body mass index (BMI) was applied and 81.4% when the MNA-SF using calf circumference (CC) was applied. The highest agreement of classification was found in the community setting (90.8% and 90.4%, respectively) and the lowest in the rehabilitation setting (72.4% and 71.4%, respectively). Both MNA-SFs tended to underestimate nutritional status, but that was significant only for the MNA-SF with CC.

    Conclusion: The modified MNA-SFs represent a valuable tool for rapid and reliable nutritional screening.