Assessing the Nutritional Status of the Elderly: The Mini Nutritional Assessment as Part of the Geriatric Evaluation

Guigoz, Y.; Vellas, Bruno; Garry, Philip J.

doi:10.1111/j.1753-4887.1996.tb03793.x

Cited by 1,125 publications

(838 citation statements)

References 31 publications

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“…The Mini Nutritional Assessment (MNA) tool was used to assess the nutritional status of our participants (20,21). The MNA tool uses a scale ranging from 0 (the worst possible nutritional status) to 30 (the best possible nutritional status).…”

Section: Procedures and Outcomes Measuresmentioning

confidence: 99%

The relationship between nutritional status, functional capacity, and health-related quality of life in older adults with type 2 diabetes: A pilot explanatory study

Alfonso-Rosa

Pozo-Cruz

et al. 2013

The Journal of nutrition, health and aging

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Abstract:Objective: To explore the relationship between nutritional status, functional capacity and healthrelated quality of life (HRQoL) in older adults with type 2 diabetes (T2DM). Design: Cross-sectional study. Setting and participants: Forty two non-insulin dependent older adults from a primary care center in Seville, Spain. Measurements: Function was assessed with a battery of standardized physical fitness tests. Nutritional status was assessed using the Mini Nutritional Assessment (MNA) and the European Quality of Life Questionnaire (EQ-5D-3L) was used to assess HRQoL. Results: There was an association between MNAnutritional status and lower body strength as assessed by the chair sit-stand test (rho= .451; p= .037) and between MNA-nutritional status and EQ-5D-3L-HRQoL (EQ-5D-3Lutility, rho= .553; p<.001 and EQ-5D-3LVAS rho= .402; p<.001). An MNA item by item correlation analysis with HRQoL and lower limb strength demonstrated that HRQoL appears to be related to functional capacity (principally lower body strength, motor agility and cardiorespiratory fitness) among participants. These results were maintained when correlations were adjusted for co-morbidity. Conclusion: Our results demonstrated that nutritional status is moderately associated with HRQoL and lower limb strength in patients with T2DM. Our data suggest that more emphasis should be placed on interventions to encourage a correct diet and stress the needed to improve lower body strength to reinforce better mobility in T2DM population

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Section: Procedures and Outcomes Measuresmentioning

confidence: 99%

The relationship between nutritional status, functional capacity, and health-related quality of life in older adults with type 2 diabetes: A pilot explanatory study

Alfonso-Rosa

Pozo-Cruz

et al. 2013

The Journal of nutrition, health and aging

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“…CRP has also been shown to be an independent prognostic indicator in colorectal carcinoma 31 . classified as normal, borderline or malnutrition in the elderly involves anthropometric measurements, overall evaluation, dietary questionnaire and subjective evaluation 32 .…”

Section: Laboratory Methodsmentioning

confidence: 99%

Reliability of nutritional assessment in patients with gastrointestinal tumors

Poziomyck

Fruchtenicht

Kabke

et al. 2016

Rev. Col. Bras. Cir.

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A B S T R A C TPatients with gastrointestinal cancer and malnutrition are less likely to tolerate major surgical procedures, radiotherapy or chemotherapy.In general, they display a higher incidence of complications such as infection, dehiscence and sepsis, which increases the length of stay and risk of death, and reduces quality of life. The aim of this review is to discuss the pros and cons of different points of view to assess nutritional risk in patients with gastrointestinal tract (GIT) tumors and their viability, considering the current understanding and screening approaches in the field. A better combination of anthropometric, laboratory and subjective evaluations is needed in patients with GIT cancer, since malnutrition in these patients is usually much more severe than in those patients with tumors at sites other than the GIT. Therefore, in the daily practice of oncology, the definition of an appreciable and simple to apply nutritional assessment tool is necessary to identify nutritional risk patients and thus determine the best approach and appropriate nutritional support 8 . The objective of this review is to present an overview of the methods and tools used to determine nutritional risk, considering the pros and cons when applied to patients with GIT cancer. METHODSWe systematically identified studies on nutritional status of patients with GIT cancer through the PubMed and MEDLINE databases. We researched articles published in the last ten years by combining the terms "nutritional assessment", "GI cancer", "gastrointestinal tract", "gastric cancer", "oesophageal cancer" and "pancreatic cancer". We considered for evaluation only complete articles with those terms in English or Portuguese. We identified additional articles from citations in the articles evaluated. RESULTS AND DISCUSSION General review of nutritional assessmentIt was in the 1950s that authors first published research related to nutritional assessment procedures. Subjective methodsIn 1980, Detsky et al. described the Subjective Global Assessment (SGA) used to assess preoperative patients with GIT tumors (n = 202) undergoing major surgical procedures; They have shown that SGA could be easily applied and considered it a valid and reliable method to estimate the surgical patients' nutritional status 12 .Other authors have published several articles supporting the SGA in determining nutritional status, which differed from other methods in considering not only changes in body composition, but also functional changes. In addition, SGA is a simple, inexpensive, non-invasive method and can be performed at bedside.Correct guidance on the SGA application is essential, since its accuracy depends on the observer's ability to detect subjectively significant nutritional changes 8,13,14 .Subsequently, the SGA has undergone modi- Wu et al. had higher incidence of complications and longer hospital stay the worse the level of SGA in patients undergoing major procedures for GIT cancer (mainly gastric) 18 . These results were also supported by our series o...

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“…The MNA test includes four types of questions: those dealing with anthropometric measurements (4), dietary questionnaire (6), global assessment (6) and subjective questions (2). The MNA total score (maximum 30) 4 distinguishes between elders with adequate nutritional status, those at risk of undernutrition and those exhibiting undernutrition (Guigoz et al, 1996).…”

Section: Introductionmentioning

confidence: 99%

“…The MNA test is composed of four subgroups: anthropometric measurements (four questions about weight, height and body circumferences, with a maximum score of eight points), dietary questionnaire (six questions related to number of meals, kind of foods, fluid intake and autonomy of feeding, with a maximum score of nine points), global assessment (six questions according to lifestyle, medication and mobility, with a maximum score of nine points) and subjective assessment (self-perception of health and nutrition, with a maximum score of four points) (Guigoz et al, 1996;Guigoz and Vellas, 1997). The MNA total score distinguishes between elders with adequate nutritional status (score ≥ 24), risk of undernutrition (17 < score < 24) and undernutrition (score < 17) as described elsewhere .…”

mentioning

confidence: 99%

Impact of global and subjective mini nutritional assessment (MNA) questions on the evaluation of the nutritional status: The role of gender and age

Cuervo

Ansorena

Martínez‐González

et al. 2009

Archives of Gerontology and Geriatrics

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Undernutrition is a quite common condition in the elderly, often identified using the mini nutritional assessment (MNA) test. The aim of this research was to study the independent value of the global and the subjective MNA questions to predict the undernutrition according to the full MNA score, and to analyze the influence of gender and age on such items. A total of 22,007 Spanish people 65 years of age or older were evaluated using the MNA test. These data were obtained by trained community pharmacists by using receiver Operating Characteristic (ROC) curves. About 4.3% of the studied population were classified as undernourished according to the full MNA test. The subjective subscore (two questions) presented better predictive value than the global one (six questions). Indeed, 99.5% of subjects detected as well nourished using the MNA test were also correctly classified using the two subjective questions. In the present study, it was identified that the two subjective MNA questions can be an efficient tool for a quick screening to rule out non undernourished subjects.

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Assessing the Nutritional Status of the Elderly: The Mini Nutritional Assessment as Part of the Geriatric Evaluation

Cited by 1,125 publications

References 31 publications

The relationship between nutritional status, functional capacity, and health-related quality of life in older adults with type 2 diabetes: A pilot explanatory study

The relationship between nutritional status, functional capacity, and health-related quality of life in older adults with type 2 diabetes: A pilot explanatory study

Reliability of nutritional assessment in patients with gastrointestinal tumors

Impact of global and subjective mini nutritional assessment (MNA) questions on the evaluation of the nutritional status: The role of gender and age

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