Evaluation of the Iranian Mini Nutritional Assessment Short-Form in Community-dwelling Elderly

Mahdavi, Aida Malek; Mahdavi, Reza; Lotfipour, Mohammad; Jafarabadi, Mohammad Asghari; Faramarzi, Elnaz

doi:10.15171/hpp.2015.012

Cited by 19 publications

(30 citation statements)

References 12 publications

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“…The findings from the present study showing a substantial agreement between the MNA-SF, as operationalised in the present study, and the corresponding MNA-LF are in line with results from other studies reporting very good agreement between the MNA-SF and the MNA-LF in various different settings, including community, nursing home, hospital and rehabilitation (21,39,46) . No significant agreement was found in the present study between the MNA-SF version and the regular NRS 2002 or the NRS 2002 part 2.…”

Section: Discussionsupporting

confidence: 93%

Evaluation of the nutritional status of older hospitalised geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002)

Christner¹,

Ritt

Volkert

et al. 2016

J Human Nutrition Diet

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Section: Discussionsupporting

confidence: 93%

Evaluation of the nutritional status of older hospitalised geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002)

Christner¹,

Ritt

Volkert

et al. 2016

J Human Nutrition Diet

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“…Nutritional status of older people is an important factor and it related with quality of life among them [ 4 ]. Malnutrition is common condition in older persons and it affects almost 13–78% of the older population [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Malnutrition is common condition in older persons and it affects almost 13-78% of the older population [5,6]. Malnutrition is as an important factor for predicting morbidity and mortality among older persons [4]. Poor nutritional status in older people increases the risk of infections, disease period, poor wound healing, hospitalization rate, postoperative complications [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

A comparison of the different anthropometric indices for assessing malnutrition among older people in Turkey: a large population-based screening

Başıbüyük

Ayremlou

Saeidlou

et al. 2021

J Health Popul Nutr

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Objective Due to an increase in aging worldwide, assessment of the nutritional status of older people becomes an important matter. Malnutrition in older people increases the risk of infections, disease period and hospitalization rates. This study aimed to compare the different anthropometric indices for detecting malnutrition among older people and comparing these indices among males and females to explain the possible differences. Methods In this cross-sectional study, 2721 aged 65 years and older in Turkey were enrolled. Anthropometric measurements weight, height, hip circumference (HC), and waist circumference (WC), abdominal circumference (AC), mid-upper arm circumference (MUAC), triceps skinfold thickness (TST), calf circumference (CC)) were measured. Body mass index (BMI), abdominal volume index (AVI), body roundness index (BRI) and body adiposity index (BAI), and waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) indices were calculated using standardized formulas. The receiver operator characteristic curves (ROCs) were conducted in detecting the best anthropometric parameters. Adjusted odds ratios (OR) (stratified by sex) calculated for each anthropometric index. Results Participants with both BMI < 18.5 (1.1%) and BMI > 25 (80%) defined as the malnourished group and BMI of 18.5–24.99 (18.9%) defined as the normal group. In both sexes, the area under the curve (AUC) was > 0.7 for all anthropometric indices except WHR in females (AUC 0.66). BRI, WHR, WHtR, and AVI indices strongly predict the risk of malnutrition among both sexes. In males, the ORs were for BRI (6.83, 95% CI 5.39–8.66), WHR (6.43, 95% CI 5.9–6.9), AVI (2.02, 95% CI 1.86–2.12). In females, the ORs were for BRI (3.72, 95% CI 3.09–4.48), WtHR (2.63, 95% CI 1.3–3.5), and WHR (2.45, 95% CI 1.9–3.06). Discussion The presence of a large AUC in almost all anthropometric indices suggests that they can be used to assess the risk of malnutrition among older persons in both sexes.

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“…Recently, the MNA scale has been used as the gold standard to develop other short nutritional assessment questionnaires for free-living elderly. Malek Mahdavi et al (2015) have drawn up a scale with nine questions, all included in the MNA (clinical status, dietary assessment and self-perception of health status and nutrition together with mid-arm and calf circumference measurements without including body mass index). In Taiwan, Tsai, Chang & Wang (2013) developed new tools based on the MNA, combining some items and changing the BMI, CC and MNA cut-off points to adapt them to their population characteristics.…”

Section: Introductionmentioning

confidence: 99%

Predictive ability of the Mini Nutritional Assessment Short Form (MNA-SF) in a free-living elderly population: a cross-sectional study

Lozoya

Martínez-Alzamora

Marín

et al. 2017

PeerJ

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BackgroundVarious scales have been used to perform a quick and first level nutritional assessment, and the MNA is one of the most used and recommended by experts in the elderly in all areas. This scale has a short form, the MNA-SF, revised and validated in 2009, which has two versions: the BMI-MNA-SF contains the first six items of the full scale including Body Mass Index while the CC-MNA-SF includes Calf Circumference instead of BMI.ObjectiveTo evaluate the predictive ability for nutritional status of the two versions of the MNA-SF against the MNA in free-living elderly in the province of Valencia.MethodsCross-sectional study of 660 free-living elderly in the province of Valencia selected in 12 community centres using stratified sampling by blocks. Inclusion criteria: being aged 65 or over, living at home, having functional autonomy, residing in the province of study for more than one year, regularly attending community centres and voluntarily wanting to take part.ResultsOf the 660 subjects studied, 319 were men (48.3%) and 341 (51.7%) women with a mean age of 74.3 years (SD = 6.6). In terms of nutritional assessment, using the BMI-MNA-SF and the CC-MNA-SF we found that 26.5% and 26.2% were at risk of malnutrition and 0.9% and 1.5% were malnourished respectively. With the full MNA, 23.3% were at risk of malnutrition. Spearman’s rank correlation coefficients indicate a high association between the full MNA score and the MNA-SFs scores (BMI-MNA-SF: ρ = 0.78p < 0.001; CC-MNA-SF: ρ = 0.78p < 0.001). In addition we obtained a very high correlation between the two MNA-SFs (ρ = 0.96p < 0.001). We evaluated the agreement between the full MNA and the MNA-SFs classification in three nutritional categories (normal nutritional status, risk of malnutrition, malnutrition) with Cohen’s kappa coefficients (BMI-MNA-SF: κ = 0.54p < 0.001; CC-MNA-SF: κ = 0.52p < 0.001). These values indicate moderate agreement with the full MNA. There is very good agreement between the BMI-MNA-SF and CC-MNA-SF (κ = 0.88p < 0.001). In order to determine the ability of both MNA-SFs to identify subjects not requiring any nutritional intervention, we considered the dichotomised categorisation of the full MNA and the MNA-SFs as “normal nutritional status” vs. “malnutrition and risk of malnutrition” Areas under the ROC curves using MNA as the gold standard indicate moderately high prognostic accuracy (BMI-MNA-SF: AUC = 0.88p < 0.001; CC-MNA-SF: AUC = 0.87 p < 0.001). Both versions of the MNA-SF showed similar sensitivity, specificity and diagnostic effectiveness (BMI-MNA-SF: 73.4%, 86.6%, 83.5%; CC-MNA-SF 73.4%, 86.2%, 83.2%).ConclusionsIn its two versions the MNA-SF presents useful predictive ability against the MNA. The advantage of the CC-MNA-SF is that using it requires fewer resources and less time in primary care, although always the characteristics of the population must take into account to make the right decision based on the MNA-SF scales.

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Evaluation of the Iranian Mini Nutritional Assessment Short-Form in Community-dwelling Elderly

Abstract: Iranian MNA-SF seems to be an applicable screening tool for quick detection of malnutrition or at risk of malnutrition in community-dwelling elderly especially when BMI is unavailable.

Cited by 19 publications

References 12 publications

Evaluation of the nutritional status of older hospitalised geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002)

Evaluation of the nutritional status of older hospitalised geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002)

A comparison of the different anthropometric indices for assessing malnutrition among older people in Turkey: a large population-based screening

Predictive ability of the Mini Nutritional Assessment Short Form (MNA-SF) in a free-living elderly population: a cross-sectional study

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