Nutritional status according to the Mini Nutritional Assessment (MNA®) and frailty in community dwelling older persons: A close relationship

Bollwein, Julia; Volkert, Dorothee; Diekmann, Rebecca; Kaiser, Matthias J.; Uter, Wolfgang; Vidal, Karine; Sieber, Cornel; Bauer, Jüergen M.

doi:10.1007/s12603-013-0034-7

Cited by 157 publications

(108 citation statements)

References 29 publications

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“…Our result may be compared with a previous Spanish study which found a significant association between the five frailty criteria and the categories of MNA, and that the largest proportion of frail subjects were at risk of malnutrition (15) . Additionally, 90 % of malnourished elderly patients were either pre-frail or frail, and about 36 % or 57 % of the frail people were malnourished or at risk of malnutrition (14,66) . These authors also found that the prevalence of malnutrition was six times higher in frail older adults compared with robust individuals.…”

Section: Discussionmentioning

confidence: 99%

Health determinants of nutritional status in community-dwelling older population: the VERISAÚDE study

Maseda¹,

Gómez-Caamaño²,

Lorenzo-López³

et al. 2016

Public Health Nutr.

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Objective: Malnutrition is a common and relevant syndrome in elderly people due to its influence on quality of life. The main aim of the present study was to identify health determinants of malnutrition or risk of malnutrition. Design: Cross-sectional study collecting information on sociodemographic and health factors (co-morbidity, cognitive or affective problems, prescription medication use, frailty status, self-rated health) as determinants of nutritional status, assessed by the short form of the Mini Nutritional Assessment. Setting: Forty-three senior centres from Galicia (north-western Spain) participated to recruit participants. Subjects: A representative community-dwelling sample of 749 elderly people aged ≥65 years. Results: Of the total participants, 14·3 % were malnourished/at risk of malnutrition. Presence of overweight or obesity, depressive symptoms, polypharmacy (use of five or more prescription medications), presence of pre-frailty or frailty status and poor selfrated health showed the strongest relationship to malnutrition/risk of malnutrition. This model predicted 86·0 % of the cases correctly. The best determinants for women were polypharmacy and poor self-rated health, reaching 82·8 % of cases of malnourishment/risk of malnutrition predicted correctly. In men, the main determinants were overweight or obesity, depressive symptomatology and polypharmacy, with 89·8 % of cases of malnourishmen/risk of malnutrition predicted correctly. Conclusions: Screening for nutritional status and its determinant factors should be included as part of comprehensive assessments to ensure an early screening of malnutrition and to propose possible intervention strategies that would be important for both elderly people and the health-care system. Keywords Prevalence Malnutrition Malnutrition risk Mini Nutritional Assessment ElderlyMalnutrition is a frequent syndrome in the elderly. It refers to faulty or inadequate nutritional status, undernourishment characterized by insufficient dietary intake, poor appetite, muscle wasting and weight loss (1) . Malnutrition prevalence varies from 10 % to 85 % in different older age groups around the world due to the different assessment methods used (2) . A combined database (3) from all five continents including 4507 people reported a mean prevalence of 22·8 %, with considerable differences among settings (rehabilitation, 50·5 %; hospital, 38·7 %; nursing home, 13·8 %; community, 5·8 %). In this combined database, the 'at risk' group had a mean prevalence of 46·2 %. In Spain, a prevalence of malnutrition among the elderly living at home of 12·5 % was reported and 57·5 % for those who were at risk (4) .Nutritional status or nutritional risk screening should be incorporated in comprehensive assessments of the elderly population (5) . Age-associated physiological and psychological alterations, functional or cognitive impairment and socio-economic aspects are considered among the main determinants of malnutrition (6) , being associated with multiple risk factors (7)(8)(9) : ...

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Section: Discussionmentioning

confidence: 99%

Health determinants of nutritional status in community-dwelling older population: the VERISAÚDE study

Maseda¹,

Gómez-Caamaño²,

Lorenzo-López³

et al. 2016

Public Health Nutr.

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“…The MiniNutritional Assessment MNA) and its short form have been well validated for use in older populations to identify those at risk (44)(45)(46)(47)(48)(49). However, it needs to be recognized that the MNA also is likely to identify persons at risk for frailty (50). Other screening tools that are commonly used are the Nutrition Risk Screening 2002 and the Malnutrition Universal Screening Tool (MUST) (51,52).…”

Section: Figure 2 Mechanisms By Which Dysphagia Causes Undernutritionmentioning

confidence: 99%

Defining Undernutrition (Malnutrition) in Older Persons

Morley

2018

The Journal of nutrition, health and aging

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“…However, it should be recognized that all frail persons are not malnourished (41)(42)(43)(44). When frailty and malnutrition co-exist they are highly predictive of mortality in functionally impaired persons (45).…”

mentioning

confidence: 99%

“…There is evidence that diet quality in later life may influence the development of frailty (49)(50)(51)(52). Adherence to the Mediterranean diet appears to be particularly protective against developing frailty (53)(54)(55)(56).…”

mentioning

confidence: 99%

Weight loss is a major cause of frailty

Fougère

Morley

2017

The Journal of nutrition, health and aging

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Nutritional status according to the Mini Nutritional Assessment (MNA®) and frailty in community dwelling older persons: A close relationship

Abstract: These results underline the close association between frailty syndrome and nutritional status in older persons. A profound understanding of the interdependency of these two geriatric concepts will represent the basis for successful treatment strategies.

Cited by 157 publications

References 29 publications

Health determinants of nutritional status in community-dwelling older population: the VERISAÚDE study

Health determinants of nutritional status in community-dwelling older population: the VERISAÚDE study

Defining Undernutrition (Malnutrition) in Older Persons

Weight loss is a major cause of frailty

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