Short form of the mini nutritional assessment is a better proxy for nutritional status in elderly than the body mass index: cross-sectional study

Vrdoljak, Davorka; Marković, Biserka Bergman; Kranjčević, Ksenija; Vučak, Jasna; Lalić, Dragica Ivezić

doi:10.12715/har.2014.3.9

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…recommended a cut-off of <24 kg/m 2 for individuals aged >65 years old. More recently, researchers have also recommended a cut-off very similar to the current findings, <26.5 kg/m 2 [28]. It is likely the difference in recommendations relating to what BMI cut-off is the most appropriate to identify malnutrition risk in older patients has been driven by the relatively rapid population changes seen of the past two decades.…”

Section: Discussionmentioning

confidence: 52%

Evaluating the concurrent validity of body mass index (BMI) in the identification of malnutrition in older hospital inpatients

Collins

Hickling

et al. 2019

Clinical Nutrition

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Background: Nutrition screening and assessment tools often include body mass index (BMI) as a component in identifying malnutrition risk. However, rising obesity levels will impact on the relevancy and applicability of BMI cutoff points which may require re-evaluation. This study aimed to explore the relationship between commonly applied BMI cutoffs and diagnosed malnutrition. Methods: Data (age, gender, BMI and Subjective Global Assessment (SGA) ratings) were analysed for 1152 inpatients aged !65 years across annual malnutrition audits (2011e2015). The receiver operation characteristic (ROC) curve analysed the optimal BMI cutoff for malnutrition and concurrent validity of commonly applied BMI cutoffs in nutritional screening and assessment tools. Results: Malnutrition prevalence was 36.0% (n ¼ 372) using SGA criteria (not malnourished, moderate or severe malnutrition). Median age was 78.7 (IQR 72e85) years, median BMI 25.4 (IQR 21.8e29.7) kg/m 2 ; 52.1% male and 51.2% overweight/obese. ROC analysis identified an optimal BMI cutoff of <26 kg/m 2 , 80.8% sensitivity and 61.5% specificity (AUC 0.802, 95% CI 0.773, 0.830; p < 0.0001). Commonly applied BMI cutoffs (between 18.5 and 23 kg/m 2) failed to meet the alpha-priori requirement of 80% sensitivity and 60% specificity. However, BMI <23 kg/m 2 had the highest agreement (k ¼ 0.458) with malnutrition diagnosed using the SGA. Conclusions: Both malnutrition and overweight/obesity are common in older inpatients. Continuing increases in the prevalence of overweight and obesity will impact on the sensitivity of BMI as a screening component for malnutrition risk. The current study suggests tools developed over a decade ago may need to be revisited in future.

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Section: Discussionmentioning

confidence: 52%

Evaluating the concurrent validity of body mass index (BMI) in the identification of malnutrition in older hospital inpatients

Collins

Hickling

et al. 2019

Clinical Nutrition

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“…Najčešće su korišćeni Mini Nutritional Assessment (MNA) koji predstavlja zlatni standard za skrining malnutricije i revidirana, skraćena forma ovog alata -Mini-Nutritional Assessment Short-Form (MNA-SF) koja je i pored toga što je skraćena sačuvala tačnost MNA. Ovi su instrumenti korišćeni i u otkrivanju malnutricije starih u našem regionu [23,24].…”

Section: Nutritivni Status I Učestalost Malnutricijeunclassified

Nutritivni status kod starih osoba

Pavlović

Joković

Hadživuković

et al. 2017

Biomedicinska istraž.

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Kratak sadržajStarenje stanovništva, a samim tim i povećanje očekivanog trajanja života su danas globalni fenomeni. U okviru poremećaja stanja uhranjenosti kod starih posebno treba obratiti pažnju na pothranjenost, odnosno proteinsko-energetski deficit, nutritivnu anemiju i gojaznost. Nutritivnа anemija kod starih najčešće je posljedica nedostatka gvožđa, folata i vitamina B12, a često je udružena sa infekcijom ili je posljedica nekog hroničnog oboljenja. Prеvаlеncа gојаznоsti imа stаlаn porаst i prеdstаvljа znаčајаn zdrаvstvеni prоblеm u vеćini industriјаlizоvаnih zеmаljа. Proces nutritivne njege mora da bude kontinuiran, a procjena nutritivnog statusa, otkrivanje faktora rizika za malnutriciju i pravovremena primjena odgovarajućeg liječenja doprinose smanjenju morbiditeta, mortaliteta, troškova liječenja i poboljšanju kvaliteta života starih osoba.

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“…Although anthropometric parameters, such as body mass index (BMI) and circumferences, have been used widely as standard indicators of nutritional status, they often mask sarcopenia or other weight changes needed to evaluate undernutrition risk [8]. Recent studies regarded HGS as an independent predictor and the one of the earliest markers of undernutrition [9–21].…”

Section: Introductionmentioning

confidence: 99%

Handgrip Strength Cut-Off Values for the Undernutrition Risk Screening among Elderly Men and Women in Bosnia and Herzegovina

Račić

Pavlović

Ivković

2019

Journal of Aging Research

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Objectives To determine the optimal cut-off points of handgrip strength (HGS) to identify the undernutrition risk among individuals older than 65 years of age in Bosnia and Herzegovina. Design Cross-sectional study. Setting Towns of Sarajevo, Foca, Rogatica, and Pale in Bosnia and Herzegovina. Participants 300 community-dwelling older adults and 146 nursing home residents. Comprehensive Geriatric multidimensional assessment (CGA) was carried out to evaluate general health, functional, and cognitive capabilities. Nutritional status and undernutrition risk were assessed by Mini Nutritional Assessment (MNA) and Seniors in the Community: risk evaluation for eating and nutrition, version II (SCREEN II). HGS was measured with a Smedley dynamometer. Results According to the classification of nutritional status by MNA, 42% of community-dwelling men and 39% of community-dwelling women were at undernutrition risk. The undernutrition risk was significantly higher among nursing home residing men (89%) and women (78%) (p < 0.001). When nutritional status was assessed by SCREEN II, 100% on nursing home residents, 86% of community-dwelling men and 80% of women were identified as having a high risk for undernutrition. Per MNA, HGS cut-off thresholds were 23.50 kgF (65–74 years) and 19.50 kgF (≥75 years) for men; 15.50 kgF (65–74 years) and 13.50 kgF (≥75 years) for women. Per SCREEN II, cut-points were 28.50 kgF (65–74 years) and 24.50 kgF (≥75 years) for men; 24.50 kgF (65–74 years), 19.50 kgF (≥75 years for women). Conclusion HGS can be a useful instrument to identify undernutrition risk among the elderly patients. This study provides threshold for men and women older than 65 years of age in Bosnia and Herzegovina.

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Short form of the mini nutritional assessment is a better proxy for nutritional status in elderly than the body mass index: cross-sectional study

Cited by 4 publications

References 23 publications

Evaluating the concurrent validity of body mass index (BMI) in the identification of malnutrition in older hospital inpatients

Evaluating the concurrent validity of body mass index (BMI) in the identification of malnutrition in older hospital inpatients

Nutritivni status kod starih osoba

Handgrip Strength Cut-Off Values for the Undernutrition Risk Screening among Elderly Men and Women in Bosnia and Herzegovina

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