Validity of simplified nutritional appetite questionnaire for Turkish community-dwelling elderly and determining cut-off according to mini nutritional assessment

Akın, Sibel; Özer, Firüzan Fırat; Zararsız, Gözde Ertürk; Şafak, Elif Deni̇z; Mucuk, Salime; Göçer, Şemsinur; Mazıcıoğlu, Mumtaz M.

doi:10.1016/j.archger.2019.03.008

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…The Simplified Nutritional Appetite Questionnaire (SNAQ) and the Council on Nutrition Appetite Questionnaire (CNAQ) are self-administered questionnaires adapted from the Appetite, Hunger and Sensory Perception questionnaire (AHSP), an appetite assessment tool validated among community-dwelling older adults in the Netherlands [10]. The shorter four-item SNAQ comprising items 1, 2, 4 and 6 of the CNAQ was shown to have good reliability, sensitivity and specificity to predict malnutrition in both specialized and nonspecialized older adult populations [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]. Prior utilization of the SNAQ, cutoffs and factor analysis results have been summarized in Table 1.…”

Section: Introductionmentioning

confidence: 99%

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The Simplified Nutritional Appetite Questionnaire (SNAQ) as a Screening Tool for Risk of Malnutrition: Optimal Cutoff, Factor Structure, and Validation in Healthy Community-Dwelling Older Adults

et al. 2020

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Malnutrition is an independent marker of adverse outcomes in older adults. While the Simplified Nutritional Appetite Questionnaire (SNAQ) for anorexia has been validated as a nutritional screening tool, its optimal cutoff and validity in healthy older adults is unclear. This study aims to determine the optimal cutoff for SNAQ in healthy community-dwelling older adults, and to examine its factor structure and validity. We studied 230 community-dwelling older adults (mean age 67.2 years) who were nonfrail (defined by Fatigue, Resistance, Ambulation, Illnesses & Loss (FRAIL) criteria). When compared against the risk of malnutrition using the Mini Nutritional Assessment (MNA), the optimal cutoff for SNAQ was ≤15 (area under receiver operating characteristic (ROC) curve: 0.706, sensitivity: 69.2%, specificity: 61.3%). Using exploratory factor analysis, we found a two-factor structure (Factor 1: Appetite Perception; Factor 2: Satiety and Intake) which accounted for 61.5% variance. SNAQ showed good convergent, discriminant and concurrent validity. In logistic regression adjusted for age, gender, education and MNA, SNAQ ≤15 was significantly associated with social frailty, unlike SNAQ ≤4 (odds ratio (OR) 1.99, p = 0.025 vs. OR 1.05, p = 0.890). Our study validates a higher cutoff of ≤15 to increase sensitivity of SNAQ for anorexia detection as a marker of malnutrition risk in healthy community-dwelling older adults, and explicates a novel two-factor structure which warrants further research.

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Section: Introductionmentioning

confidence: 99%

“…Table 1. Summary of Simplified Nutritional Appetite Questionnaire (SNAQ) Studies [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]. However, gaps remain in our understanding of the diagnostic performance and optimal cutoff of SNAQ in robust older adults in the community where the prevalence of malnutrition is lower.…”

Section: Introductionmentioning

confidence: 99%

The Simplified Nutritional Appetite Questionnaire (SNAQ) as a Screening Tool for Risk of Malnutrition: Optimal Cutoff, Factor Structure, and Validation in Healthy Community-Dwelling Older Adults

et al. 2020

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“…Nutritional status was evaluated using the MNA questionnaire that was translated and validated in the Turkish language (9). MNA includes 18 items for the anthropometric measurements, dietary intake, global health assessment, and self-assessment of health and nutrition.…”

Section: Questionnaires and Scalesmentioning

confidence: 99%

Impact of quality of life on nutritional risk and malnutrition: a cross-sectional study in elderly patients

Bayrak

Özpolat

2021

Journal of Health Sciences and Medicine

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Objectives: To investigate prevalence of malnutrition and nutritional risk, related factors, and the association between nutritional status and quality of life in the elderly. Material and Method: Cross-sectional study. Participants; elderly (≥65 years) patients without severe hearing and vision impairment and dependency on a bed or wheel chair who admitted internal medicine outpatient clinics. Measurements; the mini nutritional assessment questionnaire, Charlson comorbidity index, the World Health Organization quality of life (WHOQOL-OLD) questionnaire. Intervention; none. Results: The study included 532 patients with a mean age of 70.8±5.4 years. The median Mini Nutritional Assessment score was 26, and the total prevalence of nutritional risk and malnutrition was 26.7%. There were significant differences between the nutritional groups regarding the educational, living, and marital status, smoking history, presence of any systemic disease, Charlson Comorbidity Index, and polypharmacy (p

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Harmonization and standardization of malnutrition screening for all adults – A systematic review initiated by the Norwegian Directorate of Health

Totland¹,

Krogh²,

Smedshaug³

et al. 2022

Clinical Nutrition ESPEN

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Validity of simplified nutritional appetite questionnaire for Turkish community-dwelling elderly and determining cut-off according to mini nutritional assessment

Cited by 4 publications

References 23 publications

The Simplified Nutritional Appetite Questionnaire (SNAQ) as a Screening Tool for Risk of Malnutrition: Optimal Cutoff, Factor Structure, and Validation in Healthy Community-Dwelling Older Adults

The Simplified Nutritional Appetite Questionnaire (SNAQ) as a Screening Tool for Risk of Malnutrition: Optimal Cutoff, Factor Structure, and Validation in Healthy Community-Dwelling Older Adults

Impact of quality of life on nutritional risk and malnutrition: a cross-sectional study in elderly patients

Harmonization and standardization of malnutrition screening for all adults – A systematic review initiated by the Norwegian Directorate of Health

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