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Validation of the mini nutritional assessment short-form (MNA-SF): A practical tool for identification of nutritional status

Journal Article


Abstract


  • Objective: To validate a revision of the Mini Nutritional Assessment short-form (MNA®-SF) against the full MNA, a standard tool for nutritional evaluation.

    Methods: A literature search identified studies that used the MNA for nutritional screening in geriatric patients. The contacted authors submitted original datasets that were merged into a single database. Various combinations of the questions on the current MNA-SF were tested using this database through combination analysis and ROC based derivation of classification thresholds.

    Results: Twenty-seven datasets (n=6257 participants) were initially processed from which twelve were used in the current analysis on a sample of 2032 study participants (mean age 82.3y) with complete information on all MNA items. The original MNA-SF was a combination of six questions from the full MNA. A revised MNA-SF included calf circumference (CC) substituted for BMI performed equally well. A revised three-category scoring classification for this revised MNA-SF, using BMI and/or CC, had good sensitivity compared to the full MNA.

    Conclusion: The newly revised MNA-SF is a valid nutritional screening tool applicable to geriatric health care professionals with the option of using CC when BMI cannot be calculated. This revised MNA-SF increases the applicability of this rapid screening tool in clinical practice through the inclusion of a “malnourished” category.

Authors


  •   Kaiser, Matthius (external author)
  •   Bauer, JM (external author)
  •   Ramsch, C (external author)
  •   Uter, W (external author)
  •   Guigoz, Yves (external author)
  •   Cederholm, Tommy (external author)
  •   Thomas, DR (external author)
  •   Anthony, Patricia (external author)
  •   Charlton, Karen E.
  •   Maggio, M (external author)
  •   Tsai, Alan (external author)
  •   Grathwohl, D (external author)
  •   Vellas, Bruno (external author)
  •   Sieber, CC (external author)

Publication Date


  • 2009

Citation


  • Kaiser, M., Bauer, J., Ramsch, C., Uter, W., Guigoz, Y., Cederholm, T., Thomas, D., Anthony, P., Charlton, K. E., Maggio, M., Tsai, A., Grathwohl, D., Vellas, B. & Sieber, C. (2009). Validation of the mini nutritional assessment short-form (MNA-SF): A practical tool for identification of nutritional status. Journal of Nutrition, Health and Aging, 13 (9), 782-788.

Scopus Eid


  • 2-s2.0-72249123203

Ro Metadata Url


  • http://ro.uow.edu.au/hbspapers/3390

Number Of Pages


  • 6

Start Page


  • 782

End Page


  • 788

Volume


  • 13

Issue


  • 9

Place Of Publication


  • http://springerlink.com/content/9621480j28535822/fulltext.pdf

Abstract


  • Objective: To validate a revision of the Mini Nutritional Assessment short-form (MNA®-SF) against the full MNA, a standard tool for nutritional evaluation.

    Methods: A literature search identified studies that used the MNA for nutritional screening in geriatric patients. The contacted authors submitted original datasets that were merged into a single database. Various combinations of the questions on the current MNA-SF were tested using this database through combination analysis and ROC based derivation of classification thresholds.

    Results: Twenty-seven datasets (n=6257 participants) were initially processed from which twelve were used in the current analysis on a sample of 2032 study participants (mean age 82.3y) with complete information on all MNA items. The original MNA-SF was a combination of six questions from the full MNA. A revised MNA-SF included calf circumference (CC) substituted for BMI performed equally well. A revised three-category scoring classification for this revised MNA-SF, using BMI and/or CC, had good sensitivity compared to the full MNA.

    Conclusion: The newly revised MNA-SF is a valid nutritional screening tool applicable to geriatric health care professionals with the option of using CC when BMI cannot be calculated. This revised MNA-SF increases the applicability of this rapid screening tool in clinical practice through the inclusion of a “malnourished” category.

Authors


  •   Kaiser, Matthius (external author)
  •   Bauer, JM (external author)
  •   Ramsch, C (external author)
  •   Uter, W (external author)
  •   Guigoz, Yves (external author)
  •   Cederholm, Tommy (external author)
  •   Thomas, DR (external author)
  •   Anthony, Patricia (external author)
  •   Charlton, Karen E.
  •   Maggio, M (external author)
  •   Tsai, Alan (external author)
  •   Grathwohl, D (external author)
  •   Vellas, Bruno (external author)
  •   Sieber, CC (external author)

Publication Date


  • 2009

Citation


  • Kaiser, M., Bauer, J., Ramsch, C., Uter, W., Guigoz, Y., Cederholm, T., Thomas, D., Anthony, P., Charlton, K. E., Maggio, M., Tsai, A., Grathwohl, D., Vellas, B. & Sieber, C. (2009). Validation of the mini nutritional assessment short-form (MNA-SF): A practical tool for identification of nutritional status. Journal of Nutrition, Health and Aging, 13 (9), 782-788.

Scopus Eid


  • 2-s2.0-72249123203

Ro Metadata Url


  • http://ro.uow.edu.au/hbspapers/3390

Number Of Pages


  • 6

Start Page


  • 782

End Page


  • 788

Volume


  • 13

Issue


  • 9

Place Of Publication


  • http://springerlink.com/content/9621480j28535822/fulltext.pdf