OBJECTIVES: To evaluate the utility of the Mini-Nutritional Assessment (MNA) in assessing nutritional, physical and psychosocial functions in community-living elderly individuals. DESIGN: A cross-sectional study of elderly individuals investigated in August 2007 and August-September 2008. Nutritional status was assessed using serum biomarkers, anthropometric measurements and the MNA. Physical function was assessed by measuring grip strength and both usual and maximum walking speeds. The Geriatric Depression Scale (GDS) was used to measure the individual's depressive state. SETTING: Elder-care facilities in Tokyo, Japan. SUBJECTS: Community-living elderly individuals aged ≥65 years (n 130). RESULTS: The MNA evaluation classified twenty-seven (20·8 %) individuals as being at risk for malnutrition (MNA score ≤23·5); these at-risk individuals included a high proportion of the elderly aged ≥75 years. MNA scores correlated with nutritional biomarkers (total protein, albumin, cholinesterase, Hb) and anthropometric measurements (triceps skinfold, subscapular skinfold, mid-arm muscle area) and exhibited a strong correlation with grip strength and GDS score. Multivariate analysis revealed that grip strength, GDS score, marital status and maximum walking speed are strong predictors of MNA score. CONCLUSIONS: The MNA is considerably useful in providing a comprehensive assessment of nutritional status in elderly, community-living Japanese. However, larger-scale epidemiological studies are needed to determine the utility and the appropriate cut-off point of the MNA as a screen for risk of malnutrition.
OBJECTIVES: To evaluate the utility of the Mini-Nutritional Assessment (MNA) in assessing nutritional, physical and psychosocial functions in community-living elderly individuals. DESIGN: A cross-sectional study of elderly individuals investigated in August 2007 and August-September 2008. Nutritional status was assessed using serum biomarkers, anthropometric measurements and the MNA. Physical function was assessed by measuring grip strength and both usual and maximum walking speeds. The Geriatric Depression Scale (GDS) was used to measure the individual's depressive state. SETTING: Elder-care facilities in Tokyo, Japan. SUBJECTS: Community-living elderly individuals aged ≥65 years (n 130). RESULTS: The MNA evaluation classified twenty-seven (20·8 %) individuals as being at risk for malnutrition (MNA score ≤23·5); these at-risk individuals included a high proportion of the elderly aged ≥75 years. MNA scores correlated with nutritional biomarkers (total protein, albumin, cholinesterase, Hb) and anthropometric measurements (triceps skinfold, subscapular skinfold, mid-arm muscle area) and exhibited a strong correlation with grip strength and GDS score. Multivariate analysis revealed that grip strength, GDS score, marital status and maximum walking speed are strong predictors of MNA score. CONCLUSIONS: The MNA is considerably useful in providing a comprehensive assessment of nutritional status in elderly, community-living Japanese. However, larger-scale epidemiological studies are needed to determine the utility and the appropriate cut-off point of the MNA as a screen for risk of malnutrition.
Authors: T Takekiyo; K Dozono; T Mitsuishi; S Nara; K Yoshida; Y Murayama; A Maeda; T Chaen; N Nakano; A Kubota; M Tokunaga; S Takeuchi; Y Takatsuka; A Utsunomiya Journal: Bone Marrow Transplant Date: 2016-03-21 Impact factor: 5.483
Authors: R Krzymińska-Siemaszko; M Mossakowska; A Skalska; A Klich-Rączka; S Tobis; A Szybalska; M Cylkowska-Nowak; M Olszanecka-Glinianowicz; J Chudek; K Wieczorowska-Tobis Journal: J Nutr Health Aging Date: 2015-04 Impact factor: 4.075
Authors: E Kiesswetter; S Pohlhausen; K Uhlig; R Diekmann; S Lesser; H Heseker; P Stehle; C C Sieber; D Volkert Journal: J Nutr Health Aging Date: 2013-04 Impact factor: 4.075
Authors: Daniela Patino-Hernandez; David Gabriel David-Pardo; Miguel Germán Borda; Mario Ulises Pérez-Zepeda; Carlos Cano-Gutiérrez Journal: Gerontol Geriatr Med Date: 2017-04-10