OBJECTIVES: To compare the prognostic value of the revised Mini Nutritional Assessment short form (MNA-SF) classification with that of the long form (MNA-LF) in relation to mortality and functional change in community-dwelling older adults receiving home care in Germany. DESIGN: Multicenter, 1-year prospective observational study. SETTING: Community. PARTICIPANTS: Older adults (≥ 65) receiving home care (n = 309). MEASUREMENTS: Nutritional status (well nourished, at risk of malnutrition, malnourished) was classified using the MNA-SF and MNA-LF at baseline. Functional status was determined according to the Barthel Index of activities of daily living (ADLs) at baseline and after 1 year. Hazard ratios (HRs) and 95% confidence intervals (CIs) of mortality were calculated for MNA-SF and MNA-LF categories using stepwise Cox regression analyses. Repeated-measurements analysis of covariance was used to examine changes in ADL scores over time for MNA-SF and MNA-LF categories. RESULTS: MNA-SF classified 15% of the sample as malnourished and 41% as being at risk of malnutrition, whereas the MNA-LF classified 14% and 58%, respectively. During the follow-up year, 15% of participants died. The estimated hazard ratios (HR) for 1-year mortality were lower for MNA-SF than for MNA-LF categories (at risk of malnutrition: HR = 2.21, 95% confidence interval (CI) = 1.02-4.75 vs HR = 5.05, 95% CI = 1.53-16.58; malnourished: HR = 3.27, 95% CI = 1.34-8.02 vs HR = 8.75, 95% CI = 2.45-31.18). For MNA-SF categories, no differences in functional change were found. According to the MNA-LF, ADL decline tended to be greater in those at risk of malnutrition (7.1 ± 10.1 points) than in those who were well nourished (3.7 ± 10.1 points) and malnourished (4.9 ± 10.1 points). CONCLUSION: In this sample of older adults receiving home care, the MNA-LF was superior to the MNA-SF in predicting mortality and differentiating functional decline during 1 year of follow-up.
OBJECTIVES: To compare the prognostic value of the revised Mini Nutritional Assessment short form (MNA-SF) classification with that of the long form (MNA-LF) in relation to mortality and functional change in community-dwelling older adults receiving home care in Germany. DESIGN: Multicenter, 1-year prospective observational study. SETTING: Community. PARTICIPANTS: Older adults (≥ 65) receiving home care (n = 309). MEASUREMENTS: Nutritional status (well nourished, at risk of malnutrition, malnourished) was classified using the MNA-SF and MNA-LF at baseline. Functional status was determined according to the Barthel Index of activities of daily living (ADLs) at baseline and after 1 year. Hazard ratios (HRs) and 95% confidence intervals (CIs) of mortality were calculated for MNA-SF and MNA-LF categories using stepwise Cox regression analyses. Repeated-measurements analysis of covariance was used to examine changes in ADL scores over time for MNA-SF and MNA-LF categories. RESULTS: MNA-SF classified 15% of the sample as malnourished and 41% as being at risk of malnutrition, whereas the MNA-LF classified 14% and 58%, respectively. During the follow-up year, 15% of participants died. The estimated hazard ratios (HR) for 1-year mortality were lower for MNA-SF than for MNA-LF categories (at risk of malnutrition: HR = 2.21, 95% confidence interval (CI) = 1.02-4.75 vs HR = 5.05, 95% CI = 1.53-16.58; malnourished: HR = 3.27, 95% CI = 1.34-8.02 vs HR = 8.75, 95% CI = 2.45-31.18). For MNA-SF categories, no differences in functional change were found. According to the MNA-LF, ADL decline tended to be greater in those at risk of malnutrition (7.1 ± 10.1 points) than in those who were well nourished (3.7 ± 10.1 points) and malnourished (4.9 ± 10.1 points). CONCLUSION: In this sample of older adults receiving home care, the MNA-LF was superior to the MNA-SF in predicting mortality and differentiating functional decline during 1 year of follow-up.
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: Cihan Heybeli; Pinar Soysal; Mehmet Asi Oktan; Lee Smith; Ali Çelik; Rumeyza Kazancioglu Journal: Aging Clin Exp Res Date: 2021-08-27 Impact factor: 3.636
Authors: C Van Den Broeke; T De Burghgraeve; M Ummels; N Gescher; L Deckx; V Tjan-Heijnen; F Buntinx; M van den Akker Journal: J Nutr Health Aging Date: 2018 Impact factor: 4.075
Authors: Linda M Hengeveld; Hanneke A H Wijnhoven; Margreet R Olthof; Ingeborg A Brouwer; Tamara B Harris; Stephen B Kritchevsky; Anne B Newman; Marjolein Visser Journal: Am J Clin Nutr Date: 2018-02-01 Impact factor: 7.045
Authors: Els Holvoet; Karsten Vanden Wyngaert; Amaryllis H Van Craenenbroeck; Wim Van Biesen; Sunny Eloot Journal: PLoS One Date: 2020-03-04 Impact factor: 3.240
Authors: Eva Kiesswetter; Miriam G Colombo; Christa Meisinger; Annette Peters; Barbara Thorand; Rolf Holle; Karl-Heinz Ladwig; Holger Schulz; Eva Grill; Rebecca Diekmann; Eva Schrader; Peter Stehle; Cornel C Sieber; Dorothee Volkert Journal: Public Health Nutr Date: 2019-08-27 Impact factor: 4.022