Validation of the Mini Nutritional Assessment Short-Form (MNA(R)-SF): A Practical Tool for Identification of Nutritional Status. The journal of nutrition, health & aging [J Nutr Health Aging] Journal article | | Title | Validation of the Mini Nutritional Assessment Short-Form (MNA(R)-SF): A Practical Tool for Identification of Nutritional Status. | | Author(s) | Kaiser MJ, Bauer JM, Ramsch C, Uter W, Guigoz Y, Cederholm T, Thomas DR, Anthony P, Charlton KE, Maggio M, Tsai AC, Grathwohl D, Vellas B, Sieber CC | | Institution | M.J. Kaiser, Institute for the Biomedicine of Aging, Friedrich-Alexander University Erlangen-Nurnberg, Heimerichstrasse 58, 90419 Nuremberg, Germany. | | Source | J Nutr Health Aging 2009 Nov; 13(9):782-8. | | Abstract | Objective: To validate a revision of the Mini Nutritional Assessment short-form (MNA(R)-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. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 19812868 |
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