Tags

Type your tag names separated by a space and hit enter

A six months' prospective follow-up of 65+-y-old patients from general practice classified according to nutritional risk by the Mini Nutritional Assessment.
Eur J Clin Nutr 2001; 55(11):1028-33EJ

Abstract

OBJECTIVE

To assess the prevalence of old people at risk of undernutrition according to the Mini Nutritional Assessment (MNA), characterise the at risk group with regard to nutritional state, energy intake, and physical and mental functioning, and to assess the consequences of the MNA score over a 6 month period.

DESIGN

A cross-sectional prospective study.

SETTING

The clinic of a general practitioner.

SUBJECTS

Ninety-four patients 65+-y-old with no acute illness contacted at the clinic. Sixty-one subjects (65%) agreed to participate at baseline and 34 (56%) showed up at the follow-up 6 months later.

RESULTS

At baseline, 23 (38%) participants were assessed as being at risk of undernutrition (17-23.5 MNA points). The remaining were classified as well-nourished (>23.5 MNA points). The 23 participants at risk had a higher prevalence of body mass index (BMI) <20 kg/m(2) (44 vs 11%, P<0.001) and insufficient energy intake (36 vs 9%, P<0.05), compared with the well-nourished group. Also, they had a higher need of meals-on-wheels (39 vs 8%, P<0.01) and home-care for shopping (48 vs 18%, P<0.05) at baseline. At the 6 months' follow-up, there was a tendency to a higher non-participation rate among the participants assessed at risk of undernutrition at baseline (44 vs 18%, 0.05<P<0.1), compared with the well-nourished group. There was a tendency to a higher prevalence of hospitalisation (38 vs 19%, 0.05<P<0.1) in the at risk group.

CONCLUSION

MNA seems to be a useful tool to identify old people who need help from the public sector. However, many in the group at risk of undernutrition already have low BMI values. This might have influenced the findings.

Authors+Show Affiliations

Danish Veterinary and Food Administration, Moerkhoej Bygade 19, DK-2860 Soeborg, Denmark. be@fdir.dk

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11641754

Citation

Beck, A M., et al. "A Six Months' Prospective Follow-up of 65+-y-old Patients From General Practice Classified According to Nutritional Risk By the Mini Nutritional Assessment." European Journal of Clinical Nutrition, vol. 55, no. 11, 2001, pp. 1028-33.
Beck AM, Ovesen L, Schroll M. A six months' prospective follow-up of 65+-y-old patients from general practice classified according to nutritional risk by the Mini Nutritional Assessment. Eur J Clin Nutr. 2001;55(11):1028-33.
Beck, A. M., Ovesen, L., & Schroll, M. (2001). A six months' prospective follow-up of 65+-y-old patients from general practice classified according to nutritional risk by the Mini Nutritional Assessment. European Journal of Clinical Nutrition, 55(11), pp. 1028-33.
Beck AM, Ovesen L, Schroll M. A Six Months' Prospective Follow-up of 65+-y-old Patients From General Practice Classified According to Nutritional Risk By the Mini Nutritional Assessment. Eur J Clin Nutr. 2001;55(11):1028-33. PubMed PMID: 11641754.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A six months' prospective follow-up of 65+-y-old patients from general practice classified according to nutritional risk by the Mini Nutritional Assessment. AU - Beck,A M, AU - Ovesen,L, AU - Schroll,M, PY - 2001/01/15/received PY - 2001/05/08/revised PY - 2001/05/10/accepted PY - 2001/10/20/pubmed PY - 2002/1/5/medline PY - 2001/10/20/entrez SP - 1028 EP - 33 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 55 IS - 11 N2 - OBJECTIVE: To assess the prevalence of old people at risk of undernutrition according to the Mini Nutritional Assessment (MNA), characterise the at risk group with regard to nutritional state, energy intake, and physical and mental functioning, and to assess the consequences of the MNA score over a 6 month period. DESIGN: A cross-sectional prospective study. SETTING: The clinic of a general practitioner. SUBJECTS: Ninety-four patients 65+-y-old with no acute illness contacted at the clinic. Sixty-one subjects (65%) agreed to participate at baseline and 34 (56%) showed up at the follow-up 6 months later. RESULTS: At baseline, 23 (38%) participants were assessed as being at risk of undernutrition (17-23.5 MNA points). The remaining were classified as well-nourished (>23.5 MNA points). The 23 participants at risk had a higher prevalence of body mass index (BMI) <20 kg/m(2) (44 vs 11%, P<0.001) and insufficient energy intake (36 vs 9%, P<0.05), compared with the well-nourished group. Also, they had a higher need of meals-on-wheels (39 vs 8%, P<0.01) and home-care for shopping (48 vs 18%, P<0.05) at baseline. At the 6 months' follow-up, there was a tendency to a higher non-participation rate among the participants assessed at risk of undernutrition at baseline (44 vs 18%, 0.05<P<0.1), compared with the well-nourished group. There was a tendency to a higher prevalence of hospitalisation (38 vs 19%, 0.05<P<0.1) in the at risk group. CONCLUSION: MNA seems to be a useful tool to identify old people who need help from the public sector. However, many in the group at risk of undernutrition already have low BMI values. This might have influenced the findings. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/11641754/A_six_months'_prospective_follow_up_of_65+_y_old_patients_from_general_practice_classified_according_to_nutritional_risk_by_the_Mini_Nutritional_Assessment_ L2 - http://dx.doi.org/10.1038/sj.ejcn.1601266 DB - PRIME DP - Unbound Medicine ER -