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Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care.
Eur J Clin Nutr 2002; 56(9):810-8EJ

Abstract

OBJECTIVES

To evaluate the Subjective Global Assessment (SGA) and the Mini Nutritional Assessment (MNA) with regard to validity using a combination of anthropometric and serum-protein measurements as standard criteria to assess protein-energy malnutrition (PEM).

DESIGN

Cross-sectional study with consecutive selection of residents aged >or=65 y.

SETTING

A municipality in the south of Sweden.

SUBJECTS

During a year, starting in October 1996, 148 females and 113 males, aged >or=65-104 y of age, newly admitted to special types of housing for the elderly, were included in the study.

RESULTS

According to SGA, 53% were assessed as malnourished or moderately malnourished on admission. The corresponding figure from MNA was 79% malnourished or at risk of malnutrition. Both tools indicated that anthropometric values and serum proteins were significantly lower in residents classified as being malnourished (P<0.05). Sensitivity in detecting PEM was in SGA 0.93 and in MNA 0.96 and specificity was 0.61 and 0.26, respectively. Using regression analysis, weight index and serum albumin were the best objective nutritional parameters in predicting the SGA- and MNA classifications. Item 'muscle wasting' in SGA and 'self-experienced health status' in MNA showed most predictive power concerning the odds of being assessed as malnourished.

CONCLUSIONS

SGA was shown to be the more useful tool in detecting residents with established malnutrition and MNA in detecting residents who need preventive nutritional measures.

Authors+Show Affiliations

Department of Medicine and Care, Division of Nursing Science, Faculty of Health Sciences, Linköping University, Linköping, Sweden. lennart.christensson@educ.ltjkpg.seNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12209369

Citation

Christensson, L, et al. "Evaluation of Nutritional Assessment Techniques in Elderly People Newly Admitted to Municipal Care." European Journal of Clinical Nutrition, vol. 56, no. 9, 2002, pp. 810-8.
Christensson L, Unosson M, Ek AC. Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care. Eur J Clin Nutr. 2002;56(9):810-8.
Christensson, L., Unosson, M., & Ek, A. C. (2002). Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care. European Journal of Clinical Nutrition, 56(9), pp. 810-8.
Christensson L, Unosson M, Ek AC. Evaluation of Nutritional Assessment Techniques in Elderly People Newly Admitted to Municipal Care. Eur J Clin Nutr. 2002;56(9):810-8. PubMed PMID: 12209369.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care. AU - Christensson,L, AU - Unosson,M, AU - Ek,A-C, PY - 2001/07/06/received PY - 2001/11/27/revised PY - 2001/11/28/accepted PY - 2002/9/5/pubmed PY - 2002/11/28/medline PY - 2002/9/5/entrez SP - 810 EP - 8 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 56 IS - 9 N2 - OBJECTIVES: To evaluate the Subjective Global Assessment (SGA) and the Mini Nutritional Assessment (MNA) with regard to validity using a combination of anthropometric and serum-protein measurements as standard criteria to assess protein-energy malnutrition (PEM). DESIGN: Cross-sectional study with consecutive selection of residents aged >or=65 y. SETTING: A municipality in the south of Sweden. SUBJECTS: During a year, starting in October 1996, 148 females and 113 males, aged >or=65-104 y of age, newly admitted to special types of housing for the elderly, were included in the study. RESULTS: According to SGA, 53% were assessed as malnourished or moderately malnourished on admission. The corresponding figure from MNA was 79% malnourished or at risk of malnutrition. Both tools indicated that anthropometric values and serum proteins were significantly lower in residents classified as being malnourished (P<0.05). Sensitivity in detecting PEM was in SGA 0.93 and in MNA 0.96 and specificity was 0.61 and 0.26, respectively. Using regression analysis, weight index and serum albumin were the best objective nutritional parameters in predicting the SGA- and MNA classifications. Item 'muscle wasting' in SGA and 'self-experienced health status' in MNA showed most predictive power concerning the odds of being assessed as malnourished. CONCLUSIONS: SGA was shown to be the more useful tool in detecting residents with established malnutrition and MNA in detecting residents who need preventive nutritional measures. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/12209369/Evaluation_of_nutritional_assessment_techniques_in_elderly_people_newly_admitted_to_municipal_care_ L2 - http://dx.doi.org/10.1038/sj.ejcn.1601394 DB - PRIME DP - Unbound Medicine ER -