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Nutritional status using mini nutritional assessment and subjective global assessment predict mortality in geriatric patients.

Abstract

OBJECTIVES

To evaluate the clinical assessment of nutritional status and mortality in geriatric patients.

DESIGN

Prospective follow-up study.

SETTING

Acute geriatric inpatient ward.

PARTICIPANTS

Eighty-three consecutive acute geriatric patients (mean age +/- standard deviation = 83 +/- 7; 68% women).

MEASUREMENTS

Patients were classified as (1) having protein-energy malnutrition (PEM), (2) having moderate PEM or being at risk for PEM, or (3) being well nourished according to Subjective Global Assessment (SGA) and Mini Nutritional Assessment (MNA). Body mass index ((BMI) kg/m2), arm anthropometry, and handgrip strength were determined. In a subgroup of patients (n = 39), body composition was analyzed using dual energy x-ray absorption and bioelectrical impedance. Three-year mortality data were obtained from the Swedish population records.

RESULTS

Twenty percent and 26% of the patients were classified as having PEM based on SGA and MNA, respectively, whereas 43% and 56%, respectively, were classified as having moderate PEM or being at risk for PEM. Objective measures, such as BMI, arm anthropometry, handgrip, and body fat were 20% to 50% lower in the malnourished group than in the well-nourished subjects (P <.05). Moreover, mortality was higher in those classified as being malnourished, ranging from 40% after 1 year to 80% after 3 years, compared with 20% after 1 year (P =.03-0.17) and 50% after 3 years (P <.01) in patients classified as being well nourished.

CONCLUSION

Fewer than one-third of newly admitted geriatric patients had a normal nutritional status according to SGA and MNA. BMI, arm anthropometry, body fat mass, and handgrip strength were reduced, and 1-, 2-, and 3-year mortality was higher in patients classified as malnourished. The present data justify the use of SGA and MNA for the assessment of nutritional status in geriatric patients.

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  • Authors+Show Affiliations

    ,

    Department of Endocrinology, Rosenlunds Hospital, Stockholm, Sweden. margareta.persson@rosger.sspo.sll.se

    , , ,

    Source

    Journal of the American Geriatrics Society 50:12 2002 Dec pg 1996-2002

    MeSH

    Aged
    Aged, 80 and over
    Anthropometry
    Body Composition
    Body Mass Index
    Female
    Follow-Up Studies
    Growth Substances
    Humans
    Intercellular Signaling Peptides and Proteins
    Male
    Mortality
    Nutritional Status
    Prospective Studies
    Protein-Energy Malnutrition

    Pub Type(s)

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

    Language

    eng

    PubMed ID

    12473011

    Citation

    Persson, Margareta D., et al. "Nutritional Status Using Mini Nutritional Assessment and Subjective Global Assessment Predict Mortality in Geriatric Patients." Journal of the American Geriatrics Society, vol. 50, no. 12, 2002, pp. 1996-2002.
    Persson MD, Brismar KE, Katzarski KS, et al. Nutritional status using mini nutritional assessment and subjective global assessment predict mortality in geriatric patients. J Am Geriatr Soc. 2002;50(12):1996-2002.
    Persson, M. D., Brismar, K. E., Katzarski, K. S., Nordenström, J., & Cederholm, T. E. (2002). Nutritional status using mini nutritional assessment and subjective global assessment predict mortality in geriatric patients. Journal of the American Geriatrics Society, 50(12), pp. 1996-2002.
    Persson MD, et al. Nutritional Status Using Mini Nutritional Assessment and Subjective Global Assessment Predict Mortality in Geriatric Patients. J Am Geriatr Soc. 2002;50(12):1996-2002. PubMed PMID: 12473011.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Nutritional status using mini nutritional assessment and subjective global assessment predict mortality in geriatric patients. AU - Persson,Margareta D, AU - Brismar,Kerstin E, AU - Katzarski,Krassimir S, AU - Nordenström,Jörgen, AU - Cederholm,Tommy E, PY - 2002/12/11/pubmed PY - 2003/1/17/medline PY - 2002/12/11/entrez SP - 1996 EP - 2002 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 50 IS - 12 N2 - OBJECTIVES: To evaluate the clinical assessment of nutritional status and mortality in geriatric patients. DESIGN: Prospective follow-up study. SETTING: Acute geriatric inpatient ward. PARTICIPANTS: Eighty-three consecutive acute geriatric patients (mean age +/- standard deviation = 83 +/- 7; 68% women). MEASUREMENTS: Patients were classified as (1) having protein-energy malnutrition (PEM), (2) having moderate PEM or being at risk for PEM, or (3) being well nourished according to Subjective Global Assessment (SGA) and Mini Nutritional Assessment (MNA). Body mass index ((BMI) kg/m2), arm anthropometry, and handgrip strength were determined. In a subgroup of patients (n = 39), body composition was analyzed using dual energy x-ray absorption and bioelectrical impedance. Three-year mortality data were obtained from the Swedish population records. RESULTS: Twenty percent and 26% of the patients were classified as having PEM based on SGA and MNA, respectively, whereas 43% and 56%, respectively, were classified as having moderate PEM or being at risk for PEM. Objective measures, such as BMI, arm anthropometry, handgrip, and body fat were 20% to 50% lower in the malnourished group than in the well-nourished subjects (P <.05). Moreover, mortality was higher in those classified as being malnourished, ranging from 40% after 1 year to 80% after 3 years, compared with 20% after 1 year (P =.03-0.17) and 50% after 3 years (P <.01) in patients classified as being well nourished. CONCLUSION: Fewer than one-third of newly admitted geriatric patients had a normal nutritional status according to SGA and MNA. BMI, arm anthropometry, body fat mass, and handgrip strength were reduced, and 1-, 2-, and 3-year mortality was higher in patients classified as malnourished. The present data justify the use of SGA and MNA for the assessment of nutritional status in geriatric patients. SN - 0002-8614 UR - https://www.unboundmedicine.com/medline/citation/12473011/Nutritional_status_using_mini_nutritional_assessment_and_subjective_global_assessment_predict_mortality_in_geriatric_patients_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&amp;sid=nlm:pubmed&amp;issn=0002-8614&amp;date=2002&amp;volume=50&amp;issue=12&amp;spage=1996 DB - PRIME DP - Unbound Medicine ER -