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Characteristics of the Mini-Nutritional Assessment in elderly home-care patients.

Abstract

OBJECTIVE

To assess the risk of malnutrition among elderly people living at home and receiving regular home-care services using the Mini-Nutritional Assessment (MNA) and to study the characteristics of the instrument in this patient group.

DESIGN

A cross-sectional study using the MNA score to assess the nutritional status of elderly home-care patients.

SETTING

Municipal home-care services in rural Finland.

SUBJECTS

A total of 178 (65%) out of 272 eligible patients aged 75-94 y agreed to participate. MAJOR OUTCOME METHODS: MNA questionnaire, anthropometrics, structured questionnaire, menu record.

RESULTS

According to MNA, 3% were malnourished (MNA < 17 points), 48% at risk for malnutrition (17-23.5 points) and 49% well nourished (>23.5 points). The mean MNA score was 23.4. Weight loss, psychological stress, nutritional status, decline in food intake, self-perceived health status and mid-arm circumference (MAC) showed the strongest significant correlations (P=0.0001) to total MNA score. MNA questions with the strongest significant intercorrelations (P=0.0001) were body mass index with MAC and calf circumference; and the decline of food intake and self-perceived nutritional status. The number of eating problems correlated significantly to the MNA score (P=0.0011). Those with chewing and swallowing problems (n=64, 36%) had a significantly lower MNA score than others (P=0.0001). Dry mouth together with chewing and swallowing problems (n=40, 22%) reduced the MNA score even further (P=0.0001).

CONCLUSIONS

The results suggest that MNA is a useful tool in the identification of elderly home-care patients at risk for malnutrition.

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  • Authors+Show Affiliations

    ,

    Herttoniemi Health Centre, City of Helsinki, Finland. helena.soini@dlc.fi

    ,

    Source

    MeSH

    Aged
    Cross-Sectional Studies
    Female
    Finland
    Geriatric Assessment
    Health Status Indicators
    Home Care Services
    Humans
    Male
    Malnutrition
    Nutrition Assessment
    Nutritional Status
    Risk Assessment
    Risk Factors
    Rural Health
    Surveys and Questionnaires
    Weight Loss

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    14679369

    Citation

    Soini, H, et al. "Characteristics of the Mini-Nutritional Assessment in Elderly Home-care Patients." European Journal of Clinical Nutrition, vol. 58, no. 1, 2004, pp. 64-70.
    Soini H, Routasalo P, Lagström H. Characteristics of the Mini-Nutritional Assessment in elderly home-care patients. Eur J Clin Nutr. 2004;58(1):64-70.
    Soini, H., Routasalo, P., & Lagström, H. (2004). Characteristics of the Mini-Nutritional Assessment in elderly home-care patients. European Journal of Clinical Nutrition, 58(1), pp. 64-70.
    Soini H, Routasalo P, Lagström H. Characteristics of the Mini-Nutritional Assessment in Elderly Home-care Patients. Eur J Clin Nutr. 2004;58(1):64-70. PubMed PMID: 14679369.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Characteristics of the Mini-Nutritional Assessment in elderly home-care patients. AU - Soini,H, AU - Routasalo,P, AU - Lagström,H, PY - 2003/12/18/pubmed PY - 2004/6/4/medline PY - 2003/12/18/entrez SP - 64 EP - 70 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 58 IS - 1 N2 - OBJECTIVE: To assess the risk of malnutrition among elderly people living at home and receiving regular home-care services using the Mini-Nutritional Assessment (MNA) and to study the characteristics of the instrument in this patient group. DESIGN: A cross-sectional study using the MNA score to assess the nutritional status of elderly home-care patients. SETTING: Municipal home-care services in rural Finland. SUBJECTS: A total of 178 (65%) out of 272 eligible patients aged 75-94 y agreed to participate. MAJOR OUTCOME METHODS: MNA questionnaire, anthropometrics, structured questionnaire, menu record. RESULTS: According to MNA, 3% were malnourished (MNA < 17 points), 48% at risk for malnutrition (17-23.5 points) and 49% well nourished (>23.5 points). The mean MNA score was 23.4. Weight loss, psychological stress, nutritional status, decline in food intake, self-perceived health status and mid-arm circumference (MAC) showed the strongest significant correlations (P=0.0001) to total MNA score. MNA questions with the strongest significant intercorrelations (P=0.0001) were body mass index with MAC and calf circumference; and the decline of food intake and self-perceived nutritional status. The number of eating problems correlated significantly to the MNA score (P=0.0011). Those with chewing and swallowing problems (n=64, 36%) had a significantly lower MNA score than others (P=0.0001). Dry mouth together with chewing and swallowing problems (n=40, 22%) reduced the MNA score even further (P=0.0001). CONCLUSIONS: The results suggest that MNA is a useful tool in the identification of elderly home-care patients at risk for malnutrition. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/14679369/Characteristics_of_the_Mini_Nutritional_Assessment_in_elderly_home_care_patients_ L2 - http://dx.doi.org/10.1038/sj.ejcn.1601748 DB - PRIME DP - Unbound Medicine ER -