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Characteristics of the Mini-Nutritional Assessment in elderly home-care patients.
Eur J Clin Nutr 2004; 58(1):64-70EJ

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.

Authors+Show Affiliations

Herttoniemi Health Centre, City of Helsinki, Finland. helena.soini@dlc.fiNo affiliation info availableNo affiliation info available

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 -