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Evaluation of Mini-Nutritional Assessment for Japanese frail elderly.
Nutrition 2005; 21(4):498-503N

Abstract

OBJECTIVE

We evaluated the Mini-Nutritional Assessment (MNA) test and the short-form MNA as screening tools for malnutrition in the Japanese elderly population.

METHODS

A cross-sectional study of 226 elderly Japanese patients (78.6 +/- 0.5 y of age, mean +/- standard deviation; 67 men and 159 women) in various settings was carried out. Nutritional assessment included MNA, anthropometric measurements, and biochemical markers.

RESULTS

According to the original cutoff point of the full MNA, 19.9% of those assessed were malnourished, 58.0% were at risk of malnutrition, and 22.1% were well nourished. Significant correlations were found between full MNA scores and age (r = -0.14), body mass index (r = 0.59), serum albumin (r = 0.60), total cholesterol (r = 0.36), midarm circumference (r = 0.50), and triceps skinfold (r = 0.37). The sensitivity and specificity of the full MNA score (< 17) for hypoalbuminemia were 0.810 and 0.860, respectively. With a cutoff point lower than 18, sensitivity and specificity hypoalbuminemia were 0.857 and 0.815, respectively. Using a short-form MNA score 12 and higher as normal, its sensitivity and specificity for predicting undernutrition were 0.859 and 0.840, respectively.

CONCLUSIONS

The full and short forms of the MNA were useful tools to identify elderly Japanese patients with malnutrition or risk of malnutrition. However, the full MNA cutoff point for malnutrition should be modulated for this population.

Authors+Show Affiliations

Department of Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan. kuzuya@med.nagoya-u.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

15811771

Citation

Kuzuya, Masafumi, et al. "Evaluation of Mini-Nutritional Assessment for Japanese Frail Elderly." Nutrition (Burbank, Los Angeles County, Calif.), vol. 21, no. 4, 2005, pp. 498-503.
Kuzuya M, Kanda S, Koike T, et al. Evaluation of Mini-Nutritional Assessment for Japanese frail elderly. Nutrition. 2005;21(4):498-503.
Kuzuya, M., Kanda, S., Koike, T., Suzuki, Y., Satake, S., & Iguchi, A. (2005). Evaluation of Mini-Nutritional Assessment for Japanese frail elderly. Nutrition (Burbank, Los Angeles County, Calif.), 21(4), pp. 498-503.
Kuzuya M, et al. Evaluation of Mini-Nutritional Assessment for Japanese Frail Elderly. Nutrition. 2005;21(4):498-503. PubMed PMID: 15811771.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of Mini-Nutritional Assessment for Japanese frail elderly. AU - Kuzuya,Masafumi, AU - Kanda,Shigeru, AU - Koike,Teruhiko, AU - Suzuki,Yusuke, AU - Satake,Shosuke, AU - Iguchi,Akihisa, PY - 2004/04/18/received PY - 2004/08/06/accepted PY - 2005/4/7/pubmed PY - 2005/9/21/medline PY - 2005/4/7/entrez SP - 498 EP - 503 JF - Nutrition (Burbank, Los Angeles County, Calif.) JO - Nutrition VL - 21 IS - 4 N2 - OBJECTIVE: We evaluated the Mini-Nutritional Assessment (MNA) test and the short-form MNA as screening tools for malnutrition in the Japanese elderly population. METHODS: A cross-sectional study of 226 elderly Japanese patients (78.6 +/- 0.5 y of age, mean +/- standard deviation; 67 men and 159 women) in various settings was carried out. Nutritional assessment included MNA, anthropometric measurements, and biochemical markers. RESULTS: According to the original cutoff point of the full MNA, 19.9% of those assessed were malnourished, 58.0% were at risk of malnutrition, and 22.1% were well nourished. Significant correlations were found between full MNA scores and age (r = -0.14), body mass index (r = 0.59), serum albumin (r = 0.60), total cholesterol (r = 0.36), midarm circumference (r = 0.50), and triceps skinfold (r = 0.37). The sensitivity and specificity of the full MNA score (< 17) for hypoalbuminemia were 0.810 and 0.860, respectively. With a cutoff point lower than 18, sensitivity and specificity hypoalbuminemia were 0.857 and 0.815, respectively. Using a short-form MNA score 12 and higher as normal, its sensitivity and specificity for predicting undernutrition were 0.859 and 0.840, respectively. CONCLUSIONS: The full and short forms of the MNA were useful tools to identify elderly Japanese patients with malnutrition or risk of malnutrition. However, the full MNA cutoff point for malnutrition should be modulated for this population. SN - 0899-9007 UR - https://www.unboundmedicine.com/medline/citation/15811771/Evaluation_of_Mini_Nutritional_Assessment_for_Japanese_frail_elderly_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0899-9007(05)00032-8 DB - PRIME DP - Unbound Medicine ER -