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Mini nutritional assessment and screening scores are associated with nutritional indicators in elderly people with pressure ulcers.
J Am Diet Assoc 2005; 105(10):1590-6JA

Abstract

OBJECTIVE

To determine the association between the Mini Nutritional Assessment (MNA) or MNA Screening Form and standard indicators of nutritional status in male elders with pressure ulcers.

DESIGN

Cross-sectional study. MNA and MNA Screening Form scores were related to nutritional indicators using the Pearson correlation.

SUBJECTS/SETTING

Residents (79+/-1 years, N=23 men) of Veterans Affairs medical center nursing home care units with stage I to IV pressure ulcers were enrolled.

MAIN OUTCOME MEASURES

Correlation coefficients were obtained from correlations between the MNA or MNA Screening Form scores and biochemical and anthropometric indices of nutritional status or measures of body composition normalized for height by dividing by height in meters(2).

RESULTS

Hemoglobin (106+/-4 g/L; r=0.43, P=.0409, mean, standard error of the mean, Pearson's r, P value), hematocrit (0.32+/-0.01; r=0.44, P=.0358), body mass index (23.1+/-1.0; r=0.66, P=.0006), calf circumference (30.4+/-1.1 cm; r=0.46, P=.0286), fat-free mass index (18.3+/-0; r=0.60, P=.0063), body cell mass index (8.3+/-0.5; r=0.64, P=.0033), and fat mass index (3.7+/-0.4; r=0.50, P=.0275) positively correlated with MNA score. Serum albumin (31+/-1 g/L) and prealbumin (180+/-17 mg/L) did not correlate with MNA, but prealbumin inversely correlated with erythrocyte sedimentation rate (r=-0.52, P=.0134), a marker of inflammation. The inverse correlation between albumin and erythrocyte sedimentation rate approached statistical significance (r=-0.42, P=.0542). The MNA Screening Form showed similar correlations or lack of correlations observed with the MNA with the exception of hemoglobin and hematocrit.

CONCLUSIONS

The MNA and MNA Screening Form provide advantages over using visceral proteins in screening and assessing nutritional status of elderly people with pressure ulcers.

Authors+Show Affiliations

Department of Food Science and Human Nutrition, University of Florida, Gainesville 32611-0370, USA. henken@ufl.edu

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

16183360

Citation

Langkamp-Henken, Bobbi, et al. "Mini Nutritional Assessment and Screening Scores Are Associated With Nutritional Indicators in Elderly People With Pressure Ulcers." Journal of the American Dietetic Association, vol. 105, no. 10, 2005, pp. 1590-6.
Langkamp-Henken B, Hudgens J, Stechmiller JK, et al. Mini nutritional assessment and screening scores are associated with nutritional indicators in elderly people with pressure ulcers. J Am Diet Assoc. 2005;105(10):1590-6.
Langkamp-Henken, B., Hudgens, J., Stechmiller, J. K., & Herrlinger-Garcia, K. A. (2005). Mini nutritional assessment and screening scores are associated with nutritional indicators in elderly people with pressure ulcers. Journal of the American Dietetic Association, 105(10), pp. 1590-6.
Langkamp-Henken B, et al. Mini Nutritional Assessment and Screening Scores Are Associated With Nutritional Indicators in Elderly People With Pressure Ulcers. J Am Diet Assoc. 2005;105(10):1590-6. PubMed PMID: 16183360.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mini nutritional assessment and screening scores are associated with nutritional indicators in elderly people with pressure ulcers. AU - Langkamp-Henken,Bobbi, AU - Hudgens,Jan, AU - Stechmiller,Joyce K, AU - Herrlinger-Garcia,Kelli A, PY - 2004/07/06/received PY - 2005/9/27/pubmed PY - 2005/12/13/medline PY - 2005/9/27/entrez SP - 1590 EP - 6 JF - Journal of the American Dietetic Association JO - J Am Diet Assoc VL - 105 IS - 10 N2 - OBJECTIVE: To determine the association between the Mini Nutritional Assessment (MNA) or MNA Screening Form and standard indicators of nutritional status in male elders with pressure ulcers. DESIGN: Cross-sectional study. MNA and MNA Screening Form scores were related to nutritional indicators using the Pearson correlation. SUBJECTS/SETTING: Residents (79+/-1 years, N=23 men) of Veterans Affairs medical center nursing home care units with stage I to IV pressure ulcers were enrolled. MAIN OUTCOME MEASURES: Correlation coefficients were obtained from correlations between the MNA or MNA Screening Form scores and biochemical and anthropometric indices of nutritional status or measures of body composition normalized for height by dividing by height in meters(2). RESULTS: Hemoglobin (106+/-4 g/L; r=0.43, P=.0409, mean, standard error of the mean, Pearson's r, P value), hematocrit (0.32+/-0.01; r=0.44, P=.0358), body mass index (23.1+/-1.0; r=0.66, P=.0006), calf circumference (30.4+/-1.1 cm; r=0.46, P=.0286), fat-free mass index (18.3+/-0; r=0.60, P=.0063), body cell mass index (8.3+/-0.5; r=0.64, P=.0033), and fat mass index (3.7+/-0.4; r=0.50, P=.0275) positively correlated with MNA score. Serum albumin (31+/-1 g/L) and prealbumin (180+/-17 mg/L) did not correlate with MNA, but prealbumin inversely correlated with erythrocyte sedimentation rate (r=-0.52, P=.0134), a marker of inflammation. The inverse correlation between albumin and erythrocyte sedimentation rate approached statistical significance (r=-0.42, P=.0542). The MNA Screening Form showed similar correlations or lack of correlations observed with the MNA with the exception of hemoglobin and hematocrit. CONCLUSIONS: The MNA and MNA Screening Form provide advantages over using visceral proteins in screening and assessing nutritional status of elderly people with pressure ulcers. SN - 0002-8223 UR - https://www.unboundmedicine.com/medline/citation/16183360/Mini_nutritional_assessment_and_screening_scores_are_associated_with_nutritional_indicators_in_elderly_people_with_pressure_ulcers_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-8223(05)01217-4 DB - PRIME DP - Unbound Medicine ER -