Tags

Type your tag names separated by a space and hit enter

Population-specific Mini Nutritional Assessment effectively predicts the nutritional state and follow-up mortality of institutionalized elderly Taiwanese regardless of cognitive status.
Br J Nutr 2008; 100(1):152-8BJ

Abstract

The study was conducted to determine the effectiveness of a modified Mini Nutritional Assessment (MNA) for assessing the nutritional status and predicting follow-up mortality of institutionalized elderly Taiwanese. The study was conducted in a large long-term care centre in central Taiwan. Trained interviewers assisted by the caregivers elicited sociodemographic data, healthcare and disease history, and answers to the MNA screen from each subject. One researcher performed all subjects' anthropometric measurements. Plasma albumin and cholesterol concentrations were determined. Results showed that the MNA without BMI, modified according to population-specific mid-arm circumference and calf circumference cut-points, effectively predicted the nutritional risk status of the elderly regardless of cognitive status. Substituting caregiver's assessments for self-viewed nutrition and health status (questions O and P of MNA) improved the predicting power of the tool in cognition-normal subjects. Results showed that 21.9% of the elderly were malnourished, 59.2% were at risk of malnutrition and 18.9% were normal according to self-assessment whereas 14.2% were malnourished, 59.2% were at risk of malnutrition, and 26.6% were normal according to caregiver's evaluation. The tool was also effective in predicting 12- and 6-month follow-up mortality in cognition-normal and cognition-impaired elderly, respectively. Results indicate that a population-specific MNA can effectively predict the nutritional status and 6-month follow-up mortality of elderly Taiwanese regardless of cognitive condition. Easier and wider application of the tool will enable early detection of emerging nutritional problems and timely intervention to prevent the development of severe malnutrition in the elderly.

Authors+Show Affiliations

Human Nutrition Program, Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA.No affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

18053309

Citation

Tsai, Alan C., and Pei-Yu Ku. "Population-specific Mini Nutritional Assessment Effectively Predicts the Nutritional State and Follow-up Mortality of Institutionalized Elderly Taiwanese Regardless of Cognitive Status." The British Journal of Nutrition, vol. 100, no. 1, 2008, pp. 152-8.
Tsai AC, Ku PY. Population-specific Mini Nutritional Assessment effectively predicts the nutritional state and follow-up mortality of institutionalized elderly Taiwanese regardless of cognitive status. Br J Nutr. 2008;100(1):152-8.
Tsai, A. C., & Ku, P. Y. (2008). Population-specific Mini Nutritional Assessment effectively predicts the nutritional state and follow-up mortality of institutionalized elderly Taiwanese regardless of cognitive status. The British Journal of Nutrition, 100(1), pp. 152-8.
Tsai AC, Ku PY. Population-specific Mini Nutritional Assessment Effectively Predicts the Nutritional State and Follow-up Mortality of Institutionalized Elderly Taiwanese Regardless of Cognitive Status. Br J Nutr. 2008;100(1):152-8. PubMed PMID: 18053309.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Population-specific Mini Nutritional Assessment effectively predicts the nutritional state and follow-up mortality of institutionalized elderly Taiwanese regardless of cognitive status. AU - Tsai,Alan C, AU - Ku,Pei-Yu, Y1 - 2007/12/06/ PY - 2007/12/7/pubmed PY - 2009/1/20/medline PY - 2007/12/7/entrez SP - 152 EP - 8 JF - The British journal of nutrition JO - Br. J. Nutr. VL - 100 IS - 1 N2 - The study was conducted to determine the effectiveness of a modified Mini Nutritional Assessment (MNA) for assessing the nutritional status and predicting follow-up mortality of institutionalized elderly Taiwanese. The study was conducted in a large long-term care centre in central Taiwan. Trained interviewers assisted by the caregivers elicited sociodemographic data, healthcare and disease history, and answers to the MNA screen from each subject. One researcher performed all subjects' anthropometric measurements. Plasma albumin and cholesterol concentrations were determined. Results showed that the MNA without BMI, modified according to population-specific mid-arm circumference and calf circumference cut-points, effectively predicted the nutritional risk status of the elderly regardless of cognitive status. Substituting caregiver's assessments for self-viewed nutrition and health status (questions O and P of MNA) improved the predicting power of the tool in cognition-normal subjects. Results showed that 21.9% of the elderly were malnourished, 59.2% were at risk of malnutrition and 18.9% were normal according to self-assessment whereas 14.2% were malnourished, 59.2% were at risk of malnutrition, and 26.6% were normal according to caregiver's evaluation. The tool was also effective in predicting 12- and 6-month follow-up mortality in cognition-normal and cognition-impaired elderly, respectively. Results indicate that a population-specific MNA can effectively predict the nutritional status and 6-month follow-up mortality of elderly Taiwanese regardless of cognitive condition. Easier and wider application of the tool will enable early detection of emerging nutritional problems and timely intervention to prevent the development of severe malnutrition in the elderly. SN - 1475-2662 UR - https://www.unboundmedicine.com/medline/citation/18053309/Population_specific_Mini_Nutritional_Assessment_effectively_predicts_the_nutritional_state_and_follow_up_mortality_of_institutionalized_elderly_Taiwanese_regardless_of_cognitive_status_ L2 - https://www.cambridge.org/core/product/identifier/S0007114507873600/type/journal_article DB - PRIME DP - Unbound Medicine ER -