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Prevalence of malnutrition in patients with Parkinson's disease: a comparative study with healthy controls using Mini Nutritional Assessment (MNA) questionnaire.
J Parkinsons Dis. 2014; 4(3):473-81.JP

Abstract

BACKGROUND

The magnitude of malnutrition in the Parkinson's disease (PD) population has yet to be accurately quantified.

OBJECTIVE

We aimed to estimate and compare the prevalence of malnourished and those at risk of malnutrition in Iranian PD patients with a matched control group using the mini nutritional assessment (MNA) and anthropometric measurements.

METHODS

Nutritional status was evaluated in 143 Iranian PD patients (case group) and 145 age- and sex-matched healthy controls (control group) using the validated Persian version of the MNA. Individuals suffering from chronic comorbidities influencing nutritional state (hypertension and diabetes), following special diets and those with cognitive impairment were excluded. Using the MNA, a total score of <17 indicated malnutrition and scores of 17-23.5 signified cases at risk for malnutrition.

RESULTS

The mean of total MNA score was not significantly different between two study groups [24.4 (SD = 3.8) in controls vs. 25.1 (SD = 3.4) in PD patients; P = 0.094]. Three (2.1%) PD patients were suffering from malnutrition and another 37 (25.9%) were at risk of malnutrition; while in control group similar feature was observed (2.0% malnourished and 35.2% at risk of malnutrition; P = 0.228). The mean of calf circumference (CC) was significantly lower in PD patients [34.9 (SD = 3.8) cm vs. 36.0 (SD = 5.1) cm; P = 0.046].

CONCLUSIONS

Our findings indicate the same nutritional status among mild to moderate PD patients compared with healthy controls. However, more than a quarter of the PD population was found to be at risk of malnutrition necessitating more attention towards nutritional assessment in PD.

Authors+Show Affiliations

Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences, and Society (NVS), Karolinska Institutet, Stockholm, Sweden Firoozgar Clinical Research Development Center (FCRDC), Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden.Student Scientific Research Committee (SSRC), Tehran University of Medical Sciences, Tehran, Iran.Firoozgar Clinical Research Development Center (FCRDC), Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.Movement Disorders Clinic, Department of Neurology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences, and Society (NVS), Karolinska Institutet, Stockholm, Sweden Iranian Research Center on Aging, University of Social Welfare and Rehabilitation, Tehran, Iran.Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences, and Society (NVS), Karolinska Institutet, Stockholm, Sweden Department of Geriatric Medicine, Karolinska University Hospital, Stockholm, Sweden.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

24718272

Citation

Fereshtehnejad, Seyed-Mohammad, et al. "Prevalence of Malnutrition in Patients With Parkinson's Disease: a Comparative Study With Healthy Controls Using Mini Nutritional Assessment (MNA) Questionnaire." Journal of Parkinson's Disease, vol. 4, no. 3, 2014, pp. 473-81.
Fereshtehnejad SM, Ghazi L, Sadeghi M, et al. Prevalence of malnutrition in patients with Parkinson's disease: a comparative study with healthy controls using Mini Nutritional Assessment (MNA) questionnaire. J Parkinsons Dis. 2014;4(3):473-81.
Fereshtehnejad, S. M., Ghazi, L., Sadeghi, M., Khaefpanah, D., Shahidi, G. A., Delbari, A., & Lökk, J. (2014). Prevalence of malnutrition in patients with Parkinson's disease: a comparative study with healthy controls using Mini Nutritional Assessment (MNA) questionnaire. Journal of Parkinson's Disease, 4(3), 473-81. https://doi.org/10.3233/JPD-130323
Fereshtehnejad SM, et al. Prevalence of Malnutrition in Patients With Parkinson's Disease: a Comparative Study With Healthy Controls Using Mini Nutritional Assessment (MNA) Questionnaire. J Parkinsons Dis. 2014;4(3):473-81. PubMed PMID: 24718272.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of malnutrition in patients with Parkinson's disease: a comparative study with healthy controls using Mini Nutritional Assessment (MNA) questionnaire. AU - Fereshtehnejad,Seyed-Mohammad, AU - Ghazi,Ladan, AU - Sadeghi,Motahhareh, AU - Khaefpanah,Dena, AU - Shahidi,Gholam Ali, AU - Delbari,Ahmad, AU - Lökk,Johan, PY - 2014/4/11/entrez PY - 2014/4/11/pubmed PY - 2015/7/28/medline KW - Parkinson's disease KW - malnutrition KW - mini nutritional assessment (MNA) KW - prevalence SP - 473 EP - 81 JF - Journal of Parkinson's disease JO - J Parkinsons Dis VL - 4 IS - 3 N2 - BACKGROUND: The magnitude of malnutrition in the Parkinson's disease (PD) population has yet to be accurately quantified. OBJECTIVE: We aimed to estimate and compare the prevalence of malnourished and those at risk of malnutrition in Iranian PD patients with a matched control group using the mini nutritional assessment (MNA) and anthropometric measurements. METHODS: Nutritional status was evaluated in 143 Iranian PD patients (case group) and 145 age- and sex-matched healthy controls (control group) using the validated Persian version of the MNA. Individuals suffering from chronic comorbidities influencing nutritional state (hypertension and diabetes), following special diets and those with cognitive impairment were excluded. Using the MNA, a total score of <17 indicated malnutrition and scores of 17-23.5 signified cases at risk for malnutrition. RESULTS: The mean of total MNA score was not significantly different between two study groups [24.4 (SD = 3.8) in controls vs. 25.1 (SD = 3.4) in PD patients; P = 0.094]. Three (2.1%) PD patients were suffering from malnutrition and another 37 (25.9%) were at risk of malnutrition; while in control group similar feature was observed (2.0% malnourished and 35.2% at risk of malnutrition; P = 0.228). The mean of calf circumference (CC) was significantly lower in PD patients [34.9 (SD = 3.8) cm vs. 36.0 (SD = 5.1) cm; P = 0.046]. CONCLUSIONS: Our findings indicate the same nutritional status among mild to moderate PD patients compared with healthy controls. However, more than a quarter of the PD population was found to be at risk of malnutrition necessitating more attention towards nutritional assessment in PD. SN - 1877-718X UR - https://www.unboundmedicine.com/medline/citation/24718272/Prevalence_of_malnutrition_in_patients_with_Parkinson's_disease:_a_comparative_study_with_healthy_controls_using_Mini_Nutritional_Assessment__MNA__questionnaire_ L2 - https://content.iospress.com/openurl?genre=article&amp;id=doi:10.3233/JPD-130323 DB - PRIME DP - Unbound Medicine ER -