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Population-specific Mini Nutritional Assessment effectively predicts the nutritional state and follow-up mortality of institutionalized elderly Taiwanese regardless of cognitive status

  • Alan C. Tsai (a1) (a2) and Pei-Yu Ku (a2)
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.

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Corresponding author
*Corresponding author: Dr Alan C. Tsai, fax +734 936 7283, email atsai@umich.edu
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2Y Guigoz , S Lauque & BJ Villas (2002) Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med 18, 737757.

5H Soini , P Routasalo & H Lagstrom (2004) Characteristics of the Mini-Nutritional Assessment in elderly home-care patients. Eur J Clin Nutr 58, 6470.

6B Vellas , Y Guigoz , PJ Garry , F Nourhashemi , D Bennahum , S Lauque & JL Albarede (1999) The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of the elderly patients. Nutrition 15, 116122.

7Y Guigoz , B Vellas & PJ Garry (1996) Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation. Nutr Rev 54, Suppl., S59S65.

9M Kuzuya , S Kanda , T Koike , Y Suzuki , S Satake & A Iguchi (2005) Evaluation of Mini-Nutritional Assessment for Japanese frail elderly. Nutrition 21, 498503.

10S Izawa , M Kuzuya , K Okada , H Enoki , T Koike , S Kanda & A Iguchi (2006) The nutritional status of frail elderly with care needs according to the mini-nutritional assessment. Clin Nutr 25, 962967.

15AM Beck , L Ovesen & M Osler (1999) The ‘Mini Nutritional Assessment’ (MNA) and the “Determine Your Nutritional Health” Checklist (NSI Checklist) as predictors of morbidity and mortality in an elderly Danish population. Br J Nutr 81, 3136.

18MD Persson , KE Brismar , KS Katzarski , J Nordenström & TE Cederholm (2002) Nutritional status using Mini Nutritional Assessment and Subjective Global Assessment predict mortality in geriatric patients. J Am Geriatr Soc 50, 19962002.

19M-C Van Nes , FR Herrmann , G Gold , J-P Michel & R Rizzou (2001) Does the Mini Nutritional Assessment predict hospitalization outcomes in older people? Age Ageing 30, 221226.

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British Journal of Nutrition
  • ISSN: 0007-1145
  • EISSN: 1475-2662
  • URL: /core/journals/british-journal-of-nutrition
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