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Mini-Nutritional Assessment predicts functional decline of elderly Taiwanese: result of a population-representative sample

  • Li-Chin Lee (a1) (a2) and Alan C. Tsai (a1) (a3)
Abstract

Nutrition is a key element in geriatric health and is important for functional ability. The present study examined the functional status-predictive ability of the Mini-Nutritional Assessment (MNA). We analysed the dataset of the ‘Survey of Health and Living Status of the Elderly in Taiwan’, a population-based study conducted by the Bureau of Health Promotion of Taiwan. Study subjects ( ≥ 65 years old) who completed both the 1999 and 2003 surveys were rated with the long form and short form of the MNA at baseline and with the Activities of Daily Living (ADL) and the Instrument Activities of Daily Living (IADL) scales 4 years later (end-point). The ability of the MNA to predict ADL or IADL dependency was evaluated with logistic regression models. The results showed that the elderly who were rated malnourished or at risk of malnutrition at baseline generally had significantly higher ADL or IADL scores 4 years later. Lower baseline MNA scores also predicted a greater risk of ADL or IADL dependency. These associations exist even among the elderly who were free of ADL or IADL dependency at baseline. The results clearly indicate that the MNA is able to predict ADL and IADL dependency (in addition to rating current nutritional status) of the elderly. The MNA, especially the short form, should be a valuable tool for identifying elderly at risk of functional decline and/or malnutrition in clinical practice or community programmes.

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Corresponding author
*Corresponding author: A. C. Tsai, fax +886 4 2332 1206, email atsai@umich.edu
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2 AE Stuck , JM Walthert , T Nikolaus , (1999) Risk factors for functional status decline in community living elderly people: a systematic literature review. Soc Sci Med 48, 445469.

5 B Saka , O Kaya , GB Ozturk , (2010) Malnutrition in the elderly and its relationship with other geriatric syndromes. Clin Nutr 29, 745748.

7 HH Chang , SL Tsai , CY Chen , (2010) Outcomes of hospitalized elderly patients with geriatric syndrome: report of a community hospital reform plan in Taiwan. Arch Gerontol Geriatr 50, Suppl. 1, S30S33.

8 R Chernoff (2001) Nutrition and health promotion in older adults. J Gerontol A Biol Sci Med Sci 56, (Spec. no. 2), 4753.

9 M Meydani (2001) Nutrition interventions in aging and age-associated disease. Ann N Y Acad Sci 928, 226235.

12 S Spaccavento , M Del Prete , A Craca , (2009) Influence of nutritional status on cognitive, functional and neuropsychiatric deficits in Alzheimer's disease. Arch Gerontol Geriatr 48, 356360.

13 G Zuliani , F Romagnoni , S Volpato , (2001) Nutritional parameters, body composition, and progression of disability in older disabled residents living in nursing homes. J Gerontal A Biol Sci Med Sci 56, M212M216.

14 M Chan , YP Lim , A Ernest , (2010) Nutritional assessment in an Asian nursing home and its association with mortality. J Nutr Health Aging 14, 2328.

16 MC van Nes , FR Herrmann , G Gold , (2001) Does the mini nutritional assessment predict hospitalization outcomes in older people? Age Ageing 30, 221226.

18 Y Guigoz , S Lauque & BJ Vellas (2002) Identifying the elderly at risk for malnutrition the mini nutritional assessment. Clin Geriatr Med 18, 737757.

21 B Vellas , Y Guigoz , PJ Garry , (1999) The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 15, 116122.

22 LZ Rubenstein , JO Harker , A Salva , (2001) Screening for undernutrition in geriatric practice: developing the short-form Mini-Nutritional Assessment (MNA-SF). J Gerontol A Biol Sci Med Sci 56, M366M372.

23 T Ferdous , T Cederholm , A Razzaque , (2009) Nutritional status and self-reported and performance-based evaluation of physical function of elderly persons in rural Bangladesh. Scand J Public Health 37, 518524.

24 F Salvi , R Giorgi , A Grilli , (2008) Mini Nutritional Assessment (short form) and functional decline in older patients admitted to an acute medical ward. Aging Clin Exp Res 20, 322328.

27 AC Tsai , TL Chang , YC Wang , (2010) Population-specific short-form mini nutritional assessment with body mass index or calf circumference can predict risk of malnutrition in community-living or institutionalized elderly people in Taiwan. J Am Diet Assoc 110, 13281334.

29 JK Johnson , LY Lui & K Yaffe (2007) Executive function, more than global cognition, predicts functional decline and mortality in elderly women. J Gerontol A Biol Sci Med Sci 62, 11341141.

30 MD Ruiz-López , R Artacho , P Oliva , (2003) Nutritional risk in institutionalized older women determined by the mini nutritional assessment test: what are the main factors? Nutrition 19, 767771.

31 M Suominen , S Muurinen , P Routasalo , (2005) Malnutrition and associated factors among aged residents in all nursing homes in Helsinki. Eur J Clin Nutr 59, 578583.

32 MR Oliveira , KC Fogaça & VA Leandro-Merhi (2009) Nutritional status and functional capacity of hospitalized elderly. Nutr J 8, 54.

33 E Cereda , L Valzolgher & C Pedrolli (2008) Mini nutritional assessment is a good predictor of functional status in institutionalised elderly at risk of malnutrition. Clin Nutr 27, 700705.

34 A Zeyfang , M Rükgauer & TH Nikolaus (2005) Healthy seniors with a normal nutritional level in the Mini-Nutritional Assessment (MNA) identified as at risk for status decline and impaired function. Z Gerontol Geriatr 38, 328333.

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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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