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Short-form Mini-Nutritional Assessment with either BMI or calf circumference is effective in rating the nutritional status of elderly Taiwanese – results of a national cohort study

  • Alan C. Tsai (a1) (a2), Tsui-Lan Chang (a3) (a4) and Jiun-Yi Wang (a1)
Abstract

The present study was aimed to validate two normalised short-form (SF) Mini-Nutritional Assessments (MNA) that contained either BMI (Taiwan version 1, T1) or calf circumference (CC; Taiwan version 2, T2) for rating the nutritional status of elderly Taiwanese. Both versions adopted Taiwanese anthropometric cut-offs, but T2 further had the BMI item replaced by CC. We compared the ability of the two SF in rating the nutritional status of 2674 elderly Taiwanese in the 1999 ‘Taiwan Longitudinal Survey on Aging’ with their respective full versions. We evaluated the agreement between the SF and full scales with weighted κ and performed Cox regression analysis for the follow-up 4-year mortality according to nutritional status rated at baseline. The results showed that the agreements between the respective SF and the full MNA were good (weighted κ: 0·679 for T1 and 0·667 for T2). Both SF performed well in predicting follow-up 4-year mortality relative to the full MNA. In conclusion, MNA-T1-SF and -T2-SF have good consistency with the full MNA and have quite comparable abilities in rating the nutritional status of elderly Taiwanese. Both SF versions appear appropriate for functioning as stand-alone units for rating the nutritional status of the elderly in community-living settings or the general population.

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Corresponding author
*Corresponding author: Professor A. C. Tsai, fax +886 4 2332 1206, email atsai@umich.edu
References
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1 AC Tsai , CS Ho & MC Chang (2008) Assessing the prevalence of malnutrition with the Mini Nutritional Assessment (MNA) in a nationally representative sample of elderly Taiwanese. J Nutr Health Aging 12, 239243.

2 AC Tsai , TL Chang , T-W Yang , et al. (2010) A modified Mini Nutritional Assessment without BMI predicts nutritional status of community-living elderly in Taiwan. J Nutr Health Aging 14, 183189.

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4 AC Tsai , TL Chang , YC Wang , et al. (2010) Population-specific short-form Mini Nutritional Assessment with BMI or calf-circumference can predict risk of malnutrition in community-living or institutionalized elderly in Taiwan. J Am Dietet Assoc 110, 13281334.

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8 MJ Kaiser , JM Bauer , C Rämsch , et al. (2009) Validation of the Mini Nutritional Assessment® Short-Form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging 13, 782788.

9 MD Persson , KE Brismar , KS Katzarski , et al. (2002) Nutritional status using Mini Nutritional Assessment and Subjective Global Assessment predict mortality in geriatric patients. J Am Geriatr Soc 50, 19962002.

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13WHO expert consultation (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363, 157163.

18 AC Tsai & PY Ku (2008) 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 100, 152158.

19 MJ Kaiser , JM Bauer , W Uter , et al. (2011) Prospective validation of the modified Mini Nutritional Assessment short-forms in the community, nursing home, and rehabilitation settings. J Am Geriatr Soc 59, 21242128.

20 PA Reichart & S Warnakulasuriya (2012) Oral lichenoid contact lesions induced by areca nut and betel quid chewing: a mini review. J Investig Clin Dent 3, 163166.

21 AC Tsai & M-Z Chang (2011) Long-form but not short-form Mini-Nutritional Assessment is appropriate for grading nutritional risk of patients on hemodialysis – a cross-sectional study. Int J Nurs Stud 48, 14291435.

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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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