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Nutritional assessment interpretation on 22 007 Spanish community-dwelling elders through the Mini Nutritional Assessment test

  • M Cuervo (a1), A García (a2), D Ansorena (a1), A Sánchez-Villegas (a3), MA Martínez-González (a4), I Astiasarán (a1) and JA Martínez (a1)...

To evaluate the prevalence of undernutrition among community-dwelling elderly people in Spain using the Mini Nutritional Assessment (MNA) and to analyse its distribution according to age, gender and residence region.


Cross-sectional study assessing the nutritional status of elderly persons through both the short form and the full version of the MNA test.


Pharmacy offices across the whole country (Spain) were enrolled to recruit participants.


A total of 22 007 participants (8014 men and 13 993 women), aged ≥65 years, assessed during the last two months of 2005.


According to MNA screening, 4·3 % subjects were classified as undernourished (MNA score <17) and 25·4 % were at risk of undernutrition (MNA score ≥17 to ≤23·5). The MNA short form correlated strongly with the full MNA version (r = 0·85). MNA total score was significantly higher in men than in women (25·4 (sd 3·7) v. 24·6 (sd 3·9); P < 0·001) and lower in the oldest than in the youngest subjects (P < 0·001) in both genders. According to regional distribution, the best nutritional status was found in elderly from the north of Spain excluding the north-west area.


Female gender, older age and living in the south half or north-west of the country were associated with higher rates of undernutrition among community-dwelling elderly persons in Spain.

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1.Chen CC, Schilling LS & Lyder CH (2001) A concept analysis of malnutrition in the elderly. J Adv Nurs 36, 131142.
2.Drewnowski A & Warren-Mears VA (2001) Does aging change nutrition requirements? J Nutr Health Aging 5, 7074.
3.Brownie S (2006) Why are elderly individuals at risk of nutritional deficiency? Int J Nurs Pract 12, 110118.
4.Coelho AK, Rocha FL & Fausto MA (2006) Prevalence of undernutrition in elderly patients hospitalized in a geriatric unit in Belo Horizonte, MG, Brazil. Nutrition 22, 10051011.
5.Pirlich M & Lochs H (2001) Nutrition in the elderly. Best Pract Res Clin Gastroenterol 15, 869884.
6.Martinez JA, Velasco JJ & Urbistondo MD (1994) Effects of pharmacological therapy on anthropometric and biochemical status of male and female institutionalized psychiatric patients. J Am Coll Nutr 13, 192197.
7.Seiler WO (1999) [Nutritional status of ill elderly patients]. Z Gerontol Geriatr 32, Suppl. 1, I7I11.
8.Casimiro C, Garcia de Lorenzo A & Usan L (2001) [Evaluation of nutritional risk in ambulatory elderly patients]. Nutr Hosp 16, 97103.
9.Commission of the European Communities (2005) Confronting Demographic Change: A New Solidarity Between the Generations. Green Paper 16.3.2005. Brussels: Commission of the European Communities.
10.IMSERSO (2006) Informe 2006. Las Personas Mayores en España. Datos Estadísticos Estatales y por Comunidades Autónomas. Observatorio de Personas Mayores. Madrid: Ministerio de Trabajo y Asuntos Sociales.
11.Green SM & Watson R (2005) Nutritional screening and assessment tools for use by nurses: literature review. J Adv Nurs 50, 6983.
12.Sieber CC (2006) Nutritional screening tools – how does the MNA(R) compare? Proceedings of the Session held in Chicago May 2–3, 2006 (15 Years of Mini Nutritional Assessment). J Nutr Health Aging 10, 488494.
13.Guigoz Y, Lauque S & Vellas BJ (2002) Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med 18, 737757.
14.Vellas B, Villars H, Abellan G et al. (2006) Overview of the MNA(R) – its history and challenges. J Nutr Health Aging 10, 456465.
15.Guigoz Y & Vellas B (1999) The Mini Nutritional Assessment (MNA) for grading the nutritional state of elderly patients: presentation of the MNA, history and validation. Nestle Nutr Workshop Ser Clin Perform Programme 1, 311.
16.Consejo General de Colegios Oficiales de Farmacéuticos (2005) Plan de Educación Nutricional por el Farmacéutico (PLENUFAR 3). Pamplona: Eurograf Navarra SL.
17.Suominen MH, Kivisto SM & Pitkala KH (2007) Effects of nutrition education on professionals’ practice and on the nutrition of aged residents in dementia wards. Eur J Clin Nutr 61, 12261232.
18.Rubenstein LZ, Harker JO, Salva A, Guigoz Y & Vellas B (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.
19.Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S & Albarede JL (1999) The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 15, 116122.
20.World Health Organization (2000) Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation. WHO Technical Report Series no. 894. Geneva: WHO.
21.Borecki IB, Higgins M, Schreiner PJ, Arnett DK, Mayer-Davis E, Hunt SC & Province MA (1998) Evidence for multiple determinants of the body mass index: the National Heart, Lung, and Blood Institute Family Heart Study. Obes Res 6, 107114.
22.Douketis JD, Paradis G, Keller H & Martineau C (2005) Canadian guidelines for body weight classification in adults: application in clinical practice to screen for overweight and obesity and to assess disease risk. CMAJ 172, 995998.
23.Janssen I & Mark AE (2007) Elevated body mass index and mortality risk in the elderly. Obes Rev 8, 4159.
24. Martínez-González MA, Sánchez-Villegas A & Faulin J (2006) Bioestadística Amigable. 2nd ed. Madrid: Martínez-González MA.
25.Margetts B (2003) FAO/WHO launch expert report on diet, nutrition and prevention of chronic diseases. Public Health Nutr 6, 323325.
26.Raynaud-Simon A & Lesourd B (2000) [Malnutrition in the elderly. Clinical consequences]. Presse Med 29, 21832190.
27.Omran ML & Morley JE (2000) Assessment of protein energy malnutrition in older persons, part I. History, examination, body composition, and screening tools. Nutrition 16, 5063.
28.Elia M, Zellipour L & Stratton RJ (2005) To screen or not to screen for adult malnutrition? Clin Nutr 24, 867884.
29.Villalobos Gamez JL, Garcia-Almeida JM, Guzman de Damas JM, Rioja Vazquez R, Osorio Fernandez D, Rodriguez-Garcia LM, del Río Mata J, Ortiz García C & Gutiérrez Bedmar M (2006) [INFORNUT process: validation of the filter phase – FILNUT – and comparison with other methods for the detection of early hospital hyponutrition]. Nutr Hosp 21, 491504.
30.Villamayor Blanco L, Llimera Rausell G, Jorge Vidal V, Gonzalez Perez-Crespo C, Iniesta Navalon C, Mira Sirvent MC, Martínez Penella M & Rabell Iñigo S (2006) [Nutritional assessment at the time of hospital-admission: study initiation among different methodologies]. Nutr Hosp 21, 163172.
31.Wanden-Berghe C, Sanz-Valero J, Jimenez M & Hernandez M (2006) [Malnutrition of home-based hospital patients]. Nutr Hosp 21, 2225.
32.Tur JA, Colomer M, Monino M, Bonnin T, Llompart I & Pons A (2005) Dietary intake and nutritional risk among free-living elderly people in Palma de Mallorca. J Nutr Health Aging 9, 390396.
33.Morillas J, Garcia-Talavera N, Martin-Pozuelo G, Reina AB & Zafrilla P (2006) [Detection of hyponutrition risk in non-institutionalised elderly]. Nutr Hosp 21, 650656.
34.Kucukerdonmez O, Koksal E, Rakicioglu N & Pekcan G (2005) Assessment and evaluation of the nutritional status of the elderly using 2 different instruments. Saudi Med J 26, 16111616.
35.Salminen H, Saaf M, Johansson SE, Ringertz H & Strender LE (2006) Nutritional status, as determined by the Mini-Nutritional Assessment, and osteoporosis: a cross-sectional study of an elderly female population. Eur J Clin Nutr 60, 486493.
36.Soini H, Routasalo P & Lagstrom H (2004) Characteristics of the Mini-Nutritional Assessment in elderly home-care patients. Eur J Clin Nutr 58, 6470.
37.Christensson L, Unosson M & Ek AC (2002) Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care. Eur J Clin Nutr 56, 810818.
38.Gutierrez-Fisac JL, Lopez E, Banegas JR, Graciani A & Rodriguez-Artalejo F (2004) Prevalence of overweight and obesity in elderly people in Spain. Obes Res 12, 710715.
39.Perissinotto E, Pisent C, Sergi G & Grigoletto F (2002) Anthropometric measurements in the elderly: age and gender differences. Br J Nutr 87, 177186.
40.Sundquist K, Qvist J, Johansson SE & Sundquist J (2004) Increasing trends of obesity in Sweden between 1996/97 and 2000/01. Int J Obes Relat Metab Disord 28, 254261.
41.Santos JL, Albala C, Lera L, Garcia C, Arroyo P, Perez-Bravo F, Angel B & Peláez M (2004) Anthropometric measurements in the elderly population of Santiago, Chile. Nutrition 20, 452457.
42.Saletti A, Lindgren EY, Johansson L & Cederholm T (2000) Nutritional status according to mini nutritional assessment in an institutionalized elderly population in Sweden. Gerontology 46, 139145.
43.Suominen M, Muurinen S, Routasalo P, Soini H, Suur-Uski I, Peiponen A, Finne-Soveri H & Pitkala KH (2005) Malnutrition and associated factors among aged residents in all nursing homes in Helsinki. Eur J Clin Nutr 59, 578583.
44.Instituto Nacional de Estadística (2005) Encuesta de Condiciones de Vida. Año 2004. Principales Resultados, p. 10. Madrid: INE.
45.Pentieva KD, Bates CJ, Prentice A & Cole TJ (1999) North–south differences in some indices of vitamin B6 nutritional status in older British people. Int J Vitam Nutr Res 69, 371377.
46.Elia M & Stratton RJ (2005) Geographical inequalities in nutrient status and risk of malnutrition among English people aged 65 y and older. Nutrition 21, 11001106.
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