self-completed nutrition screening tool for community-dwelling older adults with high reliability: A comparison study

OBJECTIVES: Malnutrition is common in community-dwelling older adults and is associated with poor outcomes including hospitalization and mortality. Recently, a 6-question short form mini nutritional assessment (SF-MNA) was validated for rapid nutrition screening. Ideally, nutrition screening could b...

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Bibliographic Details
Published in:The Journal of nutrition, health & aging health & aging, 2013-04, Vol.17 (4), p.339-344
Main Authors: Huhmann, Maureen B, Perez, V, Alexander, D. D, Thomas, D. R
Format: Article
Language:English
Subjects:
Adults
Aged
Aged, 80 and over
Aging
Biological and medical sciences
Caregivers
Consent
elderly
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Geriatric Assessment - methods
Geriatrics/Gerontology
health care workers
Health sciences
Hospitalization
Humans
Male
Malnutrition
Malnutrition - diagnosis
Medical sciences
Medicine
Medicine & Public Health
Metabolic diseases
monitoring
Mortality
Neurosciences
Nutrition
Nutrition Assessment
Nutritional Status
Older people
Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)
Patients
Population
Primary Care Medicine
Quality of Life Research
questionnaires
Reproducibility of Results
risk
screening
Self Report
Sensitivity and Specificity
Surveys and Questionnaires
Vertebrates: anatomy and physiology, studies on body, several organs or systems
women
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Summary:OBJECTIVES: Malnutrition is common in community-dwelling older adults and is associated with poor outcomes including hospitalization and mortality. Recently, a 6-question short form mini nutritional assessment (SF-MNA) was validated for rapid nutrition screening. Ideally, nutrition screening could be performed by individuals or their caregivers prior to or during an outpatient clinical visit, thus allowing for the ongoing monitoring of nutritional status among older adults. DESIGN: We compared the SF-MNA administered by a healthcare professional (HCP) to a 6-item self-administered screening tool (Self-MNA) in 463 community dwelling older adults who gave informed consent. The population was 60% women with a mean age of 76.8+6.8 years. The HCP was blinded to the results of the Self-MNA questionnaire. RESULTS: Using the SF-MNA, 27% of subjects were malnourished, 38% were at risk, and 35% had normal nutrition status. The agreement between the Self-MNA and the SF-MNA was 99% (Self-MNA sensitivity 99%, specificity 98%, false negative rate 1%, false positive rate 2%) for identifying Malnourished subjects and 83% (sensitivity 89%, specificity 77%, false negative rate 11%, false positive rate 23%) for identifying At Risk of Malnutrition compared to the MNA-SF administered by a HCP. CONCLUSION: We found that the Self-MNA demonstrates sufficient inter-rater reliability for use in nutrition screening among community-dwelling older adults. Further validation studies and the possible impact of language translation should be pursued.
ISSN:1279-7707
1760-4788
DOI:10.1007/s12603-013-0015-x