Validation of the modified mini nutritional assessment short-forms in different populations of older people in Poland

Objective To assess the usefulness in different populations of elderly people in Poland of both modified versions of Mini Nutritional Assessment Short-Forms (MNA-SFs) with a three-category scoring classification: one using BMI (MNA-SF-BMI) and another using calf circumference (MNA-SF-CC). Setting an...

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Bibliographic Details
Published in:The Journal of nutrition, health & aging health & aging, 2014-04, Vol.18 (4), p.366-371
Main Authors: Kostka, J., Borowiak, E., Kostka, Tomasz
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aging
Biological and medical sciences
Body mass index
Classification
Dementia
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Geriatric Assessment - methods
Geriatrics
Geriatrics/Gerontology
Humans
Institutionalization
Leg - anatomy & histology
Male
Malnutrition
Malnutrition - diagnosis
Malnutrition - epidemiology
Medical sciences
Medicine
Medicine & Public Health
Metabolic diseases
Mortality
Neurosciences
Nursing Homes
Nutrition
Nutrition Assessment
Nutritional Status
Older people
Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)
Poland - epidemiology
Primary Care Medicine
Quality of Life Research
Questionnaires
Residence Characteristics
Response rates
Rural areas
Rural Population
Sensitivity and Specificity
Terminal illnesses
Urban Population
Vertebrates: anatomy and physiology, studies on body, several organs or systems
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Summary:Objective To assess the usefulness in different populations of elderly people in Poland of both modified versions of Mini Nutritional Assessment Short-Forms (MNA-SFs) with a three-category scoring classification: one using BMI (MNA-SF-BMI) and another using calf circumference (MNA-SF-CC). Setting and Participants A group of 932 community-dwelling subjects from the urban environment, 812 subjects from the rural environment and 859 subjects from an institutional environment (nursing homes). Measurements Agreement between both MNA-SFs and the MNA full form. Results: MNA-SF-BMI correctly classified 84.12%, 82.51% and 81.84% of subjects from urban, rural and institutional environment, respectively. For MNA-SF-CC those values were 82.4%, 71.8% and 76.6%, respectively. The sensitivity and specificity of MNA-SF-BMI and MNA-SF-CC against full MNA in screening for “at risk/malnutrition” and “malnutrition” were generally very high, except for relatively lower sensitivity (74.1%) when screening for “malnutrition” with MNA-SF-CC in nursing homes. Conclusion Both MNA-SFs can be recommended as screening tools in assessing the nutritional state of the community-dwelling and institutionalised elderly in Poland. The full version of the MNA confirmed the results of MNA-SFs in this group. The “classic” MNA-SF using BMI was found to perform better than the MNA-SF-CC. The MNA-SF-CC should be used only when measuring BMI is not possible. While using MNASF-CC in nursing homes, a higher MNA-SF-CC cut-point of eleven should be rather used in this population to screen for “at risk/malnutrition”.
ISSN:1279-7707
1760-4788
DOI:10.1007/s12603-013-0393-0