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Bruno Vellas - One of the best experts on this subject based on the ideXlab platform.
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the mini Nutritional Assessment short form and mortality in nursing home residents results from the incur study
Journal of Nutrition Health & Aging, 2015Co-Authors: Matthieu Lilamand, Bruno Vellas, Eirini Kelaiditi, Laurent Demougeot, Yves Rolland, Matteo CesariAbstract:Objectives To examine whether the Mini Nutritional Assessment-Short Form (MNA-SF) score and its individual items are predictors of mortality in a nursing home population.
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the mini Nutritional Assessment short form and mortality in nursing home residents results from the incur study
Journal of Nutrition Health & Aging, 2015Co-Authors: Matthieu Lilamand, Bruno Vellas, Eirini Kelaiditi, Laurent Demougeot, Yves Rolland, Matteo CesariAbstract:To examine whether the Mini Nutritional Assessment-Short Form (MNA-SF) score and its individual items are predictors of mortality in a nursing home population. Prospective, secondary analysis from the Incidence of pNeumonia and related ConseqUences in nursing home Residents (INCUR) study with 1-year follow-up. A total of 773 older persons (women 74.4%) living in 13 French nursing homes. At baseline, Nutritional status was assessed with the MNA-SF. Overall mortality rate was measured over a 12-month follow-up period after the baseline Assessment visit. Cox proportional hazard models were performed to test the predictive capacity of the MNA-SF score and its single components for mortality. Mean age of participants was 86.2 (standard deviation, SD 7.5) years. Mean MNA-SF score was 9.8 (SD 2.4). Among participants, 198 (25.6%) presented a normal Nutritional status (12–14 points), 454 (58.7%) were at risk of malnutrition (8–11 points), and 121 (15.7%) were malnourished. After one year of follow-up, 135 (17.5%) participants had died. Age, female gender, baseline weight, BMI and MNA-SF were significant predictors of mortality whereas no specific chronic disease was. The total MNA-SF score was a significant predictor of mortality (Hazard Ratio=0.83; 95% CI 0.75–0.91; p<0.001), even after adjustment for potential confounders. Four individual items: weight loss, decrease in food intake, recent stress and BMI were independent predictors of mortality. The MNA-SF appears to be an accurate predictor of one-year mortality in nursing home residents. Thus, this tool may be regarded not only as a Nutritional screening tool, but also as an instrument for identifying the most-at-risk individuals in this population.
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screening older people at risk of malnutrition or malnourished using the simplified Nutritional appetite questionnaire snaq a comparison with the mini Nutritional Assessment mna tool
Journal of the American Medical Directors Association, 2012Co-Authors: Yves Rolland, Amelie Perrin, Virginie Gardette, Nadege Filhol, Bruno VellasAbstract:Abstract Objectives The Mini-Nutritional Assessment (MNA) is recommended to assess malnutrition in older people. However, its implementation is challenging in large elderly population, nursing home, or community or large clinical research programs. The Simplified Nutritional Appetite Questionnaire (SNAQ), a self-Assessment Nutritional screening tool that predicts weight loss, could be used to screen older people at risk of malnutrition or malnourishment. Our objective was to assess whether the SNAQ is related to the MNA and can screen older people at risk of malnutrition or malnourishment. Design/Setting/Participants Cross-sectional study conducted of 175 persons aged 65 or older who were community dwelling, hospitalized, and nursing home residents. Measurements The SNAQ and the MNA score were performed. Correlation between the scores was studied. The most discriminating SNAQ value, which separated the participant at risk of malnutrition or malnourishment from the participant with a normal nutrition status (defined by MNA), was calculated. Results The SNAQ and the MNA score were significantly correlated (Spearman test r = 0.48, P Conclusion The SNAQ is a poor screening tool to predict older people with an abnormal MNA score. However, an abnormal SNAQ might identify those who will lose weight earlier than will the MNA.
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identifying the elderly at risk for malnutrition the mini Nutritional Assessment
Clinics in Geriatric Medicine, 2002Co-Authors: Y. Guigoz, S Lauque, Bruno VellasAbstract:Malnutrition is a common and often unrecognized problem in elderly persons. Every health evaluation in this population should include an Assessment of Nutritional status. The Mini Nutritional Assessment (MNA) is a thoroughly validated and easily used Assessment tool that can detect malnourishment or the risk of malnourishment before clinical signs and allow early intervention before symptoms manifest.
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screening for undernutrition in geriatric practice developing the short form mini Nutritional Assessment mna sf
Journals of Gerontology Series A-biological Sciences and Medical Sciences, 2001Co-Authors: Laurence Z Rubenstein, Yves Guigoz, Judith O Harker, Antoni Salva, Bruno VellasAbstract:Background The Mini-Nutritional Assessment (MNA) is a validated Assessment instrument for Nutritional problems, but its length limits its usefulness for screening. We sought to develop a screening version of this instrument, the MNA-SF, that retains good diagnostic accuracy. Methods We reanalyzed data from France that were used to develop the original MNA and combined these with data collected in Spain and New MEXICO: Of the 881 subjects with complete MNA data, 151 were from France, 400 were from Spain, and 330 were from New MEXICO: Independent ratings of clinical Nutritional status were available for 142 of the French subjects. Overall, 73.8% were community dwelling, and mean age was 76.4 years. Items were chosen for the MNA-SF on the basis of item correlation with the total MNA score and with clinical Nutritional status, internal consistency, reliability, completeness, and ease of administration. Results After testing multiple versions, we identified an optimal six-item MNA-SF total score ranging from 0 to 14. The cut-point score for MNA-SF was calculated using clinical Nutritional status as the gold standard (n = 142) and using the total MNA score (n = 881). The MNA-SF was strongly correlated with the total MNA score (r = .945). Using an MNA-SF score of > or = 11 as normal, sensitivity was 97.9%, specificity was 100%, and diagnostic accuracy was 98.7% for predicting undernutrition. Conclusions The MNA-SF can identify persons with undernutrition and can be used in a two-step screening process in which persons, identified as "at risk" on the MNA-SF, would receive additional Assessment to confirm the diagnosis and plan interventions.
J M Bauer - One of the best experts on this subject based on the ideXlab platform.
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screening for malnutrition among nursing home residents a comparative analysis of the mini Nutritional Assessment the Nutritional risk screening and the malnutrition universal screening tool
Journal of Nutrition Health & Aging, 2013Co-Authors: Rebecca Diekmann, K Winning, Wolfgang Uter, M J Kaiser, C C Sieber, D Volkert, J M BauerAbstract:Background The European Society for Clinical Nutrition and Metabolism (ESPEN) has recommended the Mini Nutritional Assessment (MNA®), the Nutritional Risk Screening 2002 (NRS), and the Malnutrition Universal Screening Tool (MUST) for Nutritional screening in various settings and age groups. While in recent years all three tools have been applied to nursing home residents, there is still no consensus on the most appropriate screening tool in this specific setting.
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Validation of the Mini Nutritional Assessment short-form (MNA®-SF): A practical tool for identification of Nutritional status
JNHA - The Journal of Nutrition Health and Aging, 2009Co-Authors: M J Kaiser, Wolfgang Uter, J M Bauer, C. Ramsch, Y. Guigoz, T. Cederholm, D. R. Thomas, P. Anthony, K. E. Charlton, M. MaggioAbstract:Objective To validate a revision of the Mini Nutritional Assessment short-form (MNA®-SF) against the full MNA, a standard tool for Nutritional evaluation. Methods A literature search identified studies that used the MNA for Nutritional screening in geriatric patients. The contacted authors submitted original datasets that were merged into a single database. Various combinations of the questions on the current MNA-SF were tested using this database through combination analysis and ROC based derivation of classification thresholds. Results Twenty-seven datasets (n=6257 participants) were initially processed from which twelve were used in the current analysis on a sample of 2032 study participants (mean age 82.3y) with complete information on all MNA items. The original MNA-SF was a combination of six questions from the full MNA. A revised MNA-SF included calf circumference (CC) substituted for BMI performed equally well. A revised three-category scoring classification for this revised MNA-SF, using BMI and/or CC, had good sensitivity compared to the full MNA. Conclusion The newly revised MNA-SF is a valid Nutritional screening tool applicable to geriatric health care professionals with the option of using CC when BMI cannot be calculated. This revised MNA-SF increases the applicability of this rapid screening tool in clinical practice through the inclusion of a “malnourished” category.
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comparison of two different approaches for the application of the mini Nutritional Assessment in nursing homes resident interviews versus Assessment by nursing staff
Journal of Nutrition Health & Aging, 2009Co-Authors: R Kaiser, K Winning, Wolfgang Uter, C C Sieber, S Lesser, Peter Stehle, J M BauerAbstract:Background When the Mini Nutritional Assessment (MNA©) was developed, the authors did not specifically focus on the nursing home setting. Due to a number of particularities of nursing home residents, such as cognitive and linguistic disabilities, a number of uncertainties with regard to its application await clarification.
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the mini Nutritional Assessment its history today s practice and future perspectives
Nutrition in Clinical Practice, 2008Co-Authors: J M Bauer, M J Kaiser, P. Anthony, Yves Guigoz, C C SieberAbstract:In the early 1990s, the Mini Nutritional Assessment (MNA; Nestle Nutrition, Vevey, Switzerland) was developed for nutrition screening in the elderly. Since then, it became the most established and widespread screening tool for older persons and has been translated into many different languages. The MNA shows prognostic relevance with regard to functionality, morbidity, and mortality of the elderly in different settings. This article recalls the development of the MNA with its short form (MNA-SF) and reviews the literature, focusing on the most recent publications. Specific features of the application of the MNA in different settings (community, nursing home, hospital) are considered. Minor shortcomings of the tool, such as the resources and the cooperation necessary for completion of the MNA, are discussed. Future options for the adaptation of this valuable tool are briefly characterized.
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comparison of the mini Nutritional Assessment subjective global Assessment and Nutritional risk screening nrs 2002 for Nutritional screening and Assessment in geriatric hospital patients
Zeitschrift Fur Gerontologie Und Geriatrie, 2005Co-Authors: J M Bauer, T Vogl, S Wicklein, J Trogner, W Muhlberg, C C SieberAbstract:The Mini Nutritional Assessment (MNA), the Subjective Global Assessment (SGA) and the Nutritional Risk Screening (NRS) are screening and Assessment tools aimed at detecting malnourished individuals and those at risk for malnutrition. In our study we tested their applicability in geriatric hospital patients and compared the results of the three tools. We examined prospectively all patients of two acute geriatric wards by the MNA, the SGA and the NRS. 121 patients were included in the study. The MNA could be completed in 66.1% of all patients, the SGA in 99.2% and the NRS in 98.3%. There was a significant association of all three tools with the BMI (p<0.01). With regard to serum albumin and to length of hospital stay (p<0.05), only a significant association could be shown for the MNA (p<0.05). Although the categories of the results were not completely identical for the three tools there were more patients at risk or malnourished according to the MNA (70%) than according to the SGA (45%) or the NRS (40.3%). The direct comparison of the NRS with the MNA and the SGA demonstrated significant differences, especially for the latter (p<0.001). In a relevant percentage of those tested, MNA, SGA, and NRS identify different individuals as malnourished or at risk for malnutrition. Because of its association with relevant prognostic parameters, the MNA is still the first choice for geriatric hospital patients. For those patients to whom the MNA cannot be applied, the NRS is recommended.
M J Kaiser - One of the best experts on this subject based on the ideXlab platform.
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screening for malnutrition among nursing home residents a comparative analysis of the mini Nutritional Assessment the Nutritional risk screening and the malnutrition universal screening tool
Journal of Nutrition Health & Aging, 2013Co-Authors: Rebecca Diekmann, K Winning, Wolfgang Uter, M J Kaiser, C C Sieber, D Volkert, J M BauerAbstract:Background The European Society for Clinical Nutrition and Metabolism (ESPEN) has recommended the Mini Nutritional Assessment (MNA®), the Nutritional Risk Screening 2002 (NRS), and the Malnutrition Universal Screening Tool (MUST) for Nutritional screening in various settings and age groups. While in recent years all three tools have been applied to nursing home residents, there is still no consensus on the most appropriate screening tool in this specific setting.
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prospective validation of the modified mini Nutritional Assessment short forms in the community nursing home and rehabilitation setting
Journal of the American Geriatrics Society, 2011Co-Authors: M J Kaiser, Wolfgang Uter, D Volkert, Jurgen M Bauer, L M Donini, I Stange, R Diekmann, Michael Drey, Julia Bollwein, Settimio TemperaAbstract:OBJECTIVES: To validate the modified Mini Nutritional Assessment (MNA) short-forms (MNA-SFs) with respect to agreement with full MNA classification in the target populations of the MNA. DESIGN: Prospective analysis. SETTING: Community, nursing home, rehabilitation. PARTICIPANTS: Six hundred fifty-seven individuals aged 65 and older (75.3% female; mean age 82.3 ± 7.4). MEASUREMENTS: Classification agreement between full MNA score and MNA-SF scores. RESULTS: Agreement between the full MNA and classification using the MNA-SFs was 84.6% when the MNA-SF using body mass index (BMI) was applied and 81.4% when the MNA-SF using calf circumference (CC) was applied. The highest agreement of classification was found in the community setting (90.8% and 90.4%, respectively) and the lowest in the rehabilitation setting (72.4% and 71.4%, respectively). Both MNA-SFs tended to underestimate Nutritional status, but that was significant only for the MNA-SF with CC. CONCLUSION: The modified MNA-SFs represent a valuable tool for rapid and reliable Nutritional screening. JA m Geriatr Soc 59:2124‐2128, 2011.
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frequency of malnutrition in older adults a multinational perspective using the mini Nutritional Assessment
Journal of the American Geriatrics Society, 2010Co-Authors: M J Kaiser, Wolfgang Uter, C. Ramsch, Y. Guigoz, T. Cederholm, P. Anthony, David R Thomas, Jurgen M Bauer, Karen E Charlton, Marcello MaggioAbstract:OBJECTIVES: To provide pooled data on the prevalence of malnutrition in elderly people as evaluated using the Mini Nutritional Assessment (MNA). DESIGN: Retrospective pooled analysis of previously published datasets. SETTING: Hospital, rehabilitation, nursing home, community. PARTICIPANTS: Four thousand five hundred seven people (75.2% female) with a mean age of 82.3. MEASUREMENTS: The prevalence of malnutrition in the combined database and in the four settings was examined. RESULTS: Twenty-four data sets with information on full MNA classification from researchers from 12 countries were submitted. In the combined database, the prevalence of malnutrition was 22.8%, with considerable differences between the settings (rehabilitation, 50.5%; hospital, 38.7%; nursing home, 13.8%; community, 5.8%). In the combined database, the "at risk" group had a prevalence of 46.2%. Consequently, approximately two-thirds of study participants were at Nutritional risk or malnourished. CONCLUSION: The MNA has gained worldwide acceptance and shows a high prevalence of malnutrition in different settings, except for the community. Because of its specific geriatric focus, the MNA should be recommended as the basis for Nutritional evaluation in older people.
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Validation of the Mini Nutritional Assessment short-form (MNA®-SF): A practical tool for identification of Nutritional status
JNHA - The Journal of Nutrition Health and Aging, 2009Co-Authors: M J Kaiser, Wolfgang Uter, J M Bauer, C. Ramsch, Y. Guigoz, T. Cederholm, D. R. Thomas, P. Anthony, K. E. Charlton, M. MaggioAbstract:Objective To validate a revision of the Mini Nutritional Assessment short-form (MNA®-SF) against the full MNA, a standard tool for Nutritional evaluation. Methods A literature search identified studies that used the MNA for Nutritional screening in geriatric patients. The contacted authors submitted original datasets that were merged into a single database. Various combinations of the questions on the current MNA-SF were tested using this database through combination analysis and ROC based derivation of classification thresholds. Results Twenty-seven datasets (n=6257 participants) were initially processed from which twelve were used in the current analysis on a sample of 2032 study participants (mean age 82.3y) with complete information on all MNA items. The original MNA-SF was a combination of six questions from the full MNA. A revised MNA-SF included calf circumference (CC) substituted for BMI performed equally well. A revised three-category scoring classification for this revised MNA-SF, using BMI and/or CC, had good sensitivity compared to the full MNA. Conclusion The newly revised MNA-SF is a valid Nutritional screening tool applicable to geriatric health care professionals with the option of using CC when BMI cannot be calculated. This revised MNA-SF increases the applicability of this rapid screening tool in clinical practice through the inclusion of a “malnourished” category.
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the mini Nutritional Assessment its history today s practice and future perspectives
Nutrition in Clinical Practice, 2008Co-Authors: J M Bauer, M J Kaiser, P. Anthony, Yves Guigoz, C C SieberAbstract:In the early 1990s, the Mini Nutritional Assessment (MNA; Nestle Nutrition, Vevey, Switzerland) was developed for nutrition screening in the elderly. Since then, it became the most established and widespread screening tool for older persons and has been translated into many different languages. The MNA shows prognostic relevance with regard to functionality, morbidity, and mortality of the elderly in different settings. This article recalls the development of the MNA with its short form (MNA-SF) and reviews the literature, focusing on the most recent publications. Specific features of the application of the MNA in different settings (community, nursing home, hospital) are considered. Minor shortcomings of the tool, such as the resources and the cooperation necessary for completion of the MNA, are discussed. Future options for the adaptation of this valuable tool are briefly characterized.
Wolfgang Uter - One of the best experts on this subject based on the ideXlab platform.
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screening for malnutrition among nursing home residents a comparative analysis of the mini Nutritional Assessment the Nutritional risk screening and the malnutrition universal screening tool
Journal of Nutrition Health & Aging, 2013Co-Authors: Rebecca Diekmann, K Winning, Wolfgang Uter, M J Kaiser, C C Sieber, D Volkert, J M BauerAbstract:Background The European Society for Clinical Nutrition and Metabolism (ESPEN) has recommended the Mini Nutritional Assessment (MNA®), the Nutritional Risk Screening 2002 (NRS), and the Malnutrition Universal Screening Tool (MUST) for Nutritional screening in various settings and age groups. While in recent years all three tools have been applied to nursing home residents, there is still no consensus on the most appropriate screening tool in this specific setting.
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prospective validation of the modified mini Nutritional Assessment short forms in the community nursing home and rehabilitation setting
Journal of the American Geriatrics Society, 2011Co-Authors: M J Kaiser, Wolfgang Uter, D Volkert, Jurgen M Bauer, L M Donini, I Stange, R Diekmann, Michael Drey, Julia Bollwein, Settimio TemperaAbstract:OBJECTIVES: To validate the modified Mini Nutritional Assessment (MNA) short-forms (MNA-SFs) with respect to agreement with full MNA classification in the target populations of the MNA. DESIGN: Prospective analysis. SETTING: Community, nursing home, rehabilitation. PARTICIPANTS: Six hundred fifty-seven individuals aged 65 and older (75.3% female; mean age 82.3 ± 7.4). MEASUREMENTS: Classification agreement between full MNA score and MNA-SF scores. RESULTS: Agreement between the full MNA and classification using the MNA-SFs was 84.6% when the MNA-SF using body mass index (BMI) was applied and 81.4% when the MNA-SF using calf circumference (CC) was applied. The highest agreement of classification was found in the community setting (90.8% and 90.4%, respectively) and the lowest in the rehabilitation setting (72.4% and 71.4%, respectively). Both MNA-SFs tended to underestimate Nutritional status, but that was significant only for the MNA-SF with CC. CONCLUSION: The modified MNA-SFs represent a valuable tool for rapid and reliable Nutritional screening. JA m Geriatr Soc 59:2124‐2128, 2011.
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frequency of malnutrition in older adults a multinational perspective using the mini Nutritional Assessment
Journal of the American Geriatrics Society, 2010Co-Authors: M J Kaiser, Wolfgang Uter, C. Ramsch, Y. Guigoz, T. Cederholm, P. Anthony, David R Thomas, Jurgen M Bauer, Karen E Charlton, Marcello MaggioAbstract:OBJECTIVES: To provide pooled data on the prevalence of malnutrition in elderly people as evaluated using the Mini Nutritional Assessment (MNA). DESIGN: Retrospective pooled analysis of previously published datasets. SETTING: Hospital, rehabilitation, nursing home, community. PARTICIPANTS: Four thousand five hundred seven people (75.2% female) with a mean age of 82.3. MEASUREMENTS: The prevalence of malnutrition in the combined database and in the four settings was examined. RESULTS: Twenty-four data sets with information on full MNA classification from researchers from 12 countries were submitted. In the combined database, the prevalence of malnutrition was 22.8%, with considerable differences between the settings (rehabilitation, 50.5%; hospital, 38.7%; nursing home, 13.8%; community, 5.8%). In the combined database, the "at risk" group had a prevalence of 46.2%. Consequently, approximately two-thirds of study participants were at Nutritional risk or malnourished. CONCLUSION: The MNA has gained worldwide acceptance and shows a high prevalence of malnutrition in different settings, except for the community. Because of its specific geriatric focus, the MNA should be recommended as the basis for Nutritional evaluation in older people.
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Validation of the Mini Nutritional Assessment short-form (MNA®-SF): A practical tool for identification of Nutritional status
JNHA - The Journal of Nutrition Health and Aging, 2009Co-Authors: M J Kaiser, Wolfgang Uter, J M Bauer, C. Ramsch, Y. Guigoz, T. Cederholm, D. R. Thomas, P. Anthony, K. E. Charlton, M. MaggioAbstract:Objective To validate a revision of the Mini Nutritional Assessment short-form (MNA®-SF) against the full MNA, a standard tool for Nutritional evaluation. Methods A literature search identified studies that used the MNA for Nutritional screening in geriatric patients. The contacted authors submitted original datasets that were merged into a single database. Various combinations of the questions on the current MNA-SF were tested using this database through combination analysis and ROC based derivation of classification thresholds. Results Twenty-seven datasets (n=6257 participants) were initially processed from which twelve were used in the current analysis on a sample of 2032 study participants (mean age 82.3y) with complete information on all MNA items. The original MNA-SF was a combination of six questions from the full MNA. A revised MNA-SF included calf circumference (CC) substituted for BMI performed equally well. A revised three-category scoring classification for this revised MNA-SF, using BMI and/or CC, had good sensitivity compared to the full MNA. Conclusion The newly revised MNA-SF is a valid Nutritional screening tool applicable to geriatric health care professionals with the option of using CC when BMI cannot be calculated. This revised MNA-SF increases the applicability of this rapid screening tool in clinical practice through the inclusion of a “malnourished” category.
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comparison of two different approaches for the application of the mini Nutritional Assessment in nursing homes resident interviews versus Assessment by nursing staff
Journal of Nutrition Health & Aging, 2009Co-Authors: R Kaiser, K Winning, Wolfgang Uter, C C Sieber, S Lesser, Peter Stehle, J M BauerAbstract:Background When the Mini Nutritional Assessment (MNA©) was developed, the authors did not specifically focus on the nursing home setting. Due to a number of particularities of nursing home residents, such as cognitive and linguistic disabilities, a number of uncertainties with regard to its application await clarification.
Alan C. Tsai - One of the best experts on this subject based on the ideXlab platform.
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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
British Journal of Nutrition, 2013Co-Authors: Alan C. Tsai, Tsuilan Chang, Jiunyi WangAbstract:AbstractThe 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 versionsadopted Taiwanese anthropometric cut-offs, but T2 further had the BMI item replaced by CC. We compared the ability of the two SF inrating 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 kand performed Cox regression analysis for the follow-up4-year mortality according to Nutritional status rated at baseline. The results showed that the agreements between the respective SF andthe full MNA were good (weighted k: 0·679 for T1 and 0·667 for T2). Both SF performed well in predicting follow-up 4-year mortalityrelative to the full MNA. In conclusion, MNA-T1-SF and -T2-SF have good consistency with the full MNA and have quite comparableabilities in rating the Nutritional status of elderly Taiwanese. Both SF versions appear appropriate for functioning as stand-alone unitsfor rating the Nutritional status of the elderly in community-living settings or the general population.Key words: Mini-Nutritional Assessment: Nutritional Assessment: Malnutrition: Elderly: Taiwan
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mini Nutritional Assessment predicts functional status and quality of life of patients with hepatocellular carcinoma in taiwan
Nutrition and Cancer, 2012Co-Authors: Wei Chung Hsu, Alan C. Tsai, Shuching Chan, Poming Wang, Nana ChungAbstract:This study aimed to determine the possibility of using the Mini-Nutritional Assessment (MNA) to evaluate the quality of life and functional status in patients with hepatocellular carcinoma (HCC). The study recruited 300 outpatients with HCC from a teaching hospital in Central Taiwan to serve as subjects. All subjects were interviewed with a structured questionnaire for rating the Nutritional status with the MNA (long-form and short-form), and for evaluating quality of life and functional status with Global Quality of Life (GQL) and Global Functional Status (GFS), respectively, of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 version-3. Cancer staging and liver cirrhosis indicators, blood biochemical indicators, and self-rated health status and mobility were used as reference standards. Results showed that based on the strength of the correlation and association with the reference standards, both the long-form and short-form of the MNA performed better than GQL and GFS in predicting quality of life and functional status of patients with HCC. These results suggest that the MNA is suitable for identifying the risk of deteriorating quality of life or functional status, in addition to identifying the risk of malnutrition, in patients with HCC.
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The Mini Nutritional Assessment (MNA) is useful for assessing the risk of malnutrition in adults with intellectual disabilities
Journal of clinical nursing, 2011Co-Authors: Alan C. Tsai, Hsiu-yueh Hsu, Tsuilan ChangAbstract:Aim. The study was aimed to examine the appropriateness of using the Mini Nutritional Assessment to screen for risk of under- and over-nutrition in adults with intellectual disabilities. Background. Persons with intellectual disabilities are at increased risk of malnutrition, but routine monitoring of their Nutritional conditions are not widely done. Design. The study purposively recruited 104 institutionalised adults (≥19 years old) with intellectual disabilities to serve as participants. Methods. Participants were interviewed with a structured questionnaire to elicit personal data, health-related information and answers to items in the Activities of Daily Living and the Mini Nutritional Assessment scales and measured for anthropometrics. Biochemical data were taken from their routine medical measurements. Each subject was graded with the Mini Nutritional Assessment that adopted Taiwanese-specific anthropometric cut-off points (T1) and an alternative version that omitted the body mass index item (T2). Results. Both Mini Nutritional Assessment versions were able indentifying individuals at risk of malnutrition among adults with intellectual disabilities and rated comparable proportions of patients malnourished (6·7 and 5·8% for Mini Nutritional Assessment-T1 and Mini Nutritional Assessment-T2, respectively) or at risk of malnutrition (14·4 and 17·3%, respectively). Persons with cerebral palsy were at greater risk of malnourishment than persons with other disabilities. Conclusion. The Mini Nutritional Assessment is appropriate for screening for under- and over-nutrition in adults with intellectual disabilities. The Mini Nutritional Assessment (especially the version without body mass index) can make routine monitoring of Nutritional status of these patients an easier task. However, further studies are needed to develop subtype-specific versions (tools) as various subtypes of intellectual disability are associated with different Nutritional problems. Relevance to clinical practice. The Mini Nutritional Assessment can serve as a tool for routine screening for under- and over-nutrition in persons with intellectual disabilities.
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a modified mini Nutritional Assessment without bmi predicts Nutritional status of community living elderly in taiwan
Journal of Nutrition Health & Aging, 2009Co-Authors: Alan C. Tsai, Shunu Changlee, T L Chang, T W Yang, S F TsayAbstract:Objective The study was to determine whether a modified MNA (Mini Nutritional Assessment) which adopted population-specific anthropometric cut-points but without BMI could maintain its predicting ability in community-living elderly in Taiwan.
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a modified mini Nutritional Assessment without bmi can effectively assess the Nutritional status of neuropsychiatric patients
Journal of Clinical Nursing, 2009Co-Authors: Alan C. Tsai, Tsuilan Chang, Yuanti Chou, Shunu Changlee, Shwufeng TsayAbstract:Aim and objectives. To determine whether a modified version of the Mini Nutritional Assessment (MNA) without body mass index (BMI) can effectively identify individuals at risk of malnutrition among patients with neuropsychiatric disorders. Background. Neuropsychiatric patients have an additional risk of Nutritional disorder due to functional impairments and drug effects. However, their Nutritional status is generally neglected. It is important to find a tool that is simple, easy to use and noninvasive. Design. The study involved 105 patients in the acute phase of confirmed neuropsychiatric disorders in an area hospital. All subjects were cognitively able to have effective verbal communication. Method. The study included serum biochemical and anthropometric measurements and an on-site, in-person interview using a structured questionnaire to elicit personal data, health condition and answers to questions in the MNA. Subjects’ Nutritional statuses were graded with a MNA that adopted population-specific anthropometric cut-off points or one further with the BMI question removed and its assigned score redistributed to other anthropometric questions. Results. Both versions of the modified MNA effectively graded the Nutritional status of neuropsychiatric patients and showed good correlations with the major Nutritional indicators such as BMI, calf circumference and the length of hospital stay. Conclusions. The MNA can effectively assess the Nutritional status of neuropsychiatric patients and enhance timely detection and intervention of their Nutritional disorders. A modified MNA without the BMI question can maintain the full functionality of the tool. The version does not require weight and height measurements and thus will enhance the usefulness of the instrument. Relevance to clinical practice. Neuropsychiatric patients are a high-risk group of Nutritional disorders. The MNA, especially the one without BMI, has the potential to improve professional efficiency of the primary care workers.
