The Mini Nutritional Assessment-Short Form as a predictor of nursing home mortality in Japan: A 30-month longitudinal study

Nutrition is an important health issue for seniors. In nursing homes, simple, inexpensive, fast, and validated tools to assess nutritional risk/status are indispensable. A multisurvey cross-sectional study with a convenient sample was created, comparing five nutritional screening/assessment tools and the time required for each, in order to identify the most useful instrument for a nursing home setting. Nutrition risk/status was evaluated using the following tools: Subjective Global Assessment (SGA), Mini Nutritional Assessment Short Form (MNA-SF), Malnutrition Universal Screening Tool (MUST), Nutritional Risk Screening 2002 (NRS 2002), and calf girth (CG). The time spent completing each tool was recorded. Eighty-three subjects were included. MNA-SF and CG were the screening tools that ranked highest with regards to malnutrition identification. CG failed to identify nutritional risk/malnutrition in seniors with lower limb edema. CG was the fastest tool while SGA was the slowest. This was the first study comparing non-invasive nutritional tools with time expended as a consideration in the implementation. CG is responsive, fast, and reliable in elders without edema. MNA-SF was more efficient at detecting malnutrition cases in the elderly population. Both MNA-SF and CG are considered the most suitable for the nursing home setting.

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Prevalence and associations of orofacial pain and oral health factors in nursing home residents with and without dementia

Age and Ageing ◽

10.1093/ageing/afz169 ◽

2019 ◽

Vol 49 (3) ◽

pp. 418-424 ◽

Cited By ~ 1

Author(s):

Liza Jm van de Rijt ◽

Alexandra R Feast ◽

Victoria Vickerstaff ◽

Frank Lobbezoo ◽

Elizabeth L Sampson

Keyword(s):

Nursing Home ◽

Oral Health ◽

Orofacial Pain ◽

Nutritional Assessment ◽

Short Form ◽

Nursing Home Residents ◽

Mini Nutritional Assessment ◽

Self Report ◽

Clinical Dementia Rating ◽

Health Factors

Abstract Objectives determine and compare the prevalence of orofacial pain in older nursing home residents with and without dementia and explore the association between orofacial pain and health factors. Methods cross-sectional study conducted in four UK nursing homes. We used the Orofacial-Pain Scale for Non-Verbal Individuals (OPS-NVI) to identify orofacial pain in residents with dementia. Residents who were able to communicate self-reported orofacial pain. A brief oral examination was conducted. Information on demographics, Clinical Dementia Rating, Charlson Comorbidity Index, Cohen Mansfield Agitation Inventory, Barthel Index, 5-level Euroqol 5 Dimension, Oral Health Impact Profile 14, Mini Nutritional Assessment Short Form and medication was collected. Chi-squared tests, independent sample t-tests and Mann-Whitney U-tests were used to compare outcomes between groups. Multivariable logistic regression was used to evaluate predictors of orofacial pain. Results orofacial pain, assessed with the OPS-NVI, was present in 48.8% (95% confidence interval [C.I.] 36.1–50.7) of residents with dementia. Self-reported orofacial pain was present in 37.8% (95% C.I. 20.4–53.7) of residents with dementia and in 14.8% (95% C.I. 0.5–30.4) residents without dementia. Orofacial pain was significantly more prevalent in residents with dementia than those without (OPS-NVI; P = 0.002, self-report; P = 0.04). Having a soft diet, xerostomia, being dentate, and poor oral hygiene in dentate residents were significant predictors of orofacial pain in residents with dementia. Conclusion orofacial pain was more prevalent in residents with dementia. Oral health care should be part of routine care for residents, especially for those with dementia, to improve oral health and decrease the risk of developing orofacial pain.

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Factors associated with deterioration of mini nutritional assessment-short form status of nursing home residents during a 2-year period

The journal of nutrition health & aging ◽

10.1007/s12603-013-0400-5 ◽

2013 ◽

Vol 18 (4) ◽

pp. 372-377 ◽

Cited By ~ 13

Author(s):

Sachiko Izawa ◽

H. Enoki ◽

J. Hasegawa ◽

T. Hirose ◽

M. Kuzuya

Keyword(s):

Nursing Home ◽

Nutritional Assessment ◽

Short Form ◽

Nursing Home Residents ◽

Mini Nutritional Assessment ◽

Factors Associated

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Relationship between chronic diseases and diet in older persons in nursing homes

Geriatric Care ◽

10.4081/gc.2020.8920 ◽

2020 ◽

Vol 6 (4) ◽

Author(s):

Melahat Kizil ◽

Kamile Nazan Turhan ◽

Ramazan Kizil ◽

Nursun Ustunkarli

Keyword(s):

Nursing Home ◽

Chronic Disease ◽

Older People ◽

Chronic Diseases ◽

Old Age ◽

Nutritional Assessment ◽

Short Form ◽

Mini Nutritional Assessment ◽

Balanced Diet ◽

The Relationship

This study aimed to determine the relationship between chronic diseases and nutrition in the older adults in a nursing home. In 2014 and 2019, we investigated older people aged 60 years and over living in a nursing home in Izmir and who agreed to participate and could perform self-care. A 26-item questionnaire that focuses on sociodemographic, socioeconomic and chronic disease characteristics, and the Turkish version of Mini Nutritional Assessment Test-Short Form were applied using the face-to-face method. In 2014, 68.9% of the older had no malnutrition risk, 23% had malnutrition risk, and 8.1% had malnutrition. The women had a higher malnutrition risk and actual malnutrition than men (P<0.05). Malnutrition was most common in 75-84 years of age. In 2019, 41.6% of the older had malnutrition risk, whereas 7.8% had actual malnutrition. No difference was found between malnutrition and malnutrition risk, between women and men and between age and sex (P>0.05). At both times, malnutrition risk increased in those with chronic disease (P<0.05). At least one chronic disease (high blood pressure, heart disease, diabetes, etc.) was found in 67.6% of the older. Meanwhile, 70.1% had been previously hospitalized for some reason. Malnutrition risk increases with old age. An adequate and well-balanced diet is important for protecting health and increasing longevity and quality of life in old age. Older people and nursing home employees need to be trained on the relationship and risks of chronic disease and malnutrition.

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SUN-PP097: The Mini Nutritional Assessment Short-Form and Mortality in Nursing Home Residents – Results From the Incur Study

Clinical Nutrition ◽

10.1016/s0261-5614(15)30248-x ◽

2015 ◽

Vol 34 ◽

pp. S59

Author(s):

M. Lilamand ◽

E. Kelaiditi ◽

L. Demougeot ◽

Y. Rolland ◽

M. Cesari ◽

...

Keyword(s):

Nursing Home ◽

Nutritional Assessment ◽

Short Form ◽

Nursing Home Residents ◽

Mini Nutritional Assessment

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Predictive Value of Nutritional Risk Screening 2002 and Mini Nutritional Assessment Short Form in Mortality in Chinese Hospitalized Geriatric Patients

Clinical Interventions in Aging ◽

10.2147/cia.s244910 ◽

2020 ◽

Vol Volume 15 ◽

pp. 441-449 ◽

Cited By ~ 3

Author(s):

Xiaoyan Zhang ◽

Xingliang Zhang ◽

Yunxia Zhu ◽

Jun Tao ◽

Zhen Zhang ◽

...

Keyword(s):

Predictive Value ◽

Geriatric Patients ◽

Nutritional Assessment ◽

Short Form ◽

Mini Nutritional Assessment ◽

Nutritional Risk ◽

Risk Screening ◽

Nutritional Risk Screening 2002 ◽

Nutritional Risk Screening ◽

Hospitalized Geriatric Patients

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Evaluation of Malnutrition and Depression in Elderly People: An Epidemiological Study in Turkey

European Journal of Public Health ◽

10.1093/eurpub/ckz187.033 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

S Aydoğan ◽

A Ünsal ◽

D Arslantaş

Keyword(s):

Health Care Providers ◽

Nutritional Assessment ◽

Short Form ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Cluster Sampling ◽

Care Providers ◽

Cross Sectional

Abstract Background Malnutrition is an important cause of morbidity and mortality. Malnutrition increases the number of hospitalizations and prolongs the length of hospitalization by disrupting organ functions, increasing the number and severity of infections and delaying wound healing. The aim of this study was to determine the frequency of suspected malnutrition in the elderly, to examine some related variables and to evaluate the depression. Methods The study is a cross-sectional study conducted between March-April 2019 in individuals aged 60 years and older living in Sivrihisar. Sample size was calculated as 579. Cluster sampling method used. Data was collected by door to door in 4 neighborhoods determined by randomly. Mini Nutritional Assessment Test-Short Form (for malnutrition), Katz Daily Living Activities Scale (for dependency) and Geriatric Depression Scale-Short Form (for depression) were used. Chi-square test, Mann Whitney U test and logistic regression analysis were used for the analyzes. Results The study group consisted of 220 (38%) women and 359 (62%) men. The mean age was 68.9±6.4 (ranged 60-93). Frequency of suspected malnutrition was 25% (n = 145). Being 80 years of age or older (OR:3.24, CI:1.53-6.85), having a primary and lower education level (OR:2.54, CI:1.32-4.90), history of chronic illness (OR:2.34, CI:1.33-4.03), using dentures (OR:1.62, CI:1.03-2.55) and suspected depression (OR:4.97, CI:3.17-7.78) are important risk factors for malnutrition. Those with suspicion of malnutrition had lower scores on DLA (z = 8.982;p=0.001). Conclusions Malnutrition was found to be an important health problem for the elderly. The frequency of suspected malnutrition is higher in individuals with depression. Those with suspected malnutrition have higher level of dependency. In order to reduce the frequency of malnutrition, it may be beneficial to increase the awareness of the elderly and caregivers and to give importance to the elderly nutrition of primary health care providers. Key messages Depression is an important risk factor for malnutrition. Malnutrition increases the dependence of the individual on daily activities.

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Diagnostic Performance and Accuracy of the MNA-SF against GLIM Criteria in Community-Dwelling Older Adults from Poland

Nutrients ◽

10.3390/nu13072183 ◽

2021 ◽

Vol 13 (7) ◽

pp. 2183

Author(s):

Aleksandra Kaluźniak-Szymanowska ◽

Roma Krzymińska-Siemaszko ◽

Marta Lewandowicz ◽

Ewa Deskur-Śmielecka ◽

Katarzyna Stachnik ◽

...

Keyword(s):

At Risk ◽

Diagnostic Performance ◽

Nutritional Assessment ◽

Short Form ◽

Area Under The Curve ◽

Mini Nutritional Assessment ◽

Community Dwelling ◽

Study Results ◽

Community Dwelling Older Adults ◽

Test Result

Up to 28% of elderly residents in Europe are at risk of malnutrition. As uniform diagnostic criteria for malnutrition have not been formulated, in autumn 2018, the Global Leadership Initiative on Malnutrition (GLIM) presented a consensus on its diagnosis. According to the consensus, the diagnosis of malnutrition requires a positive screening test result for the risk of malnutrition, and the presence of at least one etiologic and one phenotypic criterion. This study aimed to assess the diagnostic performance and accuracy of the Mini Nutritional Assessment—Short Form (MNA-SF) against GLIM criteria. The analysis involved 273 community-dwelling volunteers aged ≥ 60 years. All participants were screened for malnutrition with the MNA-SF questionnaire. Next, the GLIM phenotypic and etiologic criteria were assessed in all subjects. Based on the presence of at least one phenotypic and one etiologic criterion, malnutrition was diagnosed in more than one-third of participants (n = 103, 37.7%). According to the MNA-SF, only 7.3% of subjects had malnutrition, and 28.2% were at risk of malnutrition. The agreement between the MNA-SF score and the GLIM criteria were observed in only 22.3% of the population. The sensitivity and specificity of MNA-SF against the GLIM criteria were fair (59.2% and 78.8%, respectively). The area under the curve (AUC) was 0.77, indicating the fair ability of MNA-SF to diagnose malnutrition. Based on the present study results, the best solution may be an optional replacement of the screening tool in the first step of the GLIM algorithm with clinical suspicion of malnutrition.

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