scholarly journals Assessment of the nutritional risk of > 53-year-old men and women in Taiwan

2004 ◽  
Vol 7 (1) ◽  
pp. 69-76 ◽  
Author(s):  
Alan C Tsai ◽  
Jack MC Chang ◽  
Harvey Lin ◽  
Yi-Li Chuang ◽  
Shu-Hui Lin ◽  
...  
Keyword(s):  
At Risk ◽  
Elderly Population ◽  
Nutritional Assessment ◽  
Dietary Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Nutritional Risk ◽  
Men And Women ◽  
Increased Risk ◽  
Old Men

AbstractObjective:The study was conducted to gain an understanding of the status of potential nutrition risks in > 53-year-old men and women in Taiwan.Methods:The study employed a validated nutrition-risk screening questionnaire, the Mini Nutritional Assessment, to assess the potential risk of undernutrition in the elderly population in Taiwan. The questionnaire was translated into the local language, Chinese, and was modified slightly based on cultural considerations. It was administered to 4440 randomly selected subjects by means of face-to-face interviews. The questionnaire included questions on subjective self-evaluations, global parameters, simple dietary assessment and some anthropometric measurements.Results:Results show that the questionnaire can be used effectively as a tool to screen for individuals who are at risk of undernutrition. It showed that the proportion of the elderly population at risk of nutritional inadequacy is relatively low, but does increase with advanced ageing. The proportion of the elderly considered at high risk of undernutrition was found to increase with age, ranging from 0.88% for 53–60-year-old subjects to 1.86% for subjects aged 60–70 years, 3.6% for 70–80-year-olds and 5.3% for >80-year-old subjects.Conclusion:The study showed that a simple questionnaire adopted from the Mini Nutritional Assessment can be employed to provide a preliminary screening and to identify individuals who are potentially at increased risk of nutritional inadequacy in the elderly population in Taiwan.

scholarly journals Factors associated with risk of malnutrition in the elderly in south-eastern Brazil

2017 ◽  
Vol 20 (4) ◽  
pp. 598-610 ◽  
Author(s):  
Renata Damião ◽  
Álvaro da Silva Santos ◽  
Alicia Matijasevich ◽  
Paulo Rossi Menezes
Keyword(s):  
At Risk ◽  
Formal Education ◽  
Family Income ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Hierarchical Regression ◽  
Cross Sectional

ABSTRACT: Objective: The aim of this study was to evaluate the prevalence of malnutrition risk and its association with socioeconomic, behavioral, and health characteristics in the community-dwelling elderly. Methods: A cross-sectional study with individuals aged ≥ 60 years. Nutritional status was evaluated using the Mini Nutritional Assessment. Socioeconomic, behavioral, and health information was also collected from all participants. The association between each variable and the risk of malnutrition was calculated and adjusted using Poisson hierarchical regression. Results: The initial sample consisted of 3,101 elderly people, of whom 28.3% (95%CI 25.3 - 31.4%) were at risk of malnutrition. The multivariate analysis showed that the risk of malnutrition was significantly higher in women without formal education, who did not live with a partner, and identified as black-skinned. The risk of malnutrition was twice as high in individuals with no family income as compared to those who earned at least three minimum wages. Smokers were also more likely to be at risk of malnutrition than individuals who had never smoked. Participants suffering from kidney, respiratory or heart disease were at higher risk of malnutrition than those with no history of such illnesses. Conclusion: These findings could be used to help in the development of health policies and in the establishment of adequate programs aimed at reducing the risk of malnutrition in this population.

scholarly journals Nutritional status assessment of elderly using MNA tool in rural Belagavi: a cross sectional study

2018 ◽  
Vol 5 (11) ◽  
pp. 4799
Author(s):  
D. J. Patil ◽  
M. M. Shindhe
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Adverse Health Effects

Background: Worldwide the elderly population gradually increasing and that will definitely pose several challenges. Malnutrition is one of the major but neglected problem in elderly. They are at risk of malnutrition due to physical, psychological, social, dietary and environmental risk factors. Malnutrition in elderly is associated with adverse health effects. Hence to study the nutritional status of elderly.Methods: The study was carried out between January 2016- June 2017. 545 elderly were included in the study. Out of the 6 subcentres, 1 subcentre (Uchagaon) was selected by simple random sampling technique and house to house survey was carried out to select eligible elderly participants in the villages of selected subcentre. Data was collected from eligible elderly by using mini nutritional assessment (MNA) tool.Results: Majority of the participants (65.1%) were between the age group of 60-69 years. 55% were females. 23.5% were malnourished, 49% were at risk of malnutrition and 27.5% had normal nutritional status.Conclusions: The present study concluded that majority of the elderly were at risk of malnutrition. There is a need of actions to improve the nutritional status of the elderly.

Nutrition as a Health Determinant in Elderly Patients

2019 ◽  
Vol 26 (19) ◽  
pp. 3652-3661 ◽  
Author(s):  
Tecla Mastronuzzi ◽  
Ignazio Grattagliano
Keyword(s):  
Nutritional Status ◽  
Elderly Population ◽  
Nutritional Assessment ◽  
Caloric Intake ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Nutritional Intervention ◽  
Social Risk ◽  
Social Risk Factors ◽  
The Impact

Background: An adequate caloric intake is a major determinant for the health status especially when degenerative conditions become a predominant risk for difficult-to-treat diseases as in aging. Methods: A structured search of literature on the major databases was performed using terms as nutrition, elderly and malnutrition. Results: According to most referenced articles, it appears to be unquestionable that both organic and social risk factors [economic hardship, loneliness, institutionalization] are important as determining causes of protein-caloric malnutrition. Some anthropometric, clinical and laboratory parameters can help to make diagnosis and quantify malnutrition. However, most of them are not cheap or are not simple to perform especially in the setting of General Practice. The application of a simple questionnaire [Mini Nutritional Assessment, MNA] allows to obtain in a fast, easy and non-invasive way a valid assessment of the nutritional status in geriatric patients. The maintenance of the nutritional status is the best measure to counteract the risk of proteincaloric malnutrition and its complications which often sneakily affects elderly population and in particular frail patients. Conclusion: This review, based on updated concepts, examines all the above mentioned points together with some aspects associated with malnutrition as an indicator of disease severity and health costs in the elderly population. Finally, the impact of nutritional intervention and nutrients supplementation on general indices of malnutrition are discussed as a promising strategy.

scholarly journals Mini-Nutritional Assessment predicts functional decline of elderly Taiwanese: result of a population-representative sample

2011 ◽  
Vol 107 (11) ◽  
pp. 1707-1713 ◽  
Author(s):  
Li-Chin Lee ◽  
Alan C. Tsai
Keyword(s):  
At Risk ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Nutritional Assessment ◽  
Short Form ◽  
Functional Decline ◽  
Mini Nutritional Assessment ◽  
Predictive Ability ◽  
The Elderly ◽  
Population Based

Nutrition is a key element in geriatric health and is important for functional ability. The present study examined the functional status-predictive ability of the Mini-Nutritional Assessment (MNA). We analysed the dataset of the ‘Survey of Health and Living Status of the Elderly in Taiwan’, a population-based study conducted by the Bureau of Health Promotion of Taiwan. Study subjects ( ≥ 65 years old) who completed both the 1999 and 2003 surveys were rated with the long form and short form of the MNA at baseline and with the Activities of Daily Living (ADL) and the Instrument Activities of Daily Living (IADL) scales 4 years later (end-point). The ability of the MNA to predict ADL or IADL dependency was evaluated with logistic regression models. The results showed that the elderly who were rated malnourished or at risk of malnutrition at baseline generally had significantly higher ADL or IADL scores 4 years later. Lower baseline MNA scores also predicted a greater risk of ADL or IADL dependency. These associations exist even among the elderly who were free of ADL or IADL dependency at baseline. The results clearly indicate that the MNA is able to predict ADL and IADL dependency (in addition to rating current nutritional status) of the elderly. The MNA, especially the short form, should be a valuable tool for identifying elderly at risk of functional decline and/or malnutrition in clinical practice or community programmes.

scholarly journals Problems of nutritional assessment in the community

1999 ◽  
Vol 58 (1) ◽  
pp. 47-51 ◽  
Author(s):  
Jacqueline Edington
Keyword(s):  
At Risk ◽  
Developmental Disabilities ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Chronically Ill ◽  
The Elderly ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Community Practice ◽  
Children With Developmental Disabilities

The present paper explores the problems associated with assessment of nutritional status in the community and reviews the literature related to this subject. The first problem is one of terminology, since a logical first step before assessment is screening, which identifies characteristics known to be associated with dietary or nutritional problems. Its purpose is to differentiate individuals who are at high nutritional risk or have poor nutritional status. There are certain factors which should alert the primary health care team to the fact that nutritional intake may be reduced and that risk of malnutrition is increased. These include disease condition, functional disabilities, inadequate or inappropriate food intake, poor dentition or difficulty swallowing, polypharmacy, alcoholism, depression, poor social circumstances or recent discharge from hospital. Patients suffering from these factors need to be identified so that screening becomes a routine part of their medical treatment. At-risk groups include the elderly, the chronically ill, those with cancer and neurological disorders, post-surgical patients and children with developmental disabilities. In the community, practice and community nurses see the majority of at-risk patients and should carry out screening. A number of screening tools have been developed for community use. Most are aimed at the elderly population, but there are others designed to assess nutritional risk in children with developmental disabilities and the general population. These are reviewed and problems of content and validity identified. Some problems associated with nutritional assessment are also reviewed.

scholarly journals SHORT-FORM MINI NUTRITIONAL ASSESSMENT AS A TOOL FOR NUTRITION EVALUATION IN ELDERLY INDIVIDUALS WITH CANCER IN BRAZIL

2014 ◽  
pp. 1-7
Author(s):  
G. Marques Rodrigues ◽  
J.F. Santos da Silva ◽  
D. Bittencourt Ferreira ◽  
L.M. Santiago ◽  
L. Lima Luz ◽  
...  
Keyword(s):  
At Risk ◽  
Nutritional Assessment ◽  
Short Form ◽  
Statistical Significance ◽  
Mini Nutritional Assessment ◽  
Normal Weight ◽  
The Body ◽  
Nutritional Risk ◽  
Cross Sectional ◽  
Elderly Individuals

Objective: To analyze to role of the Short-Form Mini Nutritional Assessment in the nutritional assessment of elderly individuals with cancer. Study Design: Cross-sectional epidemiological study. Location: Outpatient services at eight cancer hospitals in the cities of Campo Grande and Rio de Janeiro, in Brazil. Participants: 333 individuals, aged 60 or older, with prostate cancer, interviewed in the period before the definition of cancer treatment. Methods: The nutritional profile was assessed with the Short Form Mini Nutritional Assessment (MNA-SF) and with the Body Mass Index (BMI), according to Lipschitz’s classification. Socio-demographic and clinical variables were also considered. We analyzed the distribution of elderly individuals by MNA-SF items according to MNA-SF and BMI categories and the Fisher’s exact test was applied for testing the statistical significance of the observed differences (p≤0.05). Results: Based on the MNA-SF, 235 (73.0%) individuals had an adequate nutritional status; 74 (23.0%) were at risk for malnutrition and 13 (4.0%) were considered malnourished. Based on the BMI, 49 elders (15.2%) were classified as low weight; 150 (46.4%) as normal weight and 124 (38.4%) as overweight. For each item in the MNS-SF, the frequency of answers corresponding to deficiencies was high among elderly individuals at risk for malnutrition, with statistical significance. With respect to the BMI, only “Food intake declined over the past 3 months” and “BMI” had statistically significant differences. Conclusion: MNA-SF showed a good relationship between its component items and proved to be an adequate tool to describe nutritional risk in elderly cancer patients. Early detection of this risk paves the way for an early nutritional approach and for preventing undesirable outcomes with respect to the health of those individuals. As other advantages, MNA-SF is easy to interpret, demands a short time for application and is well accepted by the elders.

scholarly journals Validation of Malnutrition Screening Tools in Liver Cirrhosis

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1306 ◽  
Author(s):  
Julia Traub ◽  
Ina Bergheim ◽  
Angela Horvath ◽  
Vanessa Stadlbauer
Keyword(s):  
At Risk ◽  
Liver Cirrhosis ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Nrs 2002 ◽  
Validity Criteria ◽  
Nutritional Risk Screening

Malnutrition in liver cirrhosis is frequently underestimated. To determine if a patient is at risk of malnutrition, several screening tools have been established. However, most of them are not validated for patients with liver cirrhosis. Therefore, we compared the RFH-NPT (Royal Free Hospital Nutritional Prioritizing Tool) as the validated gold standard for malnutrition screening in cirrhosis patients with GMS (Graz Malnutrition Screening), NRS-2002 (Nutritional Risk Screening) and MNA-SF (Mini Nutritional Assessment-Short Form). Based on common validity criteria for screening tools, only the MNA-SF showed fair correlation (12/15 points) with the RFH-NPT, whereas NRS-2002 and GMS performed worse (6/15 points). Taken together, our results suggest that NRS-2002 and GMS are not suitable for screening of malnutrition in cirrhosis patients. A cirrhosis-specific screening tool like RFH-NPT should be used to assess malnutrition and to identify those at risk of malnutrition.

scholarly journals Prevalence of malnutrition and its determinants in an elderly people in South India

2018 ◽  
Vol 5 (8) ◽  
pp. 3570 ◽  
Author(s):  
Satyanarayana Konda ◽  
Ravi Kumar B. P. ◽  
Purushottam A Giri
Keyword(s):  
At Risk ◽  
Activities Of Daily Living ◽  
Functional Status ◽  
Elderly People ◽  
Low Income ◽  
Daily Living ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Nutrition Status

Background: The population of elderly people aged ≥60 years is increasing worldwide and is projected to reach 1.5 billion by 2050. In India, the elderly people constitute 8.1% of the total population. Malnutrition is highly prevalent in the elderly population due to various diseases and impairments.Methods: A cross-sectional study was carried out amongst 209 elderly people from February 2018 to April 2018. A questionnaire was used to collect data related to socio-demographic characteristics, Mini Nutritional Assessment (MNA) and regarding medication use, comorbidity, use of a walking aid, smoking and alcohol consumption. The MNA tool was used for the assessment of nutrition status. For an assessment of functional status, the activities of daily living scale and instrumental activities of daily living scale were used. Descriptive analysis and Chi-square test were used to present the data.Results: The average MNA score was 23.5 (SD=4.3, range: 7-30) and that of BMI was 23.8 (SD=3.9, range: 15.6-38.9). Of 209 study participants, 9.1% were malnourished, 32.5% were at risk of malnutrition and remaining 58.4% were having normal nutritional status. The possible predictors of malnutrition were older age, lower education level, staying single, unemployed, low income and less than three meals daily.Conclusions: The overall prevalence of malnutrition was found to be 9.1% but the proportion of elderly people at risk of malnutrition was relatively high. Diagnosis and treatment of elderly people at high risk for malnutrition based on the findings of this study may improve functional status and prognosis of elderly people.

scholarly journals Mini Nutritional Assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors

2006 ◽  
Vol 9 (8) ◽  
pp. 968-974 ◽  
Author(s):  
Zarina Nahar Kabir ◽  
Tamanna Ferdous ◽  
Tommy Cederholm ◽  
Masuma Akter Khanam ◽  
Kim Streatfied ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Elderly People ◽  
Low Income ◽  
Elderly Population ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Health Problems ◽  
Low Income Countries ◽  
The Impact

AbstractObjectiveIn stating the Millennium Development Goals, the United Nations aims to halve malnutrition around the world by 2015. Nutritional status of the elderly population in low-income countries is seldom focused upon. The present study aimed to evaluate the magnitude of malnutrition among an elderly population in rural Bangladesh.Design and settingData collection for a multidimensional cross-sectional study of community-based elderly people aged 60 years and over was conducted in a rural area in Bangladesh.SubjectsOf 850 randomly selected elderly individuals, 625 participated in home interviews. Complete nutritional information was available for 457 individuals (mean age 69 ± 8 years, 55% female). Nutritional status was assessed using an adapted form of the Mini Nutritional Assessment (MNA) including body mass index (BMI). Age, sex, education, household expenditure on food and self-reported health problems were investigated as potential predictors of nutritional status.ResultsBMI < 18.5 kg m− 2, indicating chronic energy deficiency, was found in 50% of the population. MNA revealed a prevalence of 26% for protein–energy malnutrition and 62% for risk of malnutrition. Health problems rather than age had a negative impact on nutritional status. Level of education and food expenditure were directly associated with nutritional status.ConclusionIn order to reduce world hunger by half in the coming decade, it is important to recognise that a substantial proportion of the elderly population, particularly in low-income countries, is undernourished.

scholarly journals Malnutrition is associated with increased mortality in older adults regardless of the cause of death

2017 ◽  
Vol 117 (4) ◽  
pp. 532-540 ◽  
Author(s):  
Lisa Söderström ◽  
Andreas Rosenblad ◽  
Eva Thors Adolfsson ◽  
Leif Bergkvist
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Cause Of Death ◽  
Cox Regression ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Cox Proportional Hazards ◽  
Assessment Instrument ◽  
Nutritional Risk ◽  
Laboratory Findings

AbstractMalnutrition predicts preterm death, but whether this is valid irrespective of the cause of death is unknown. The aim of the present study was to determine whether malnutrition is associated with cause-specific mortality in older adults. This cohort study was conducted in Sweden and included 1767 individuals aged ≥65 years admitted to hospital in 2008–2009. On the basis of the Mini Nutritional Assessment instrument, nutritional risk was assessed as well nourished (score 24–30), at risk of malnutrition (score 17–23·5) or malnourished (score <17). Cause of death was classified according to the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, into twenty different causes of death. Data were analysed using Cox proportional hazards regression models. At baseline, 55·1 % were at risk of malnutrition, and 9·4 % of the participants were malnourished. During a median follow-up of 5·1 years, 839 participants (47·5 %) died. The multiple Cox regression model identified significant associations (hazard ratio (HR)) between malnutrition and risk of malnutrition, respectively, and death due to neoplasms (HR 2·43 and 1·32); mental or behavioural disorders (HR 5·73 and 5·44); diseases of the nervous (HR 4·39 and 2·08), circulatory (HR 1·95 and 1·57) or respiratory system (HR 2·19 and 1·49); and symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (HR 2·23 and 1·43). Malnutrition and risk of malnutrition are associated with increased mortality regardless of the cause of death, which emphasises the need for nutritional screening to identify older adults who may require nutritional support in order to avoid preterm death.

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