Loading...
Please wait, while we are loading the content...
Similar Documents
Is the Mini Nutritional Assessment an appropriate tool to assess frailty in older adults?
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kan, Gabor Abellán Van Vellas, Bruno |
| Copyright Year | 2011 |
| Abstract | nutritional status in older adults as part of Comprehensive Geriatric Assessment, has been translated in over 20 languages with nowadays more than 200 PUBMED references (1). Currently the MNA is world widely used in clinical practice and clinical research (2, 3, 4, 5) to assess community-dwelling older adults (6, 7), hospitalised patients (8) or nursing home residents (3, 9, 10). A MNA score less than 17 is associated with protein caloric malnutrition, and low plasma albumin levels, a score over 23.5 is considered as the presence of a good nutritional status, and finally those with a MNA score between 17 and 23.5 are considered as at risk of malnutrition (1). A short form (MNA-SF) with the 6 first questions of the total MNA has been validated to screen older adults for malnutrition and has recently evolved to consider calf circumference when body mass index (BMI) is not available (11). A MNA-SF score of 12 and above indicates a good nutritional status without the need to continue the whole assessment (1). Older adults identified as at risk of malnutrition using the MNA usually present low caloric and protein intake along with low nutrient intake, but not yet significant weight loss or decreased plasma albumin (12). They are however at risk for poor health outcomes like dependency, cognitive decline, institutionalization, hospitalization or mortality (13, 14, 15, 16, 17, 18, 19). These findings suggest considering the population at nutritional risk as being frail (20, 21, 22). Frailty is a common syndrome used to identify older adults at an increased risk for poor clinical outcomes such as functional decline, dementia, falls, hospitalisations, institutionalisation, or mortality. (23, 24, 25, 26). The syndrome was operationalized in 2001 by Linda Fried by providing a specific list of 5 measurable items (23). Exhaustion, Low physical activity, low hand grip strength, and slow gait speed are the major components of frailty along with chronic undernutrition assess by weight loss (27, 28, 23, 29, 30, 26). The MNA include several risk factors for frailty like low BMI, decrease of mobility, low muscle mass, low caloric intake and a statistically significant " U-shaped " association was found between frailty and BMI (31) along with the fact that older adults identified as being frail were more likely to be at a nutritional risk measured by MNA (see figure 1, unpublished personal data on 124 older adults). So that a MNA score between … |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://www.mna-elderly.com/publications/561.pdf?origin=publication_detail |
| PubMed reference number | 21369660v1 |
| Volume Number | 15 |
| Issue Number | 3 |
| Journal | The journal of nutrition, health & aging |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Accidental Falls Body Dysmorphic Disorders Body mass index Breast Feeding Circumference Cognition Disorders Dementia Energy Intake Exercise Health Outcomes Hospitalization How Much Distress Weight Loss How Often Weight Loss Infant Malnutrition Institutionalization Languages Low sodium diet Patients Risk Assessment Status Epilepticus Walking Speed emotional dependency |
| Content Type | Text |
| Resource Type | Article |
