Prospective Validation of the Modified Mini Nutritional Assessment Short-Forms in the Community, Nursing Home, and Rehabilitation Setting

• Published in: Journal of the American Geriatrics Society (JAGS) Vol. 59; no. 11; pp. 2124 - 2128
• Main Authors: Kaiser, Matthias J., Bauer, Jürgen M., Uter, Wolfgang, Donini, Lorenzo M., Stange, Inken, Volkert, Dorothee, Diekmann, Rebecca, Drey, Michael, Bollwein, Julia, Tempera, Settimio, Guerra, Alessandro, Ricciardi, Laura M., Sieber, Cornel C.
• Format: Journal Article
• Language: English
• Published: Hoboken, NJ Blackwell Publishing Ltd 01.11.2011; Wiley-Blackwell; Wiley Subscription Services, Inc
• Subjects: Aged; Aged, 80 and over; Anthropometry; Biological and medical sciences; Body Mass Index; Female; General aspects; Geriatric Assessment - methods; Germany - epidemiology; Health Status Indicators; Humans; Incidence; Male; malnutrition; Malnutrition - diagnosis; Malnutrition - epidemiology; Malnutrition - rehabilitation; Medical sciences; Medical screening; Metabolic diseases; Mini Nutritional Assessment; Nursing Homes; Nutrition; Nutrition Assessment; nutrition screening; Nutritional Status; Older people; Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...); Prevention and actions; Prospective Studies; Public health. Hygiene; Public health. Hygiene-occupational medicine; ROC Curve; Surveys and Questionnaires - standards; Germany; Abbreviated form; Evaluation; Long stay; Community home; Nursing home for the aged; Nutrition; Nutrition disorder; Health service; Medical screening; Care; Feeding; Prospective; Test validation; Screening; Reeducation; Mini Nutritional Assessment; nutrition screening; Rehabilitation(human); older people; Rehabilitation; Homes for the aged; Malnutrition; Nursing home
• ISSN: 0002-8614; 1532-5415; 1532-5415
• DOI: 10.1111/j.1532-5415.2011.03659.x

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.