Mini Nutritional Assessment Scale-Short Form can be useful for frailty screening in older adults

Mini Nutritional Assessment-Short Form (MNA-SF) is used to assess nutritional status in older adults, but it is not known whether it can be used to define frailty. This study was aimed to investigate whether or not MNA-SF can identify frailty status as defined by Fried's criteria. A total of 1,...

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Published in:Clinical interventions in aging 2019-01, Vol.14, p.693-699
Main Authors: Soysal, Pinar, Veronese, Nicola, Arik, Ferhat, Kalan, Ugur, Smith, Lee, Isik, Ahmet Turan
Format: Article
Language:English
Subjects:
Activities of daily living
Aged
Aged, 80 and over
Aging
Cognitive ability
Dementia
Elderly patients
Fatigue - epidemiology
Female
Frail Elderly
Frailty
Frailty - diagnosis
frailty status
Geriatric Assessment - methods
Geriatrics
Hospitals
Humans
Male
Malnutrition
Malnutrition - diagnosis
Malnutrition - epidemiology
Mass Screening - methods
Medical research
Medicine
mini nutritional assessment-short form
Nutrition Assessment
Nutritional assessment
Nutritional status
older adults
Older people
Original Research
Outpatients
Proteins
screening
Sensitivity and Specificity
Systematic review
Weight Loss
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Veronese, Nicola
Arik, Ferhat
Kalan, Ugur
Smith, Lee
Isik, Ahmet Turan
description Mini Nutritional Assessment-Short Form (MNA-SF) is used to assess nutritional status in older adults, but it is not known whether it can be used to define frailty. This study was aimed to investigate whether or not MNA-SF can identify frailty status as defined by Fried's criteria. A total of 1,003 outpatients (aged 65 years or older) were included in the study. All patients underwent comprehensive geriatric assessment. Frailty status was evaluated by Fried's criteria: unintentional weight loss, exhaustion, low levels of activity, weakness, and slowness. One point is assigned for each criterion, and frailty status is identified based on the number of points scored: 0 points, not frail; 1-2 points, pre-frail; ≥3 points, frail. A total score of MNA-SF 11 indicates malnutrition, risk of malnutrition, and no malnutrition, respectively. Of the 1,003 outpatients (mean age 74.2±8.5 years), 313 participants (31.2%) were considered frail and 382 (38.1%) pre-frail. Among frail and pre-frail patients, 49.2% and 25.1% were at risk of malnutrition and 22.0% and 1.6% were malnourished, respectively. MNA-SF with a cut-off point of 11.0 had a sensitivity of 71.2% and a specificity of 92.8% for the detection of frail participants, and with a cut-off point of 13 had a sensitivity of 45.7% and a specificity of 78.3% for the detection of pre-frailty. The area under the curve for MNA-SF was estimated to be 0.906 and 0.687 for frailty and pre-frailty, respectively. MNA-SF can be useful for frailty screening in older adults.
doi_str_mv 10.2147/CIA.S196770
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This study was aimed to investigate whether or not MNA-SF can identify frailty status as defined by Fried's criteria. A total of 1,003 outpatients (aged 65 years or older) were included in the study. All patients underwent comprehensive geriatric assessment. Frailty status was evaluated by Fried's criteria: unintentional weight loss, exhaustion, low levels of activity, weakness, and slowness. One point is assigned for each criterion, and frailty status is identified based on the number of points scored: 0 points, not frail; 1-2 points, pre-frail; ≥3 points, frail. A total score of MNA-SF &lt;8, 8-11, and &gt;11 indicates malnutrition, risk of malnutrition, and no malnutrition, respectively. Of the 1,003 outpatients (mean age 74.2±8.5 years), 313 participants (31.2%) were considered frail and 382 (38.1%) pre-frail. Among frail and pre-frail patients, 49.2% and 25.1% were at risk of malnutrition and 22.0% and 1.6% were malnourished, respectively. 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This study was aimed to investigate whether or not MNA-SF can identify frailty status as defined by Fried's criteria. A total of 1,003 outpatients (aged 65 years or older) were included in the study. All patients underwent comprehensive geriatric assessment. Frailty status was evaluated by Fried's criteria: unintentional weight loss, exhaustion, low levels of activity, weakness, and slowness. One point is assigned for each criterion, and frailty status is identified based on the number of points scored: 0 points, not frail; 1-2 points, pre-frail; ≥3 points, frail. A total score of MNA-SF &lt;8, 8-11, and &gt;11 indicates malnutrition, risk of malnutrition, and no malnutrition, respectively. Of the 1,003 outpatients (mean age 74.2±8.5 years), 313 participants (31.2%) were considered frail and 382 (38.1%) pre-frail. Among frail and pre-frail patients, 49.2% and 25.1% were at risk of malnutrition and 22.0% and 1.6% were malnourished, respectively. MNA-SF with a cut-off point of 11.0 had a sensitivity of 71.2% and a specificity of 92.8% for the detection of frail participants, and with a cut-off point of 13 had a sensitivity of 45.7% and a specificity of 78.3% for the detection of pre-frailty. The area under the curve for MNA-SF was estimated to be 0.906 and 0.687 for frailty and pre-frailty, respectively. MNA-SF can be useful for frailty screening in older adults.</abstract><cop>New Zealand</cop><pub>Dove Medical Press Limited</pub><pmid>31118593</pmid><doi>10.2147/CIA.S196770</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5867-6503</orcidid><orcidid>https://orcid.org/0000-0002-6042-1718</orcidid><orcidid>https://orcid.org/0000-0001-6929-4666</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1178-1998
ispartof Clinical interventions in aging, 2019-01, Vol.14, p.693-699
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subjects Activities of daily living
Aged
Aged, 80 and over
Aging
Cognitive ability
Dementia
Elderly patients
Fatigue - epidemiology
Female
Frail Elderly
Frailty
Frailty - diagnosis
frailty status
Geriatric Assessment - methods
Geriatrics
Hospitals
Humans
Male
Malnutrition
Malnutrition - diagnosis
Malnutrition - epidemiology
Mass Screening - methods
Medical research
Medicine
mini nutritional assessment-short form
Nutrition Assessment
Nutritional assessment
Nutritional status
older adults
Older people
Original Research
Outpatients
Proteins
screening
Sensitivity and Specificity
Systematic review
Weight Loss
title Mini Nutritional Assessment Scale-Short Form can be useful for frailty screening in older adults
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