Mini nutritional assessment scale-short form can be useful for frailty screening in older adults

Soysal, Pinar and Veronese, Nicola and Arik, Ferhat and Kalan, Ugur and Smith, Lee and Isik, Ahmet T. (2019) Mini nutritional assessment scale-short form can be useful for frailty screening in older adults. Clinical Interventions in Aging, 2019 (14). pp. 693-699. ISSN 1178-1998

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Official URL: https://doi.org/10.2147/CIA.S196770

Abstract

Aim: Mini Nutritional Assessment-Short Form (MNA-SF) is used to assess nutritional status in older adults, but it is not known whether it can define frailty. It was aimed to investigate that the MNA-SF can identify frailty status defined by Fried criteria. Methods: 1003 outpatients aged 65 or older were included the study. All patients were performed comprehensive geriatric assessment. Frailty status was evaluated by Fried criteria: unintentional weight loss, exhaustion, low levels of activity, weakness and slowness. 1 point is assigned for each criterion: 0 points, not frail; 1-2 points, prefrail; ≥3 points, frail. If the total score of MNA-SF was <8, 8-11, >11, it was accepted that there was malnutrition, risk of malnutrition, and no malnutrition, respectively. Results: Of the 1003 outpatients, of whom the mean age was 74.2 ± 8.5 years, 313 participants (31.2%) were considered frail and 382 (38.1%) pre-frail. Among frail patients 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% to detect frail participants, and with a cut-off point of 13 had a sensitivity of 45.7% and a specificity of 78.3% to detect pre-frailty. The area under the curve of MNA-SF was 0.906 and 0.687 for the estimation of frailty and pre-frailty, respectively. Conclusion: MNA-SF can be useful for frailty screening in older adults.

Item Type: Journal Article
Keywords: mini nutritional assessment-short form, screening, frailty status, malnutrition, nutritional status, pre-frailty
Faculty: Faculty of Science & Engineering
Depositing User: Lee Smith
Date Deposited: 01 Mar 2019 15:25
Last Modified: 14 Nov 2019 16:08
URI: http://arro.anglia.ac.uk/id/eprint/704146

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