Concurrent and predictive validity of the Mini Nutritional Assessment Short‐Form and the Geriatric Nutritional Risk Index in older stroke rehabilitation patients

Nishioka, Shinta; Omagari, Katsuhisa; Nishioka, Emi; Mori, Natsumi; Taketani, Yutaka; Kayashita, Jun

doi:10.1111/jhn.12699

Cited by 39 publications

(82 citation statements)

References 41 publications

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“…However, the probability of a false-positive case may increase if the cutoff values are applied for patients in the rehabilitation setting [23]. Therefore, modified cutoff values for stroke patients undergoing rehabilitation were used: 0-5 (malnourished), 6-7 (at risk of malnutrition), and 8-14 (well-nourished) in addition to the original ones because it showed sufficient validity [24]. Certification for public long-term care insurance was classified into five categories based on national public policy, from "Care level 1," can perform almost all ADL, but required partial care, to "Care level 5," must be aided in all situations and had difficulty with communication.…”

Section: Data Collectionmentioning

confidence: 99%

Sarcopenic Obesity and Activities of Daily Living in Stroke Rehabilitation Patients: A Cross-Sectional Study

Matsushita¹,

Nishioka

Taguchi³

et al. 2020

Healthcare

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Reports investigating the relationship between sarcopenic obesity and activities of daily living in older patients with stroke were limited. This study aimed to examine the prevalence of sarcopenic obesity and its association with activities of daily living in older post-stroke patients in convalescent rehabilitation wards. This study was performed in older post-stroke patients admitted to convalescent rehabilitation wards between January 2017 and March 2019. Sarcopenia was diagnosed based on the skeletal muscle mass index and hand grip strength according to the criteria of the 2019 Asian Working Group for Sarcopenia. Obesity was diagnosed according to the body fat percentage; ≥27% in men, ≥38% in women. The primary outcome was the Functional Independence Measure (FIM) score upon admission, which was analyzed using multiple linear regression. In total, 376 participants (women 44%; mean age 77.5 years) were analyzed and classified as normal (22%), simple obesity (17%), sarcopenia without obesity (32%), and sarcopenic obesity (28%). The presence of sarcopenic obesity was independently associated with the FIM score (95% CI, −16.157 to −5.353), whereas simple obesity and sarcopenia without obesity were not. In conclusion, sarcopenic obesity was independently associated with lower activities of daily living capability in older patients with stroke.

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Section: Data Collectionmentioning

confidence: 99%

Sarcopenic Obesity and Activities of Daily Living in Stroke Rehabilitation Patients: A Cross-Sectional Study

Matsushita¹,

Nishioka

Taguchi³

et al. 2020

Healthcare

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“…Thus, as optimal nutritional intervention may improve cognitive performance in malnutritional stroke patients, it is crucial to assess the premorbid nutritional status following an ischemic stroke. Recently, several different screening tools have been used for the assessment of the nutritional status in stroke patients including the Mini Nutritional Assessment Short-Form (MNA-SF) and the Malnutrition Universal Screening Tool (MUST) [ 11 , 12 , 13 ]. However, it is not easy for stroke patients and caregivers to complete a structured questionnaire or describe accurately whether they experienced psychological stress or weight loss.…”

Section: Introductionmentioning

confidence: 99%

“…The GNRI has already been validated for the prediction of outcomes after a cardiovascular disease, and a recent study has revealed its prognostic value as regards short-term functional outcomes after a stroke [ 7 ]. It has also been validated via correlation with traditional nutritional indices, including the MNA-SF and the MUST in stroke patients [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Association between Geriatric Nutritional Risk Index and Post-Stroke Cognitive Outcomes

et al. 2021

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Background: It is not yet clear whether nutritional status is associated with post-stroke cognitive impairment (PSCI). We examined the geriatric nutritional risk index (GNRI) on the domain-specific cognitive outcomes 3 months after a stroke. Methods: A total of 344 patients with acute ischemic stroke were included for the analysis. The GNRI was calculated as 1.489 × serum albumin (g/L) + 41.7 × admission weight (kg)/ideal body weight (kg) and was dichotomized according to the prespecified cut-off points for no risk and any risks. The primary outcome was PSCI, defined as having adjusted z-scores of less than −2 standard deviations in at least one cognitive domain: executive/activation, memory, visuospatial and language. Multiple logistic regression and linear regression analyses were performed to investigate the association between the GNRI and cognitive outcomes. Results: Seventy (20.3%) patients developed PSCI 3 months after a stroke. The mean GNRI was 106.1 ± 8.6, and 59 (17.2%) patients had low (<98) GNRI scores. A low GNRI was independently associated with the PSCI after adjusting for age, sex, education, initial stroke severity, stroke mechanism and left hemispheric lesion (odds ratio, 2.04; 95% confidence interval, 1.00–4.14). The GNRI scores were also significantly associated with the z-scores from the mini-mental status examination and the frontal domain (β = 0.04, p-value = 0.03; β = 0.03, p-value = 0.03, respectively). Conclusions: A low GNRI was independently associated with the development of PSCI at 3 months after an ischemic stroke. The GNRI scores were specifically associated with the z-scores of the global cognition and frontal domain cognitive outcomes.

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“…Up to 10.5% of community-dwelling seniors, 7.7% of nursing home residents and 14% of hospitalised patients experience unintentional weight loss [ 1 ]. Disabled older adults admitted to rehabilitation hospitals, units or wards are particularly susceptible to worsened nutritional status with a prevalence of 13–30%, and reports suggest a remarkably high proportion (92%) of poor nutritional status in tube-fed patients [ 2 , 3 , 4 , 5 ]. Malnutrition may result in muscle attenuation, which can result in a decline in functional capacity in older patients [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Risk of Weight Loss in Adult Patients and the Effect of Staffing Registered Dietitians in Kaifukuki (Convalescent) Rehabilitation Wards: A Retrospective Analysis of a Nationwide Survey

et al. 2021

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There is scarce evidence regarding the risk of weight loss and the effect of having registered dietitians (RDs) on staff in rehabilitation wards on weight loss. We aimed to examine the effects of RDs in Kaifukuki (convalescent) rehabilitation wards (KRWs) on the prevention of weight loss in adult patients. Data from 2-year nationwide annual surveys on KRWs in Japan were retrospectively analysed. Weight loss was defined as loss of ≥5% weight during the KRW stay. Risk of weight loss in class 1 KRWs (obligated to provide nutrition care) was compared with that in class 2–6 KRWs (not obligated). Risk of weight loss in class 2–6 KRWs with RDs was compared to those without. Overall, 17.7% of 39,417 patients lost weight. Class 1 KRWs showed a lower risk of weight loss than class 2–6 KRWs (17.3% vs. 18.5%, p = 0.003). KRWs with RDs showed a significantly lower incidence of weight loss than those without RDs (16.1% vs. 18.8%, p = 0.015). Class 1 KRWs and exclusively staffed RDs were independently associated with lower odds of weight loss (odds ratio = 0.915 and 0.810, respectively). Approximately 18% of KRW patients lost weight, and having RDs on staff can lower the risk of weight loss.

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Concurrent and predictive validity of the Mini Nutritional Assessment Short‐Form and the Geriatric Nutritional Risk Index in older stroke rehabilitation patients

Cited by 39 publications

References 41 publications

Sarcopenic Obesity and Activities of Daily Living in Stroke Rehabilitation Patients: A Cross-Sectional Study

Sarcopenic Obesity and Activities of Daily Living in Stroke Rehabilitation Patients: A Cross-Sectional Study

Association between Geriatric Nutritional Risk Index and Post-Stroke Cognitive Outcomes

Risk of Weight Loss in Adult Patients and the Effect of Staffing Registered Dietitians in Kaifukuki (Convalescent) Rehabilitation Wards: A Retrospective Analysis of a Nationwide Survey

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