Nutritional risk in institutionalized older women determined by the Mini Nutritional Assessment test: what are the main factors?

Ruiz-López, María Dolores; Artacho, Reyes; Oliva, Patricio; Moreno-Torres, Rosario; Bolaños, Jorge; Teresa, Carlos de; Lopez, Michel Angel

doi:10.1016/s0899-9007(03)00125-4

Cited by 80 publications

(47 citation statements)

References 18 publications

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“…A close relationship between malnutrition and functional dependence has been obtained in different studies (38,39). Our results show that functional impairment was significantly more prevalent in residents with malnutrition.…”

Section: Discussionsupporting

confidence: 82%

Disability and Its Influence in Nutritional Assessment Tools in Elderly People Living in Nursing Homes

et al. 2017

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ResumenIntroducción: un estado nutricional deficiente está asociado con un incremento de la morbilidad y la mortalidad, especialmente en personas ancianas. Objetivo: el objetivo de este estudio fue evaluar el estado nutricional en ancianos institucionalizados en residencias geriátricas mediante diferentes test nutricionales, y determinar qué parámetros utilizados en la valoración nutricional pueden ser realizados en esta población. Métodos: se llevó a cabo un estudio transversal en 383 ancianos. Las herramientas de valoración nutricional empleadas fueron el Mini Nutritional Assessment (MNA), el nuevo consenso de definición de malnutrición, y el CONUT. Además, la capacidad de realizar las actividades básicas de la vida diaria fue evaluada con el índice de Barthel. Resultados: según el índice de Barthel, hasta un 78,9% de los residentes tenía una dependencia total, y en solo el 20,9% se pudo determinar el peso y la talla. La prevalencia de malnutrición con MNA, el consenso de ESPEN y CONUT fueron 21,3%, 17,2% y 20,7%, respectivamente. La concordancia (kappa) entre el MNA y el ESPEN fue moderada (κ = 0,483), pero con CONUT fue baja. Conclusiones: en las residencias geriátricas públicas existe un elevado porcentaje de ancianos totalmente dependientes. Este alto grado de dependencia funcional dificulta la obtención de algunos parámetros antropométricos como el peso y la talla, que son esenciales para llevar a cabo la mayoría de los test de valoración nutricional. El MNA, el CONUT y los nuevos criterios de desnutrición de la ESPEN mostraron una elevada prevalencia de desnutrición y de riesgo de desnutrición en esta población de ancianos institucionalizados, en aquellos en los que fue posible realizarlos. AbstractIntroduction: Poor nutritional status is associated with increased morbidity and mortality, especially in older people. Objective: The aim of this study was to assess nutritional status in elderly nursing home residents with different nutritional test, and to determine which parameters used for nutritional assessment can be carried out in this population, which usually have a high prevalence of functionally dependent residents. Methods: A cross-sectional study was performed in 383 elderly. The nutritional assessment tools used were the Mini Nutritional Assessment (MNA), the new ESPEN consensus definition of malnutrition, and the tool for Controlling Nutritional Status (CONUT). Moreover, the ability to perform basic activities of daily living was assessed with the Barthel index (BI). Results: According to BI, 78.9% had a total dependence and only 20.9% could be weighed and heighed. The prevalence of malnutrition with MNA, ESPEN and CONUT was 21.3%, 17.6% and 20.7%, respectively. The agreement between MNA vs ESPEN criteria was moderate (κ = 0.483), but with CONUT was low. Conclusions: Nursing homes had a high percentage of totally dependent residents. This high degree of functional dependence made difficult to obtain some anthropometric parameters such as weight and height, which are essential to carry out most ...

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Section: Discussionsupporting

confidence: 82%

Disability and Its Influence in Nutritional Assessment Tools in Elderly People Living in Nursing Homes

et al. 2017

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“…These differences in functional dependency were expected due to the different assignments given to these settings and to the recruitment choice for residents. The estimated prevalence of malnutrition in Aquitaine using the MNA (19.1%) is in the lowest part of the prevalence range found in other studies (4)(5)(6)(7)(8)(9)(10)(11)(12). Using the BMI threshold of 21 (19), the estimated prevalence was slightly higher but remained in the lowest values.…”

Section: Discussionmentioning

confidence: 59%

“…The threshold value of BMI for undernutrition definition varies currently from 20 to 22 kg/m 2 (11,19,(25)(26)(27)(28). In accordance with BMI categories used in the MNA (4), we used the BMI threshold of 21 to define undernutrition (19).…”

Section: Residentsmentioning

confidence: 99%

“…Thus, it is of great interest to promote any means likely to lower the rate of undernutrition in geriatric institutions. Indeed, studies using either anthropometric criteria or the Mini Nutritional Assessment (MNA) (4) have estimated prevalence of undernutrition at 20-40% (4)(5)(6)(7)(8)(9)(10)(11)(12). This prevalence varies according to the kind of institutions and could be as high as 70% in long-term care according to MNA assessments (4) but as low as 2% or 6% in some settings (13,14).…”

Section: Introductionmentioning

confidence: 99%

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Undernutrition in geriatric institutions in South-West France: Policies and risk factors

et al. 2009

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Objective: This study aimed to describe the nutritional status of geriatric home residents according to their place of dwelling and to identify institutional factors associated with higher rates of undernutrition. Method: Results:The estimated prevalence of undernutrition was 19.1 (95% CI: 14.0-24.2) with a higher rate in long-term care (48.0 % (95% CI: 15.9-80.2) than in nursing homes (14.5 % (95% CI: 10.6-18.4), p< .0001). In univariate analyses the risk of undernutrition was higher in long-term care (P < .0001), in settings with better weighing equipment (P < .0001), higher * Manuscript 2 staff ratio (P = .0001), higher rate of subjects needing help for eating (P < .0001) and was lower in settings with a higher rate of training in nutrition screening (P = .0001) and management (P < .0001). In nursing homes, each item of the MNA-Short Form was independently predictive of undernutrition. In multivariate analyses in nursing homes only, better weighing equipment (OR adj 2.34, 95% CI 1.39-4.12, P = .0017) and higher staff ratio (OR adj 1.03, 95% CI 1.00-1.05, P = .0230) were associated with higher rates of undernutrition.Conclusions: Undernutrition in institutions was linked to the resident health problems with little evidence in favor of the influence of institutional policies

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“…Another project developed in Portugal (Projeto Nutrition UP 65, 2017), shown more similar results to the last one (1.3% undernourished and 14.8% in undernourished risk) among elderly community. Also in Spain, an institutionalized women sample has shown an undernourishment prevalence of 7.9% (Ruiz-López et al, 2003). The significant relationship between subjective health and nutritional state (r s =0.212, p≤.01) was also found by Gouveia and Oliveira (2014) whom verified a subjective health evaluation poorer in the undernourished group.…”

Section: 29 Corresponding Author: Emília Martins Selection and Peer-mentioning

confidence: 83%

Correlation Between Physical Activity And Nutritional Status In Portuguese Non-Institutionalized Elderly People

Mendes¹,

Martins²,

Fernandes³

et al. 2017

European Proceedings of Social and Behavioural Sciences

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The individual is an active agent on his/her own aging process and decisions about his/her behavioral repertoires determine the capacity for healthy aging. So, an intervention is possible to modify intentional and positively such behaviors. An active lifestyle and healthy diet are factors that contribute to longevity and quality of life of the elderly, because of their impact in active aging. This study aims to assess the impact of individual variables of the elderly in physical activity and nutritional status, and the relationship between them. The sample included 73 participants aged 73.8 ± 6.6, and 71.2% women. The instruments used were the Baecke Questionnaire Modified (QBM) and the Mini Nutritional Assessment Short Form (MNA-SF). While in domestic activities the highest scores were observed in women, sports activities occurred among those not living alone. The overall score showed higher values in younger participants. The subjective health correlated positively with domestic and sports activities. Health perception and marital status were shown to be related with the nutritional status (p≤.05). Participants with normal nutritional status showed, in general, a more positive health perception. There was a positive correlation between nutritional status and household chores. We found positive effects of physical activity in this age group and recommend the need to promote interventions both in this area and in the nutritional status, particularly in certain groups of elderly people.

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Nutritional risk in institutionalized older women determined by the Mini Nutritional Assessment test: what are the main factors?

Cited by 80 publications

References 18 publications

Disability and Its Influence in Nutritional Assessment Tools in Elderly People Living in Nursing Homes

Disability and Its Influence in Nutritional Assessment Tools in Elderly People Living in Nursing Homes

Undernutrition in geriatric institutions in South-West France: Policies and risk factors

Correlation Between Physical Activity And Nutritional Status In Portuguese Non-Institutionalized Elderly People

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