Nutritional status in older persons according to healthcare setting: A systematic review and meta-analysis of prevalence data using MNA ®

Cereda, Emanuele; Pedrolli, Carlo; Klersy, Catherine; Bonardi, C.; Quarleri, L.; Cappello, Silvia; Turri, Annalisa; Rondanelli, Mariangela; Caccialanza, Riccardo

doi:10.1016/j.clnu.2016.03.008

Cited by 374 publications

(325 citation statements)

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“…Among 257 community‐dwelling older adults (median age 79 years, 46.7% men), 12% were either malnourished (1%) or at risk of malnutrition (11%). Meta analyses of studies on community‐dwelling older adults using the MNA® (Short Form and Long Form) observed a higher prevalence of malnutrition (2–3%), and at risk of malnutrition (26%) 41,42 . Our study is the first to use the MNA®‐SF among community‐dwelling older New Zealanders.…”

Section: Discussionmentioning

confidence: 77%

“…Meta analyses of studies on community-dwelling older adults using the MNA® (Short Form and Long Form) observed a higher prevalence of malnutrition (2-3%), and at risk of malnutrition (26%). 41,42 Our study is the first to use the MNA®-SF among community-dwelling older New Zealanders. Findings differ from previously reported nutrition risk prevalence rates (30-60%) in New Zealand using the Australian Nutrition Screening Initiative (ANSI) and the Seniors in the Community: Risk Evaluation for Eating and Nutrition (SCREEN-II) tools.…”

Section: Discussionmentioning

confidence: 98%

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Associations between nutrition risk status, body composition and physical performance among community‐dwelling older adults

Chatindiara

Williams

Sycamore

et al. 2019

Australian and New Zealand Journal of Public Health

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Objective: To investigate the associations between nutrition risk status, body composition and physical performance among community‐dwelling older New Zealanders. Methods: This cross‐sectional study enrolled 257 community‐dwelling older adults (median age 79 years). Assessments included the Mini Nutritional Assessment‐Short Form (MNA®‐SF) for nutrition risk; the Eating Assessment Tool‐10 for dysphagia risk; bioimpedance analysis for body composition (free fat mass (FFM) and percentage body fat) and gait speed for physical performance. A multiple logistics regression analysis was conducted, to determine factors associated with lower odds [OR (95% CI)] for nutrition risk. Results: Every yearly increase in age was associated with higher odds 1.09 (1.01–1.17) for nutrition risk. Additionally, nutrition risk was less likely to occur among participants of age <85 years 0.30 (0.11–0.79), with no dysphagia 0.29 (0.09–0.97) and those with a healthy gait speed 0.29 (0.09–0.97). Lower odds for nutrition risk were also found with increasing values of FFM index 0.51 (0.34–0.77), and percentage body fat 0.81 (0.72–0.90). Gait speed was positively correlated with FFM index (r=0.19 p<0.022), percentage body fat (r=0.23, p=0.006) and BMI (r=0.29, p<0.001). Conclusion: Among these participants, associations between nutrition risk, body composition and physical performance were found. Implications for public health: Routine screening of nutrition risk and/or physical performance among vulnerable older adults is key towards identifying those in need of assessment and dietary intervention. Alongside strategies to encourage physical activity, this may help to slow losses of FFM and protect physical performance.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 98%

Associations between nutrition risk status, body composition and physical performance among community‐dwelling older adults

Chatindiara

Williams

Sycamore

et al. 2019

Australian and New Zealand Journal of Public Health

View full text Add to dashboard Cite

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“…The MNA is considered the reference standard for assessing malnutrition in older people (Bauer, Kaiser, Anthony, Guigoz, & Sieber, ; van Bokhorst‐de van der Schueren, Guaitoli, Jansma, & de Vet, ; Cereda et al., ; Guigoz, ). The full‐form MNA seems to better predict mortality and morbidity when compared to the short‐form MNA (Kiesswetter et al., ).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of malnutrition among older people in medical and surgical wards in hospital and quality of nutritional care: A multicenter, cross‐sectional study

Bonetti

Terzoni

Lusignani

et al. 2017

Journal of Clinical Nursing

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“…A recent review based on a single diagnostic measure, the Mini Nutritional Assessment (MNA), for older adults suggests that prevalence in the community is less than 5%, while hospital, rehabilitation, and long-term care prevalence ranges between 20%-30% (Cereda et al 2016). Malnutrition has been more commonly researched at admission to hospital with prevalence ranging from 20%-50% (Allard et al 2016a;Agarwal et al 2013;Barker et al 2011;Russell and Elia 2014).…”

Section: Prevalence Of Malnutrition and Nutrition Riskmentioning

confidence: 99%

Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition

Laur

McNicholl

Valaitis

et al. 2017

Appl. Physiol. Nutr. Metab.

125

116

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Abstract:There is increasing awareness of the detrimental health impact of frailty on older adults and of the high prevalence of malnutrition in this segment of the population. Experts in these 2 arenas need to be cognizant of the overlap in constructs, diagnosis, and treatment of frailty and malnutrition. There is a lack of consensus regarding the definition of malnutrition and how it should be assessed. While there is consensus on the definition of frailty, there is no agreement on how it should be measured. Separate assessment tools exist for both malnutrition and frailty; however, there is intersection between concepts and measures. This narrative review highlights some of the intersections within these screening/assessment tools, including weight loss/decreased body mass, functional capacity, and weakness (handgrip strength). The potential for identification of a minimal set of objective measures to identify, or at least consider risk for both conditions, is proposed. Frailty and malnutrition have also been shown to result in similar negative health outcomes and consequently common treatment strategies have been studied, including oral nutritional supplements. While many of the outcomes of treatment relate to both concepts of frailty and malnutrition, research questions are typically focused on the frailty concept, leading to possible gaps or missed opportunities in understanding the effect of complementary interventions on malnutrition. A better understanding of how these conditions overlap may improve treatment strategies for frail, malnourished, older adults.Key words: frailty, malnutrition, screening, assessment, diagnosis, handgrip strength, oral nutritional supplements, older adult.Résumé : Les effets néfastes de la fragilité des personnes âgées sur leur santé ainsi que la forte prévalence de malnutrition dans cette strate de la population suscitent une prise de conscience grandissante. Les experts dans ces deux domaines doivent être au fait du chevauchement des construits, du diagnostic et du traitement de la fragilité et de la malnutrition. Il n'y a pas encore de consensus au sujet de la définition de la malnutrition et de son évaluation. Concernant la fragilité, on s'entend sur sa définition, mais pas sur sa mesure. Il existe pourtant des outils distincts de mesure de la malnutrition et de la fragilité et, d'ailleurs, les concepts et mesures présentent une intersection. Cette revue narrative souligne les intersections entre les outils de dépistage et d'évaluation comme la perte de poids/diminution de la masse corporelle, de la capacité fonctionnelle et la faiblesse (force de préhension manuelle). En guise de tentative, on propose un ensemble minimal de mesures objectives pour la détermination ou, à tout le moins, l'identification d'un risque dans les deux conditions. La fragilité et la malnutrition aboutissent, études à l'appui, à des problèmes de santé similaires justifiant des stratégies communes de traitement tels les suppléments nutritionnels oraux. Alors que plusieurs résultats du traitement c...

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Nutritional status in older persons according to healthcare setting: A systematic review and meta-analysis of prevalence data using MNA ®

Cited by 374 publications

References 37 publications

Associations between nutrition risk status, body composition and physical performance among community‐dwelling older adults

Associations between nutrition risk status, body composition and physical performance among community‐dwelling older adults

Prevalence of malnutrition among older people in medical and surgical wards in hospital and quality of nutritional care: A multicenter, cross‐sectional study

Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition

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