The Mini Nutritional Assessment (MNA) after 20 years of research and clinical practice

Secher, Marion; Soto, María; Villars, H.; Kan, Gabor Abellán van; Vellas, Bruno

doi:10.1017/s095925980800258x

Cited by 45 publications

(26 citation statements)

References 67 publications

(50 reference statements)

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“…Approximately 30 years ago, the MNA tool was developed in recognition of the high prevalence and specificity of malnutrition among institutionalized geriatric patients [ 22 , 23 ]. Nowadays, MNA is well known by health care providers for evaluating the adequacy of nutritional status in elderly patients [ 49 ], and its reliability is also confirmed in this review by an acceptable internal consistency (Cronbach’s alpha coefficient: 0.70 to 0.70) [ 33 , 34 ] and test-retest reliability (ICC = 0.91, 95% CI, 0.85 to 8.94) [ 32 ]. Moreover, MNA was strongly correlated with PG-SGA for the assessment of hospitalized patients affected by stroke in Australia [ 48 ], and MNA correlated with objective measures including anthropometric and laboratory tests for the assessment of malnutrition among patients with end-stage renal failure, liver disease, gerontological conditions, and stroke in European and Asian populations [ 44 , 47 , 50 – 52 ].…”

Section: Discussionsupporting

confidence: 57%

Clinical measurement properties of malnutrition assessment tools for use with patients in hospitals: a systematic review

Vincent

2020

Nutr J

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Background The use of malnutrition outcome measures (OM) by registered dietitians (RD) with inpatients in hospitals has increased promoting the achievement of nutritional care goals and supporting decision-making for the allocation of nutritional care resources in hospitals. There are 3 commonly used OMs: Subjective Global Assessment (SGA), Patient Generated-Subjective Global Assessment (PG-SGA) and Mini Nutritional Assessment (MNA). The purpose of this current study was to systematically review the evidence of the clinical measurement properties of malnutrition assessment tools for use with patients admitted in hospitals. Methods MEDLINE, Cinahl, EMBASE, and PubMed were searched for articles published between 2000 and 2019. Research articles were selected if they established reliability, validity, and responsiveness to change properties of the SGA, PG-SGA and MNA tools, were written in English, and used any of these OMs as an outcome measure. Abstracts were not considered. The risk of bias within studies was assessed using the Quality Appraisal for Clinical Measurement Study (QA-CMS). Results Five hundred five studies were identified, of which 34 articles were included in the final review: SGA (n = 8), PG-SGA (n = 13), and MNA (n = 13). Of the 34 studies, 8 had a quality score greater than 75%; 23 had a quality score of 40–75% and 3 studies had a quality score of less than 40%. PG-SGA was found to have excellentdiagnostic accuracy (ROC: 0.92–0.975; Sensitivity: 88.6–98%; Specificity: 82–100%), sufficient internal consistency (Cronbach’s alpha: 0.722–0.73), and strong test-retest reliability (r = 0.866). There was insufficient evidence to suggest adequate diagnostic accuracy and good inter-rater reliability for SGA. Only one study examined the minimum detectable change of MNA (MDC = 2.1). Conclusions The evidence of validity for the existing malnutrition assessment tools supports the use of these tools, but more studies with sound methodological quality are needed to assess the responsiveness of these OMs to detect the change in nutritional status.

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Section: Discussionsupporting

confidence: 57%

Clinical measurement properties of malnutrition assessment tools for use with patients in hospitals: a systematic review

Vincent

2020

Nutr J

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“…The MNA has also been described as a popular and proven instrument in geriatric research in many countries (Secher et al . ).…”

Section: Methodsmentioning

confidence: 97%

Nutritional status, gender and marital status in patients with chronic obstructive pulmonary disease

Odencrants

Bjuström

Wiklund

et al. 2013

Journal of Clinical Nursing

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Early identification of patients at risk of malnutrition is important. Registered nurses should be aware that patients with chronic obstructive pulmonary disease who are female or who live alone may be at an increased risk of nutritional problems. Patients with chronic obstructive pulmonary disease must be offered information and support for individually adapted measures at an early stage in order to avoid nutritional problems, regardless of under- and overweight.

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“…The questionnaire consisted of basic sociodemographic variables and Mini Nutritional Assessment (MNA) scale (11). MNA is an effective, easily administered, validated and widespread tool designed to identify elders who are malnourished or at risk of developing malnutrition.…”

Section: Methodsmentioning

confidence: 99%

“…It has 18 questions in four dimensions; anthropometric assessment, general assessment, dietary assessment and self assessment. The total score of MNA is 30; scores above 23.5 are considered as well-nourished, 17 to 23.5 as risk of malnutrition and <17 as malnourished (11). The MNA has been translated into Sinhala, and validated and used in Sri Lanka (9).…”

Section: Methodsmentioning

confidence: 99%

Nutritional status of elders in Galle district, Sri Lanka

et al. 2017

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The Mini Nutritional Assessment (MNA) after 20 years of research and clinical practice

Cited by 45 publications

References 67 publications

Clinical measurement properties of malnutrition assessment tools for use with patients in hospitals: a systematic review

Clinical measurement properties of malnutrition assessment tools for use with patients in hospitals: a systematic review

Nutritional status, gender and marital status in patients with chronic obstructive pulmonary disease

Nutritional status of elders in Galle district, Sri Lanka

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