MNA® Literature Database

Welcome to the MNA® Literature Database.  Here you will find valuable information on the extensive research that supports use of the MNA® in the elderly.  Currently there are more than 1100 published research articles that reference the MNA®.  Access links to abstracts of all MNA® articles and references cited on the website using the search function, e.g. select “Abstract” and enter a keyword to search abstracts.

Total Records Found: 1162, showing 10 per page
Link to details 96
Title Evaluating the Determine Your Nutritional Health Checklist and the Mini Nutritional Assessment as tools to identify nutritional problems in elderly Europeans.
Abstract OBJECTIVE: To evaluate two short questionnaires for assessing the nutritional situation of elderly people, the DETERMINE Your Nutritional Health Checklist of the Nutrition Screening Initiative (NSI checklist) and the Mini Nutritional Assessment (MNA), by comparing equivalent cumulative scores with data on dietary intake, anthropometrics and blood biochemistries. DESIGN: Information similar to the questions of the NSI and MNA lists was collected by SENECA: the Survey in Europe on Nutrition and the Elderly, a Concerted Action. SUBJECTS: Records collected in 1993, could be used from 1161 European elderly men and women born between 1913 and 1918, mostly community dwelling, whose diet, lifestyle and health were studied twice, in 1989 and 1993. RESULTS: The MNA classified 55% of the examinees as well-nourished, 44% as at risk of malnutrition and 1% as malnourished. The NSI categorised the elderly people differently: 11% as good, 41% at moderate nutritional risk, 48% at high nutritional risk. Biochemical, dietary and anthropometric indices did not differ either between NSI categories or between MNA categories. Using serum albumin values (< 30 g/l) and lymphocyte counts (< 1500/ml) as standards, specificity and sensitivity of both instruments for identifying at-risk groups were below 0.6. Only with body weight loss (> or = 10%) as criterion variable were higher sensitivities (0.75 (NSI), 0.96 (MNA)) and specificities (0.54 (NSI), 0.60 (MNA)) found. CONCLUSION: It is concluded that in an apparently healthy elderly population both assessment tools are of limited value
Authors de Groot LC, Beck AM, Schroll M, van Staveren WA
Publication Year 1998
Journals Eur J Clin Nutr.
Volume 52
Issue 12
Startpage 877-
Endpage 883
Doi doi:
Link to details 370
Title Stature prediction equations for elderly non-Hispanic white, non-Hispanic black, and Mexican-American persons developed from NHANES III data.
Authors Chumlea WC, Guo SS, Wholihan K, Cockram D, Kuczmarski RJ, Johnson CL
Publication Year 1998
Journals J Am Diet Assoc.
Volume 98
Startpage 137-
Endpage 142
Doi doi:
Link to details 155
Title Interobserver agreement on MNA nutritional scale of hospitalized elderly patients.
Authors Gazzotti C, Pepinster A, Petermans J, Albert A
Publication Year 1997
Journals J Nutr Health Aging.
Volume 1
Startpage 23-
Endpage 27
Doi doi:
Link to details 230
Title Prevalence of malnutrition in HIV positive outpatients: Evaluation of mini nutritional assessment and nutrition risk score. [Prévalence de la malnutrition dans une population ambulatoire de malades du sida].
Authors Stoppard E, Piquet MA, Niklas V, Alberti M, Laffely S, Von Overbeck J, Donzallaz F, Roulet M
Publication Year 1997
Journals Medecine et Hygiene.
Volume 55
Issue 2185
Startpage 2222-
Endpage 2226
Doi doi:
Link to details 25
Title Anorexia of aging: physiologic and pathologic.
Abstract Despite the increase in body fat and obesity that occurs with aging, there is a linear decrease in food intake over the life span. This conundrum is explained by decreased physical activity and altered metabolism with aging. Thus, older persons fail to adequately regulate food intake and develop a physiologic anorexia of aging. This physiologic anorexia depends not only on decreased hedonic qualities of feeding with aging (an area that remains controversial) but also on altered hormonal and neurotransmitter regulation of food intake. Findings in older animals and humans have provided clues to the causes of the anorexia of aging. An increase in circulating concentrations of the satiating hormone, cholecystokinin, occurs with aging in humans. In addition, animal studies suggest a decrease in the opioid (dynorphin) feeding drive and possibly in neuropeptide Y and nitric oxide. The physiologic anorexia of aging puts older persons at high risk for developing protein-energy malnutrition when they develop either psychologic or physical disease processes. Despite its high prevalence, however, protein-energy malnutrition in older persons is rarely recognized and even more rarely treated appropriately. Screening tools for the early detection of protein-energy malnutrition in older persons have been developed. Multiple treatable causes of pathologic anorexia have been identified. There is increasing awareness of the importance of depression as a cause of severe weight loss in older persons. Approaches to the management of anorexia and weight loss in older persons are reviewed. Although many drugs exist that can enhance appetite, none of these are ideal for use in older persons currently.
Authors Morley JE
Publication Year 1997
Journals Am J Clin Nutr. .
Volume 66
Issue 4
Startpage 760-
Endpage 773
Doi doi:
Link to details 323
Title Malnutrition im Alter: Das Mini Nutritional Assessment (MNA). [Malnutrition in the elderly: the Mini Nutritional Assessment (MNA)].
Abstract Frail elderly in the community, in nursing homes or in hospitals are at increased risk of malnutrition. In many instances, their existing nutritional disorders go unrecognised and adversely affect their health, ability to overcome disease, and so is associated with poor clinical outcome. The prevalence of malnutrition ranges from 5-10% in free-living elderly to 30-85% in homebound, nursing home, and hospitalised elderly. Possibilities exist to prevent or correct this malnutrition, but have not been frequently used until now due to the lack of a specific validated tool to screen for malnutrition. The goal of the Mini Nutritional Assessment (MNA) is to determine who is at risk of malnutrition, and hence to permit early nutritional intervention. It has been designed for easy use by general practitioners as well as health professionals involved in admitting patients to hospitals and nursing homes. The test, which comprises simple measurements and a brief questionnaire, can be performed in about 10 minutes. It involves: anthropometric assessment (weight, height and weight loss) general assessment (lifestyle, medication and mobility) dietary assessment (number of meals, food and fluid intake, autonomy of eating self assessment (self-perception of health and nutrition). The MNA has now been validated in three studies involving more than 600 elderly individuals, from the very frail to the very active in free-living and long-term care environments. The MNA was validated against a clinical evaluation and a comprehensive nutritional assessment. It can classify the elderly as well-nourished, undernourished, or at risk of malnutrition. The MNA can be an important tool in evaluating the risk of malnutrition in the elderly, if integrated into geriatric assessment programs
Authors Guigoz Y, Vellas BJ
Publication Year 1997
Journals Ther Umsch.
Volume 54
Issue 6
Startpage 345-
Endpage 350
Doi doi:
Link to details 325
Title Den prædiktive værdi af screeningsinstrumentet »Mini-vurdering af ernæringstilstand« [Predictive value of the screening instrument 'Mini-assessment of nutritional status'].
Abstract The purpose of the study was to evaluate the predictive capacity of the Mini Nutritional Assessment method (MNA), by means of data from the Danish part of the SENECA survey (1988), and the follow-up study from 1993. Using the MNA, 171 persons between 70-75 years of age were classified according to their nutritional risk as either being 'well-nourished', comprising 78.4% or 'at risk of malnutrition' comprising 21.6%. A total of 115 persons participated in the follow-up study. The participation rate in the follow-up study was significantly lower in the risk group (p < 0.01). The 13 Danes judged 'at risk of malnutrition' had had a significantly higher occurrence of acute diseases (p < 0.05), need of help (p < 0.05) and weight loss (p < 0.001) in the preceding years. However, no significant differences were found in hospitalization rates and physician visits between the two groups. In conclusion, the results indicate that the MNA is capable of identifying a group of 70-75 year-old Danes who are at risk of certain nutrition-related health problems
Authors Beck AM, Ovesen LF
Publication Year 1997
Journals Ugeskr Laeger.
Volume 159
Issue 43
Startpage 6377-
Endpage 6381
Doi doi:
Link to details 354
Title Nutrition Screening Initiative Checklist may be a better awareness/educational tool than a screening one.
Abstract OBJECTIVE: To evaluate the Nutrition Screening Initiative (NSI) checklist as a screening and an awareness/educational tool in an elderly population. DESIGN: Epidemiologic follow-up study. Information similar to the questions of the NSI checklist was collected by the Nutrition Status Survey of Boston elders between 1981 and 1984. Vital status of volunteers was obtained during 8 to 12 years of follow-up. SUBJECTS/SETTING: Community-dwelling men (n = 200) and women (n = 381) aged 60 years and older who participated in the survey. STATISTICAL ANALYSES PERFORMED: Multivariate analysis was used to assess the association between mortality and each of the NSI-similar questions and the cumulative score, which is the sum of the values assigned to each question. Attributable risk percent, a measure of association, was calculated to measure the percentage of deaths that could potentially be prevented if the risk factors or their consequences were eliminated. RESULTS: Eating meals alone, problems biting or chewing, difficulties with shopping or cooking, and taking more than three medications per day were positively associated with mortality (P < .05). The cumulative score, although significant, was a weaker predictor of mortality. Attributable risk percent of mortality was 19.9% and 51.2% for men and women, respectively. APPLICATIONS/CONCLUSIONS: Some but not all of the individual questions of the NSI checklist equivalent were significantly associated with mortality and identify specific problems that may have a long-term negative effect yet may be missed if the cumulative score were the sole criterion for screening people. The attributable risk percent suggests that the checklist may be best used as an awareness/educational tool as intended originally and could have an important public health effect on early death of community-dwelling elderly people
Authors Sahyoun NR, Jacques PF, Dallal GE, Russell RM
Publication Year 1997
Journals J Am Diet Assoc.
Volume 97
Issue 7
Startpage 760-
Endpage 764
Doi doi:
Link to details 106
Title The MNA (Mini Nutritional Assessment) : Update.
Authors Guigoz Y, Nourhashemi F, Vellas B
Publication Year 1997
Journals Facts, Research and Intervention in Geriatrics.
Startpage 105-
Endpage 107
Doi doi:
Link to details 268
Title Nutrition problems among home-living elderly people may lead to disease and hospitalization.
Abstract Undernutrition is a major problem among hospitalized elderly patients, increasing their morbidity and mortality. Various factors can contribute to the development of reduced nutrition status. In this study, reduced appetite and taste, dental problems, and difficulties in shopping and cooking were common in an elderly population during their last month before hospital admission compared to a reference group of home-living elderly. It is likely that these nutrition habits and disabilities may contribute to reduced nutrition status and increase the need for hospitalization in old people.
Authors Mowe M, Bohmer T
Publication Year 1996
Journals Nutr Rev.
Volume 54
Startpage 22-
Endpage 4
Doi doi: