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 984
Title Baseline evaluation of a continuing education program for home delivered care support providers: Nutrition risk.
Abstract Background and objectives: A continuing education program for workers in the public home delivered support care service was designed with the aim of increasing awareness and motivation about the relevance of food and nutrition care for the welbeing of the clients of the service. In this paper results of baseline evaluation regarding nutritional risk of users of the service is presented. Methods: A 20 hour education program was designed. As part of the evaluation, a protocol for baseline assessment was designed including determinant factors of nutrition risk, food habits and physical activity of clients. Results: In the first phase of the project 75 people providing care in two city districts were involved. About 600 clients receive care in these districts. Data were collected for 218 users. Mean age of clients was 76, 89 yr for men and 81, 19 yr for women. Consuming more than 3 drugs daily, eating alone and limitations for buying, preparing or consuming food and beverages were key determinant factors of nutrition risk in the group. Prevalence of malnutrition was estimated 5% and 37, 5% were likely at risk of malnutrition according to MNA screening. Conclusions: Prevalence of risk of malnutrition is high among home delivered support care. Awareness and adequate training for care providers should be essential for a high quality service.
Authors Aranceta,J.;Perez-Rodrigo,C.
Publication Year 2013
Journals Ann Nutr Metab.
Volume 63
Issue 1
Startpage 1116
Endpage [Poster PO1795, 20th International Congress of Nutrition / Nutrimenthe International Conference, Granada, Spain, Sept 15-20, 2013]
Link to details 985
Title Effect of a nutrition education intervention for dependent patients at risk of malnutrition of a home care program.
Abstract Background and Objectives: Dependent patients are vulnerable to suffer malnutrition. Caregivers are an important part of the care and feeding of these patients. The aim of the study is to assess the effect of an educational intervention for caregivers on the nutritional status of dependent patients at risk of malnutrition. Methods: Intervention study with control group, randomly allocated, of 192 patients of the Home Care Program carried out in 10 Primary Care Centers. These patients were dependent and at risk of malnutrition according to Mini Nutritional Assessment (MNA) score, older than 65 and had caregivers. The socioeconomic and educational characteristics of the patient and the caregiver were recorded. On a schedule of 0-6-12 months, patients were evaluated as follows: MNA, food intake, degree of dependency (Barthel Index), cognitive state (Pfeiffer test), mood status (Yesavage test), and anthropometric and serum parameters of nutritional status: albumin and prealbumin. Prior to the intervention, the educational procedure and the design of educational material were standardized among nurses. The nurses conduct an initial session for caregivers and then monitor the education impact at home every month (4 visits) up to 6 months. Bivariate normal test statistics and multivariate models were created to adjust the effect of the intervention. The SPSS/PC program was used for statistical analysis. Results: The mean age was 85(plus or minus)7.2 years. 55,2% of the participants were at social risk, 64.4% had hypertension and the average score of the Barthel Index was 61.57(plus or minus)26.35 points. MNA score decreased in the control group (19.25(plus or minus)3.15 a 18.12(plus or minus)4.06; p = 0.040) but in the intervention group remained stable. Intervention group increased consumption of eggs (p = 0.011), fish (p = 0.018) and legums (p < 0.001). Conclusions: Nutrition education intervention in patients at risk of malnutrition improved 2,6 point the MNA score in relation to the non intervention group.
Authors Arija,V.;Fernandez-Barres,S.;Armengol,T. C.;Badia,W.;Anguera,C.;Castelao-Alvarez,A. I.;Martinez-Blesa,T.;Pedret,R.;Basora,J.;Martin,N.
Publication Year 2013
Journals Ann Nutr Metab.
Volume 62
Issue 2
Startpage 75
Endpage [Poster P148, Mediterranean Foods on Health and Disease, World Forum for Nutrition Research Conference, Reus, Spain, May 20-21, 2013]
Doi doi:10.1159/000351281
Link to details 986
Title Impact of frailty and functional status on outcomes in elderly patients with st-segment elevation myocardial infarction undergoing primary angioplasty: Rationale and design of the IFFANIAM study.
Abstract The IFFANIAM study (Impact of frailty and functional status in elderly patients with ST segment elevation myocardial infarction undergoing primary angioplasty) is an observational multicenter registry to assess the impact of frailty and functional status on outcomes of elderly patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary angioplasty. STEMI patients age 75 years or older undergoing primary angioplasty will be extensively studied during admission in 4 tertiary care Hospitals in Spain, assessing their baseline functional status (Barthel index, Lawton-Brody index), frailty (Fried criteria, FRAIL scale [fatigue, resistance, ambulation, illnesses, and loss of weight]), comorbidities (Charlson index), nutritional status (Mini Nutritional Assessment-Short Form), and quality of life (Seattle Angina Questionnaire). Participants will be managed according current recommendations. The primary outcome will be the description of 1-year mortality, its causes, and associated factors. Secondary outcomes will be functional capacity and quality of life. Results will help to better understand the impact of frailty and functional ability on outcomes in elderly STEMI patients undergoing primary angioplasty, thus potentially contributing to improving their clinical management. Higher life expectancy has resulted in a large segment of elderly population and an increase in myocardial infarction in these patients. This calls attention to healthcare systems to focus on promoting methods to improve the clinical management of this population. (copyright) 2013 Wiley Periodicals, Inc.
Authors Ariza-Sole,A.;Formiga,F.;Vidan,M. T.;Bueno,H.;Curos,A.;Aboal,J.;Llibre,C.;Rueda,F.;Bernal,E.;Cequier,A.
Publication Year 2013
Journals Clin Cardiol.
Volume 36
Issue 10
Startpage 565-
Endpage 569
Doi doi:10.1002/clc.22182
Link to details 987
Title Relationship between dependency and malnutrition in home care patients with caregivers.
Abstract Background and Objectives: Dependent patients have difficulties to feed themselves and need a caregiver. The degree of dependency may influence in the nutritional status of these patients. The aim of this study was to analyze the relationship between degree of dependency and malnutrition in patients with caregivers of a Home Care Program. Methods: Cross-sectional study carried out in 10 Primary Care Centers of the Reus-Tarragona area. The patients of the Home Care Program were included when they had a score between 17-23.5 in the Mini Nutritional Assessment test (MNA), older than 65 and had caregivers. Dependency was assessed by the Barthel Index and malnutrition trough MNA test, anthropometry parameters as weight and calf circumference and biochemistry parameters (albumin and prealbumin). The SPSS/PC program was used for statistical analysis. Results: 192 patients (130 women and 62 men) of the Home Care Program participated with a mean age of 85(plus or minus)7.2 years. The mean score of Barthel Index was 61.57(plus or minus)26.35 and the mean of MNA was 20.04(plus or minus)2.65 points. The score of Barthel Index was positively related to MNA score (r = 0.434, p < 0.001), albumin (r = 0.166, p < 0.05), weight (r = 0.194, p < 0.01), BMI (r = 0.214, p = 0.03) and to CC (p = 0.163; P = 0.025). The score of Barthel was not related to prealbumin. The MNA score was positively related to weight (r = 0.228, p < 0.01), BMI (r = 0.239, p < 0.001) and CP (p = 0.219; P = 0.003), however, it was not related to albumin and prealbumin. Conclusions: Dependent patients are a higher risk of malnutrition than patients without dependency and have worst protein status and anthropometry parameters. Dependency is an aggravating factor of the nutritional status.
Authors Armengol,T. C.;Fernandez-Barres,S.;Badia,W.;Garcia-Barco,M.;Garcia-Campo,A.;Gonzalez-Bravo,A. I.;Lucena,C.;Rovira-Mane,S.;Arija,V.;Basora,J.
Publication Year 2013
Journals Ann Nutr Metab.
Volume 62
Issue 2
Startpage 74-
Endpage 75 [Poster P147, Mediterranean Foods on Health and Disease, World Forum for Nutrition Research Conference, Reus, Spain, May 20-21, 2013]
Doi doi:10.1159/000351281
Link to details 988
Title Is the MNA an indicator of functional recovery in patients with hip fracture?
Abstract Objectives.- To examine the influence of the Mini Nutritional Assessment in functional recovery in patients with hip fracture admitted in a geriatric rehabilitation unit. Methodology.- Prospective study of patients with hip fracture admitted in our unit between 2007 and 2012 for gait rehabilitation. Weanalyze the variables age, sex, Mini Nutritional Assessment (MNA) and Mini Mental State Examination (MMSE) at admission, and Barthel index (BI) at admission and at discharge, functional recovery through the Heinemann index (HI) and Functional Ambulation Classification (FAC). Results.-Westudied 223 people (86.5% women) with a mean age of 82.3 years (53-100). Patients with MNA< 17 (15.7%): at admission: MMSE mean: 14.4 points, BI mean: 23.14 points. At discharge: BI mean: 50.74 points, HI mean: 39.94 and FAC mean: 2.28 points. Patients with MNA between 17-23.5 (83.4%): at admission: MMSE mean: 20.8 points, BI mean: 33.3 points. At discharge BI mean: 33.3 to 73.35, HI mean: 63.47 and FAC mean: 3.5 points. Patients with MNA(greater-than or equal to)24 (0.9%): at admission: MMSE mean: 28.3, BI mean: 55. At discharge: BI mean: 93.5, HI mean: 86.36 and FAC mean: 4.5 points. Conclusions.- To admission in our unit, the patients have a poor nutritional status and a high level of dependence. Patients with worse nutritional status are also those who have worse cognitive state. In our unit theMNAmade at admission behaves as a predictor of functional improvement and recovery of the gait.
Authors Artaza,I.;Fernandez,N.;Urkiza,M.;Garcia,I.;Uriarte,I.;Agirre,E.
Publication Year 2013
Journals Eur Geriatr Med.
Volume 4
Issue 1
Startpage S106
Endpage [Poster P284, 9th Congress of the European Union Geriatric Medicine Society (EUGMS), Venice, Italy, October 2-4, 2013]
Doi doi:10.1016/j.eurger.2013.07.348
Link to details 989
Title Undernutrition in community dwelling elderly.
Abstract Background and aim: The aim of the present study was to assess the risk and the prevalence of undernutrition as well as associated factors among community dwelling elderly adults (home dwelling as well as nursing home residents). Methods: During one week a questionnaire was completed in 70 general practices and in 70 nursing homes. The questionnaire was based on items from validated screening instruments such as the MNA (Mini Nutritional Assessment; short form), the SNAQ (Short Nutritional Assessment Questionnaire) and some additional parameters (mobility, independence, social isolation and co-morbidities). Results: The study sample consisted of 5334 elderly of which 975 lived at home (Mean age: 83 years). Sixteen percent was older than 90. The overall risk for undernutrition (MNA(less-than or equal to)11) was 57%, and was significantly higher in nursing home residents, women and in the older age groups. Undernutrition was already present in 15.9% (BMI<20kg/m2), 17.1% (SNAQ) and 17.6% (clinical evaluation). Decreased mobility was associated with older age and undernutrition. Conclusions: The overall risk of and the prevalence of undernutrition are common in older people. The prevalence is highest among the oldest, in women and in nursing home residents. Undernutrition and worsening mobility are interrelated. (copyright) 2013 European Society for Clinical Nutrition and Metabolism.
Authors Arvanitakis,M.;Vandewoude,M.;Perkisas,S.;Van Gossum,A.
Publication Year 2013
Journals e-SPEN J.
Volume 8
Issue 5
Startpage e213-
Endpage e215
Doi doi:10.1016/j.clnme.2013.06.005
Link to details 990
Title Assessments of functional status, comorbidities, polypharmacy, nutritional status and sarcopenia in Turkish community-dwelling male elderly.
Abstract Functionality, comorbidities, polypharmacy, nutritional status and sarcopenia affect the prognosis of elderly excessively. These parameters are influenced by the population, living settings and age. We aimed to study these parameters in Turkish community-dwelling male elderly. We studied 274 male elderly 60 years of age admitted to our Geriatrics outpatient clinics. Mean age was 74.4(plus or minus)7.1 years; 47.4% of the subjects were 75 years, 24.1% were 80 years. Mean activities-of-daily-living (ADL) and instrumental ADL (IADL) scores were 9.4 and 11.1, respectively. Patients with at least one-dependence at ADL-IADL were 22.6%-47.2%, and more than half-dependence at ADL-IADL were 2.8%-17.9%, respectively. Mean number of comorbidities were 2.6. Most common diagnosis was hypertension with 65%; mean number of drugs were 4.5; 55.3% were using 4 chronic drugs. Prevalences of malnutrition were 3.7%-6.9%, malnutrition risk were 23.5%-26.7% by the Mini Nutritional Assessment Test - Long Form and Short Form, respectively. Calf circumference was measured <31cm in 10.5%. Our findings suggest that Turkish community-dwelling male elderly may have greater prevalences of functional dependence, sarcopenia but lower rates of malnutrition and similar rates of polypharmacy compared with the western developing countries and developed countries. This study emphasized the geographical differences in and/or between the individual countries highlighting the need for studies both country- and world-wide. (copyright) 2013 Informa UK Ltd. All rights reserved: reproduction in whole or part not permitted.
Authors Bahat,G.;Tufan,F.;Bahat,Z.;Aydin,Y.;Tufan,A.;Akpinar,T. S.;Erten,N.;Karan,M. A.
Publication Year 2013
Journals Aging Male.
Volume 16
Issue 2
Startpage 67-
Endpage 72
Doi doi:10.3109/13685538.2013.771329
Link to details 991
Title Assessing nutritional status in the elderly evaluation of Chumlea equations for weight.
Abstract BACKGROUND: Weight is one of the most important parameters in assessing nutritional status. However, weight can be difficult to measure in elderly people who are unable to stand. Chumlea et al. created two equations to estimate weight in non-ambulatory patients using readily available body measurements. OBJECTIVE: The aim of the study is to analyze the usefulness of Chumlea equations in assessing nutritional status of elderly hospitalized patients. METHODS: We measured weight, height, arm and calf circumference, subscapular skinfold and knee height of 82 hospitalized elderly patients, all of whom were able to stand. Estimated weight (EW) was obtained by Chumlea equations. Body mass index (BMI) and Mini Nutritional Assessment test (MNA) were calculated using actual weight and EW. Bland-Altmann analysis and intraclass correlation coefficient (ICC) between real and estimated parameters were assessed. RESULTS: We found a statistically significant ICC between actual weight and EW (r = 0.926), real BMI and estimated BMI (r = 0.910) and real MNA and estimated MNA (r = 0.982) (p < 0.001). Chumlea equations, however, underestimated weight: 54.05 (DS 11.88) vs 61.46 (DS 13.08); BMI: 22.30 (DS 4.61) vs 25.36 (DS 5.17) and MNA: 22.73 (DS 4.43) vs 23.30 (DS 4.33) (P<0.001). In spite of this underestimation, estimated MNA detected 100% of patients malnourished and 96% of those at risk of malnutrition. CONCLUSIONS: Results obtained by Chumlea equations showed a good ICC with actual body weight and real BMI and MNA, but values were underestimated. These equations can be useful to detect undernourished hospitalized elderly patients.
Authors Barcelo,M.;Torres,O.;Mascaro,J.;Francia,E.;Cardona,D.;Ruiz,D.
Publication Year 2013
Journals Nutr Hosp.
Volume 28
Issue 2
Startpage 314
Endpage 318
Doi doi:10.3305/nh.2013.28.2.6320; 10.3305/nh.2013.28.2.6320
Link to details 992
Title Cardiovascular events and Geriatric Scale Scores in Elderly (70 years-old and above) Type 2 Diabetic Patients at Inclusion in the Gerodiab Cohort.
Abstract ObjectiveTo analyse the relationships between cardiovascular complications and geriatric scale scores in French elderly (70 years and over) type 2 diabetic patients at inclusion in the GERODIAB cohort.Research Design And MethodsGERODIAB is the first French multicenter, prospective, observational survey designed to analyze the influence of glycaemic control on morbidity-mortality in type 2 diabetic patients aged 70 years and over during a five-year follow-up. This study analyzed the relationships between classical macroangiopathic complications and geriatric scale scores in 987 patients at baseline, using bivariate and multivariate analyses.ResultsCardiac ischemia (31.2%) was significantly associated with impaired Activity of Daily Living (ADL) scores (P<0.001). Stepwise logistic regression included hypercholesterolemia, ADL, gender and hypertension, successively (70.3% concordance; P<0.001). Heart failure (10.1%) was associated with impaired Mini Mental State Examination (MMSE), Instrumental Activities of Daily Living (IADL) (P<0.05) and ADL scores (P<0.001). With the logistic model, waist circumference, age and HDL cholesterol were significant factors (70.7% concordance; P<0.001). Arterial disease of the lower limbs (25.6%) was associated with impaired IADL and ADL scores (P<0.001). Significant factors using the logistic model were duration of diabetes, IADL, hypertension and gender (62.8% concordance; P<0.001). Cerebral ischemia (15.8%) was associated with impaired MMSE, Mini Nutritional Assessment (MNA), ADL and IADL scores (P<0.01) IADL, gender, hypertension and ADL were included in the logistic model, successively (65.6% concordance; P<0.001)ConclusionsIn this specific population, impaired geriatric scale scores were found to be associated with classical macrovascular complications, notably using multivariate analyses. This suggests the benefits of thorough screening and management of cognitive and functional decline in elderly type 2 diabetic patients.
Authors Bauduceau,B.;Doucet,J.;Le Floch,J. P.;Verny,C.;the SFD / SFGG Intergroup
Publication Year 2013
Journals Diabetes Care.
Startpage Aug 29 [Epub ahead of print]
Doi doi:10.2337/dc13-1540
Link to details 993
Title The MNA in 2013 - Still going stronger after almost twenty years
Abstract [Editorial, no abstract].
Authors Bauer,J. M.
Publication Year 2013
Journals J Nutr Health Aging.
Volume 17
Issue 4
Startpage 288-
Endpage 289
Doi doi:10.1007/s12603-013-0019-6