Publication details

Title
The short-form mini-nutritional assessment is as effective as the full-mini nutritional assessment in predicting follow-up 4-year mortality in elderly Taiwanese.
Authors
Wang,J. Y.;Tsai,A. C.
Publication Year
2013
Abstract
Objective: To compare the mortality-predictive ability of the full- and short-form (SF) Mini Nutritional Assessment (MNA). Design: A prospective cohort study. Setting: Population-representative sample. Participants: 2872 (greater-than or equal to)65-year old men and women. Measurements: The study analyzed 1999 and 2003 datasets of the Taiwan Longitudinal Survey on Aging (TLSA). Subjects were graded for nutritional status with the full-MNA and MNA-SF of a Taiwanese-specific version (T2, containing calf circumference instead of BMI) at baseline (1999) and tracked their survival status for 4 years. Mortality-predictive abilities of the full-MNA and MNA-SF were compared using Cox regression analysis and Net Reclassification Improvement (NRI). Results: The full-MNA and MNA-SF have comparable abilities in predicting follow-up 4-year mortality risk according to the hazard ratios (all p<0.001) and Akaike information criterion (AIC). It also showed a slight improvement (not significant) if the full-MNA in a predictive model was replaced by the MNA-SF (NRI=0.09%, p=0.956). Conclusion: The MNA-SF has at least comparable or even slightly better ability in predicting follow-up 4-year mortality risk of elderly Taiwanese. Results suggest that MNA-SF with calf circumference may possess some basic characteristics of a comprehensive and universal geriatric screening scale. (copyright) 2013 Serdi and Springer-Verlag France.
Journals
J Nutr Health Aging.
Volume
17
Issue
7
Startpage
594-
Endpage
598
Booktitle
Editors
City
Publisher
Issnisbn
1279-7707
Reflist
0
Doi
doi:10.1007/s12603-013-0048-1
Pmid
PMID: 23933869
Keywords
aged;anthropometry;article;body mass;calf circumference;cohort analysis;comparative study;controlled study;female;human;major clinical study;male;mortality;nutritional assessment;nutritional parameters;nutritional status;predictive value;priority journal;????
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