Publication details

Title
Nutrition screening of older people in a community general practice, using the MNA-SF.
Authors
Winter,J.;Flanagan,D.;McNaughton,S. A.;Nowson,C.
Publication Year
2013
Abstract
Background: Objective: The study aimed to determine the prevalence of malnutrition risk in a population of older people (aged 75 years and over) attending a community general practice and identify characteristics of those classified as malnourished or at risk of malnutrition. Design: Cross-sectional study of nutritional risk screen conducted over a six month period. Participants and setting: Patients attending a general practice clinic in Victoria, Australia, who attended for the "75 plus" health assessment check. Measurements: The Mini Nutritional Assessment Short Form (MNA(registered trademark)-SF) was included as part of the health assessment. Information was collected on living situation, co-morbidities, independence with meal preparation and eating, number of medications. Height and weight was measured and MNA(registered trademark)-SF score recorded. Results: Two hundred and twenty five patients attending a general practice for a health assessment with a mean age of 81.3(4.3)(SD) years, 52% female and 34% living alone. Only one patient was categorised by the MNA(registered trademark)-SF as malnourished, with an additional 16% classified as at risk of malnutrition. The mean Body Mass Index (BMI) of the at-risk group was significantly lower than the well-nourished group (23.6 (plus or minus) 0.8 (SEM) vs 27.4 (plus or minus) 0.3; p=0.0001). However, 34% of the at-risk group had a BMI of 25 or more with only 13% in the underweight category. Conclusion: In this population of older adults attending their general practitioner for an annual health assessment, one in six were identified as being at nutritional risk which is an additional risk factor for a severe health issue. Importantly, one third of the at-risk group had a BMI in the overweight or obese category, highlighting that older people can be at nutritional risk although they may be overweight or obese. (copyright) 2013 Serdi and Springer-Verlag France.
Journals
J Nutr Health Aging.
Volume
17
Issue
4
Startpage
322-
Endpage
325
Booktitle
Editors
City
Publisher
Issnisbn
1279-7707
Reflist
0
Doi
doi:10.1007/s12603-013-0020-0
Pmid
PMID: 23538653
Keywords
aged;article;Australia;body height;body mass;body weight;cross-sectional study;female;food processing;general practice;high risk population;human;major clinical study;male;malnutrition;nutritional assessment;priority journal;underweight
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