| Title: |
Prognostic Differences of the Mini Nutritional Assessment Short Form and Long Form in Relation to 1‐Year Functional Decline and Mortality in Community‐Dwelling Older Adults Receiving Home Care |
| Authors: |
Kiesswetter, Eva; Pohlhausen, Stefanie; Uhlig, Katrin; Diekmann, Rebecca; Lesser, Stephanie; Uter, Wolfgang; Heseker, Helmut; Stehle, Peter; Sieber, Cornel C.; Volkert, Dorothee |
| Source: |
Journal of the American Geriatrics Society ; volume 62, issue 3, page 512-517 ; ISSN 0002-8614 1532-5415 |
| Publisher Information: |
Wiley |
| Publication Year: |
2014 |
| Collection: |
Wiley Online Library (Open Access Articles via Crossref) |
| Description: |
Objectives To compare the prognostic value of the revised M ini N utritional A ssessment short form ( MNA ‐ SF ) classification with that of the long form ( MNA ‐ LF ) in relation to mortality and functional change in community‐dwelling older adults receiving home care in G ermany. Design Multicenter, 1‐year prospective observational study. Setting Community. Participants Older adults (≥65) receiving home care (n = 309). Measurements Nutritional status (well nourished, at risk of malnutrition, malnourished) was classified using the MNA ‐ SF and MNA ‐ LF at baseline. Functional status was determined according to the B arthel Index of activities of daily living ( ADL s) at baseline and after 1 year. Hazard ratios ( HR s) and 95% confidence intervals ( CI s) of mortality were calculated for MNA ‐ SF and MNA ‐ LF categories using stepwise Cox regression analyses. Repeated‐measurements analysis of covariance was used to examine changes in ADL scores over time for MNA ‐ SF and MNA ‐ LF categories. Results MNA ‐ SF classified 15% of the sample as malnourished and 41% as being at risk of malnutrition, whereas the MNA ‐ LF classified 14% and 58%, respectively. During the follow‐up year, 15% of participants died. The estimated hazard ratios (HR) for 1‐year mortality were lower for MNA‐SF than for MNA‐LF categories (at risk of malnutrition: HR = 2.21, 95% confidence interval (CI) = 1.02−4.75 vs HR = 5.05, 95% CI = 1.53−16.58; malnourished: HR = 3.27, 95% CI = 1.34−8.02 vs HR = 8.75, 95% CI = 2.45−31.18). For MNA ‐ SF categories, no differences in functional change were found. According to the MNA ‐ LF , ADL decline tended to be greater in those at risk of malnutrition (7.1 ± 10.1 points) than in those who were well nourished (3.7 ± 10.1 points) and malnourished (4.9 ± 10.1 points). Conclusion In this sample of older adults receiving home care, the MNA ‐ LF was superior to the MNA ‐ SF in predicting mortality and differentiating functional decline during 1 year of follow‐up. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1111/jgs.12683 |
| DOI: |
10.1111/jgs.12683/fullpdf |
| Availability: |
https://doi.org/10.1111/jgs.12683; https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fjgs.12683; http://onlinelibrary.wiley.com/wol1/doi/10.1111/jgs.12683/fullpdf |
| Rights: |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
| Accession Number: |
edsbas.119B7D5 |
| Database: |
BASE |