Nutritional status according to the Mini Nutritional Assessment (MNAA (R)) and frailty in community dwelling older persons: A close relationship

Bollwein J, Volkert D, Diekmann R, Kaiser M, Uter W, Vidal K, Sieber C, Bauer JM (2013)

Publication Status: Published

Publication Type: Journal article

Publication year: 2013

Journal

Publisher: SPRINGER FRANCE

Book Volume: 17

Pages Range: 351-356

Journal Issue: 4

DOI: 10.1007/s12603-013-0034-7

Abstract

This study investigates the association between MNA results and frailty status in community-dwelling older adults. In addition the relevance of singular MNA items and subscores in this regard was tested.Cross-sectional study.Community-dwelling older adults were recruited in the region of Nurnberg, Germany.206 volunteers aged 75 years or older without cognitive impairment (Mini Mental State Examination > 24 points), 66.0% female.Frailty was defined according to Fried et al. as presence of three, pre-frailty as presence of one or two of the following criteria: weight loss, exhaustion, low physical activity, low handgrip strength and slow walking speed. Malnutrition (< 17 points) and the risk of malnutrition (17-23.5 points) were determined by MNAA (R).15.1% of the participants were at risk of malnutrition, no participant was malnourished. 15.5 % were frail, 39.8% pre-frail and 44.7% non-frail. 46.9% of the frail, 12.2% of the pre-frail and 2.2% of the non-frail participants were at risk of malnutrition (p < 0.001). Hence, 90% of those at risk of malnutrition were either pre-frail or frail. For the anthropometric, dietary, subjective and functional, but not for the general MNA subscore, frail participants scored significantly lower than pre-frail (p < 0.01), and non-frail participants (p < 0.01). Twelve of the 18 MNA items were also significantly associated with frailty (p < 0.05).These results underline the close association between frailty syndrome and nutritional status in older persons. A profound understanding of the interdependency of these two geriatric concepts will represent the basis for successful treatment strategies.

Authors with CRIS profile

Involved external institutions

Nestlé S.A. Switzerland (CH) Evangelisches Krankenhaus Oldenburg Germany (DE)

How to cite

APA:

Bollwein, J., Volkert, D., Diekmann, R., Kaiser, M., Uter, W., Vidal, K.,... Bauer, J.M. (2013). Nutritional status according to the Mini Nutritional Assessment (MNAA (R)) and frailty in community dwelling older persons: A close relationship. Journal of Nutrition, Health & Aging, 17(4), 351-356. https://dx.doi.org/10.1007/s12603-013-0034-7

MLA:

Bollwein, Julia, et al. "Nutritional status according to the Mini Nutritional Assessment (MNAA (R)) and frailty in community dwelling older persons: A close relationship." Journal of Nutrition, Health & Aging 17.4 (2013): 351-356.

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