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

Kießwetter E, Pohlhausen S, Uhlig K, Diekmann R, Lesser S, Uter W, Heseker H, Stehle P, Sieber C, Volkert D (2014)

Publication Type: Journal article

Publication year: 2014

Journal

Journal of the American Geriatrics Society Wiley-Blackwell

Book Volume: 62

Pages Range: 512-7

Journal Issue: 3

DOI: 10.1111/jgs.12683

Abstract

To compare the prognostic value of the revised Mini Nutritional Assessment 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 Germany.Multicenter, 1-year prospective observational study.Community.Older adults (>= 65) receiving home care (n = 309).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 Barthel Index of activities of daily living (ADLs) at baseline and after 1 year. Hazard ratios (HRs) and 95% confidence intervals (CIs) 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.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).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.

Authors with CRIS profile

Eva Kießwetter Professur für Klinische Ernährung im Alter Rebecca Diekmann Lehrstuhl für Innere Medizin (Geriatrie) Wolfgang Uter Professur für Epidemiologie Cornel Sieber Lehrstuhl für Innere Medizin (Geriatrie) Dorothee Volkert Professur für Klinische Ernährung im Alter

Involved external institutions

Rheinische Friedrich-Wilhelms-Universität Bonn DE Germany (DE) Universität Paderborn DE Germany (DE)

How to cite

APA:

Kießwetter, E., Pohlhausen, S., Uhlig, K., Diekmann, R., Lesser, S., Uter, W.,... Volkert, D. (2014). 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. Journal of the American Geriatrics Society, 62(3), 512-7. https://dx.doi.org/10.1111/jgs.12683

MLA:

Kießwetter, Eva, et al. "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." Journal of the American Geriatrics Society 62.3 (2014): 512-7.

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