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

Beitrag in einer Fachzeitschrift


Details zur Publikation

Autorinnen und Autoren: Bollwein J, Volkert D, Diekmann R, Kaiser M, Uter W, Vidal K, Sieber C, Bauer JM
Zeitschrift: The journal of nutrition, health & aging
Verlag: SPRINGER FRANCE
Jahr der Veröffentlichung: 2013
Band: 17
Heftnummer: 4
Seitenbereich: 351-356
ISSN: 1279-7707
eISSN: 1760-4788


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.


FAU-Autorinnen und Autoren / FAU-Herausgeberinnen und Herausgeber

Bollwein, Julia
Professur für Klinische Ernährung im Alter
Diekmann, Rebecca
Lehrstuhl für Innere Medizin (Geriatrie)
Kaiser, Matthias
Medizinische Fakultät
Sieber, Cornel Prof. Dr.
Lehrstuhl für Innere Medizin (Geriatrie)
Uter, Wolfgang Prof. Dr.
Professur für Epidemiologie
Volkert, Dorothee Prof. Dr. rer. nat.
Professur für Klinische Ernährung im Alter


Einrichtungen weiterer Autorinnen und Autoren

Evangelisches Krankenhaus Oldenburg
Nestlé S.A.


Zitierweisen

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. The 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." The journal of nutrition, health & aging 17.4 (2013): 351-356.

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Zuletzt aktualisiert 2018-14-11 um 09:08