Details

Autor(en) / Beteiligte

• Vellas, Bruno
• Guigoz, Yves
• Baumgartner, Marcel
• Garry, Philip J.
• Lauque, Sylvie
• Albarede, Jean-Louis

Titel

Relationships Between Nutritional Markers and the Mini-Nutritional Assessment in 155 Older Persons

Ist Teil von

• Journal of the American Geriatrics Society (JAGS), 2000-10, Vol.48 (10), p.1300-1309

Ort / Verlag

Oxford, UK: Blackwell Publishing Ltd

Erscheinungsjahr

2000

Quelle

Wiley-Blackwell Journals

Beschreibungen/Notizen

• OBJECTIVE: To investigate the relationships between nutritional status measured by a comprehensive nutritional assessment including anthropometric measurements, nutritional biological markers, evaluation of dietary intake, and the Mini‐Nutritional Assessment (MNA) nutrition screening tool. DESIGN: A prospective study. PARTICIPANTS: One hundred fifty‐five older subjects (53 men and 102 women; mean age = 78 years; range = 56–97 years). These participants were hospitalized in a geriatric evaluation unit (n = 105) or free living in the community (n = 50). MEASUREMENT: Weight, height, knee height, midarm and calf circumferences, triceps and subscapular skinfolds, albumin, transthyretin (prealbumin), transferrin, ceruloplasmin, C‐reactive protein, alpha1‐acid glycoprotein, cholesterol, vitamins A, D, E, B1, B2, B6, B12, folate, copper, zinc, a 3 day food record combined with a food‐frequency questionnaire; the MNA nutritional screening. RESULTS: The MNA scores have been found to be significantly correlated to nutritional intake (P < .05 for energy, carbohydrates, fiber, calcium, vitamin D, iron, vitamin B6, and vitamin C), anthropometric and biological nutritional parameters (P < .001 for albumin, transthyretin, transferrin, cholesterol, retinol, alpha‐tocopherol, 25‐OH cholecalciferol zinc). An MNA score between 17 and 23.5 can identify those persons with mild malnutrition in which nutrition intervention may be effective. CONCLUSIONS: The MNA is a practical, noninvasive, and cost‐effective instrument allowing for rapid nutritional evaluation and effective intervention in frail older persons.