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Comparison of two nutrition assessment tools in surgical elderly inpatients in Northern China.

Zhou J, Wang M, Wang H, Chi Q - Nutr J (2015)

Bottom Line: MNA-SF results showed a moderate agreement (P < 0.001) with NRS2002.NRS2002 and MNA-SF on elderly patients showed great consistency but significant difference in elderly patients with digestive disease.Both MNA-SF and NRS2002 correlated with each other and with BMI, serum albumin, hemoglobin, handgrip strength, calf circumference and mid-arm circumference.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, The Second Affiliated Hospital, Harbin Medical University, 148, Bao Jian Road, Harbin, 150081, China.

ABSTRACT

Background & objective: Nutrition assessment enables early identification of malnourished patients and those at risk of malnutrition. To determine the prevalence of malnutrition, to analyze the correlation between short-form Mini Nutritional Assessment (MNA-SF) and Nutritional Risk Screening 2002 (NRS2002) with classical nutritional markers among elderly hospitalized patients in surgery departments, with a view to improving nutrition advice for these patients.

Methods: A total of 142 elderly patients admitted for surgery were enrolled in the study. Within 48 hours of admission, MNA-SF and NRS2002 scale, anthropometric measures and biochemical tests were carried out to assess the nutritional status of each patient.

Results: The prevalence of malnutrition classified by MNA-SF, NRS2002, BMI, serum albumin, hemoglobin, total lymphocyte count, handgrip strength, calf circumference and mid-arm circumference were 45%, 38%, 17%, 22%, 24%, 71%, 36%, 12 % and 15 %, respectively. As the nutritional status classified by both MNA-SF and NRS2002 deteriorated, BMI, serum albumin, hemoglobin, handgrip strength, mid-arm circumference and calf circumference of patients with malnutrition were lower (P < 0.05). MNA-SF and NRS2002 had a unanimous correlation with classical nutritional markers (P < 0.05) except total lymphocyte count (P > 0.05). MNA-SF results showed a moderate agreement (P < 0.001) with NRS2002. Malnourished patients were older than well-nourished patients with NRS2002 (P < 0.05). Digestive disease patients tend to suffer from malnutrition, evaluated by MNA-SF (P < 0.05).

Conclusions: The results show a relatively high prevalence of malnutrition among elderly patients in our general surgery department, especially in patients with digestive disease. NRS2002 and MNA-SF on elderly patients showed great consistency but significant difference in elderly patients with digestive disease. Both MNA-SF and NRS2002 correlated with each other and with BMI, serum albumin, hemoglobin, handgrip strength, calf circumference and mid-arm circumference. MNA-SF may be a more suitable tool for the nutrition assessment of surgical elderly inpatients.

No MeSH data available.


Related in: MedlinePlus

Malnutrition prevalence according to MNA-SF and the NRS2002, in the total sample and by gender. Abbreviations: MNA-SF, short form of Mini-Nutritional Assessment. NRS2002, Nutritional Risk Screening 2002. Under-nourished was defined as NRS2002 ≥ 3 and MNA-SF ≤ 11. *&** P > 0.05 (between gender)
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Fig1: Malnutrition prevalence according to MNA-SF and the NRS2002, in the total sample and by gender. Abbreviations: MNA-SF, short form of Mini-Nutritional Assessment. NRS2002, Nutritional Risk Screening 2002. Under-nourished was defined as NRS2002 ≥ 3 and MNA-SF ≤ 11. *&** P > 0.05 (between gender)

Mentions: Nutritional status classified with MNA-SF and NRS2002, and stratified by gender, showed different results (Fig. 1). Among those patients detected under-nourished, only 26.06 % was male according to the MNA-SF (P > 0.05). Among those patients detected under-nourished, only 23.94 % was male, while 14.08 % was female, according to the NRS2002 (P > 0.05).Fig. 1


Comparison of two nutrition assessment tools in surgical elderly inpatients in Northern China.

Zhou J, Wang M, Wang H, Chi Q - Nutr J (2015)

Malnutrition prevalence according to MNA-SF and the NRS2002, in the total sample and by gender. Abbreviations: MNA-SF, short form of Mini-Nutritional Assessment. NRS2002, Nutritional Risk Screening 2002. Under-nourished was defined as NRS2002 ≥ 3 and MNA-SF ≤ 11. *&** P > 0.05 (between gender)
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4499876&req=5

Fig1: Malnutrition prevalence according to MNA-SF and the NRS2002, in the total sample and by gender. Abbreviations: MNA-SF, short form of Mini-Nutritional Assessment. NRS2002, Nutritional Risk Screening 2002. Under-nourished was defined as NRS2002 ≥ 3 and MNA-SF ≤ 11. *&** P > 0.05 (between gender)
Mentions: Nutritional status classified with MNA-SF and NRS2002, and stratified by gender, showed different results (Fig. 1). Among those patients detected under-nourished, only 26.06 % was male according to the MNA-SF (P > 0.05). Among those patients detected under-nourished, only 23.94 % was male, while 14.08 % was female, according to the NRS2002 (P > 0.05).Fig. 1

Bottom Line: MNA-SF results showed a moderate agreement (P < 0.001) with NRS2002.NRS2002 and MNA-SF on elderly patients showed great consistency but significant difference in elderly patients with digestive disease.Both MNA-SF and NRS2002 correlated with each other and with BMI, serum albumin, hemoglobin, handgrip strength, calf circumference and mid-arm circumference.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, The Second Affiliated Hospital, Harbin Medical University, 148, Bao Jian Road, Harbin, 150081, China.

ABSTRACT

Background & objective: Nutrition assessment enables early identification of malnourished patients and those at risk of malnutrition. To determine the prevalence of malnutrition, to analyze the correlation between short-form Mini Nutritional Assessment (MNA-SF) and Nutritional Risk Screening 2002 (NRS2002) with classical nutritional markers among elderly hospitalized patients in surgery departments, with a view to improving nutrition advice for these patients.

Methods: A total of 142 elderly patients admitted for surgery were enrolled in the study. Within 48 hours of admission, MNA-SF and NRS2002 scale, anthropometric measures and biochemical tests were carried out to assess the nutritional status of each patient.

Results: The prevalence of malnutrition classified by MNA-SF, NRS2002, BMI, serum albumin, hemoglobin, total lymphocyte count, handgrip strength, calf circumference and mid-arm circumference were 45%, 38%, 17%, 22%, 24%, 71%, 36%, 12 % and 15 %, respectively. As the nutritional status classified by both MNA-SF and NRS2002 deteriorated, BMI, serum albumin, hemoglobin, handgrip strength, mid-arm circumference and calf circumference of patients with malnutrition were lower (P < 0.05). MNA-SF and NRS2002 had a unanimous correlation with classical nutritional markers (P < 0.05) except total lymphocyte count (P > 0.05). MNA-SF results showed a moderate agreement (P < 0.001) with NRS2002. Malnourished patients were older than well-nourished patients with NRS2002 (P < 0.05). Digestive disease patients tend to suffer from malnutrition, evaluated by MNA-SF (P < 0.05).

Conclusions: The results show a relatively high prevalence of malnutrition among elderly patients in our general surgery department, especially in patients with digestive disease. NRS2002 and MNA-SF on elderly patients showed great consistency but significant difference in elderly patients with digestive disease. Both MNA-SF and NRS2002 correlated with each other and with BMI, serum albumin, hemoglobin, handgrip strength, calf circumference and mid-arm circumference. MNA-SF may be a more suitable tool for the nutrition assessment of surgical elderly inpatients.

No MeSH data available.


Related in: MedlinePlus