Validation of the revised mini nutritional assessment short-forms in nursing homes in Spain
OBJECTIVE: To contribute to the validation of the revised BMI-MNA-SF and CC- MNA-SF with regard to association and agreement with the full-MNA, considered as gold standard, in nursing homes in Spain. DESIGN: Prospective analysis. SETTING: Nursing homes. PARTICIPANTS: Eight hundred ninety five subjec...
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| creator | Garcia-Meseguer, Maria-Jose Serrano-Urrea, R |
| description | OBJECTIVE: To contribute to the validation of the revised BMI-MNA-SF and CC- MNA-SF with regard to association and agreement with the full-MNA, considered as gold standard, in nursing homes in Spain. DESIGN: Prospective analysis. SETTING: Nursing homes. PARTICIPANTS: Eight hundred ninety five subjects aged 65 or older meeting inclusion criteria. MEASUREMENTS: Correlation, diagnostic accuracy and agreement between the revised MNA short forms and the MNA full form. RESULTS: The MNA-SFs correlated strongly with the full MNA version (Pearson’s correlation coefficient r=0.904; p |
| doi_str_mv | 10.1007/s12603-012-0079-z |
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DESIGN: Prospective analysis. SETTING: Nursing homes. PARTICIPANTS: Eight hundred ninety five subjects aged 65 or older meeting inclusion criteria. MEASUREMENTS: Correlation, diagnostic accuracy and agreement between the revised MNA short forms and the MNA full form. RESULTS: The MNA-SFs correlated strongly with the full MNA version (Pearson’s correlation coefficient r=0.904; p<0.001). High values of sensitivity, specificity and predictive values were obtained for the BMI- MNA-SF and CC-MNA-SF against the full-MNA when the dichotomized categorizations “malnourished-at risk of malnutrition” vs “well nourished” and “malnourished” vs “at risk of malnutrition-well nourished” were considered (Youden’s index at least 0.695 in all cases). Areas under the ROC curves also reached high values (BMI-SF: 0.950 and CC-SF: 0.923 for the first categorization; BMI-SF: 0.979 and CC-SF: 0.978 for the second one) showing both tests excellent accuracy with the full-MNA. The agreement between the MNA-SFs and the full-MNA was quantified as the percentage of correct classifications. The BMI-MNA-SF classified 83.80% correctly and the CC-MNA-SF classified 78.55% correctly. Significant proportions of subjects were underestimated by both MNA-SFs. Just about 6% of overestimations were found in both cases. CONCLUSION: The revised BMI-MNA-SF and CC-MNA-SF are rapid, easy and reliable tools capable to identify malnourished individuals and those who are at risk of malnutrition with minimal misclassifications with potential harm in nursing home residents. Due to the special characteristics of elderly staying in these institutions, the CC-MNA-SF is a good option to replace the BMI-MNA-SF when BMI is not available.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-012-0079-z</identifier><identifier>PMID: 23299374</identifier><language>eng</language><publisher>Paris: Springer-Verlag</publisher><subject>Accuracy ; Aged ; Aged, 80 and over ; Aging ; Agreements ; Biological and medical sciences ; Body Mass Index ; Cognitive ability ; correlation ; elderly ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Geriatric Assessment ; Geriatrics/Gerontology ; Humans ; Institutionalization ; Male ; Malnutrition ; Malnutrition - diagnosis ; Malnutrition - epidemiology ; Medical sciences ; Medicine ; Medicine & Public Health ; Metabolic diseases ; Neurosciences ; Nursing Homes ; Nutrition ; Nutrition Assessment ; Nutritional Status ; Older people ; Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) ; Prevalence ; Primary Care Medicine ; Prospective Studies ; Quality of Life Research ; risk ; Risk Factors ; ROC Curve ; Sensitivity and Specificity ; Spain - epidemiology ; Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><ispartof>The Journal of nutrition, health & aging, 2013, Vol.17 (1), p.26-29</ispartof><rights>Serdi and Springer Verlag France 2013</rights><rights>2014 INIST-CNRS</rights><rights>Serdi and Springer-Verlag France 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c469t-a2cf33525f9d16497d65f9eead7ae9cbd61740cadb078f3b3894b195dea6387a3</citedby><cites>FETCH-LOGICAL-c469t-a2cf33525f9d16497d65f9eead7ae9cbd61740cadb078f3b3894b195dea6387a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12603-012-0079-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-012-0079-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,4024,27923,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26803621$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23299374$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Garcia-Meseguer, Maria-Jose</creatorcontrib><creatorcontrib>Serrano-Urrea, R</creatorcontrib><title>Validation of the revised mini nutritional assessment short-forms in nursing homes in Spain</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>OBJECTIVE: To contribute to the validation of the revised BMI-MNA-SF and CC- MNA-SF with regard to association and agreement with the full-MNA, considered as gold standard, in nursing homes in Spain. DESIGN: Prospective analysis. SETTING: Nursing homes. PARTICIPANTS: Eight hundred ninety five subjects aged 65 or older meeting inclusion criteria. MEASUREMENTS: Correlation, diagnostic accuracy and agreement between the revised MNA short forms and the MNA full form. RESULTS: The MNA-SFs correlated strongly with the full MNA version (Pearson’s correlation coefficient r=0.904; p<0.001). High values of sensitivity, specificity and predictive values were obtained for the BMI- MNA-SF and CC-MNA-SF against the full-MNA when the dichotomized categorizations “malnourished-at risk of malnutrition” vs “well nourished” and “malnourished” vs “at risk of malnutrition-well nourished” were considered (Youden’s index at least 0.695 in all cases). Areas under the ROC curves also reached high values (BMI-SF: 0.950 and CC-SF: 0.923 for the first categorization; BMI-SF: 0.979 and CC-SF: 0.978 for the second one) showing both tests excellent accuracy with the full-MNA. The agreement between the MNA-SFs and the full-MNA was quantified as the percentage of correct classifications. The BMI-MNA-SF classified 83.80% correctly and the CC-MNA-SF classified 78.55% correctly. Significant proportions of subjects were underestimated by both MNA-SFs. Just about 6% of overestimations were found in both cases. CONCLUSION: The revised BMI-MNA-SF and CC-MNA-SF are rapid, easy and reliable tools capable to identify malnourished individuals and those who are at risk of malnutrition with minimal misclassifications with potential harm in nursing home residents. Due to the special characteristics of elderly staying in these institutions, the CC-MNA-SF is a good option to replace the BMI-MNA-SF when BMI is not available.</description><subject>Accuracy</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Agreements</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Cognitive ability</subject><subject>correlation</subject><subject>elderly</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Geriatric Assessment</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Institutionalization</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Malnutrition - diagnosis</subject><subject>Malnutrition - epidemiology</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic diseases</subject><subject>Neurosciences</subject><subject>Nursing Homes</subject><subject>Nutrition</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>Older people</subject><subject>Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)</subject><subject>Prevalence</subject><subject>Primary Care Medicine</subject><subject>Prospective Studies</subject><subject>Quality of Life Research</subject><subject>risk</subject><subject>Risk Factors</subject><subject>ROC Curve</subject><subject>Sensitivity and Specificity</subject><subject>Spain - epidemiology</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kMtu1TAQhi0EoqXwAGzAEkJiE_AtdrysKm5SJRalbFhYk8Q5x1ViHzwJEn16nOZwEQu88Vy--T3-CXnK2WvOmHmDXGgmK8ZFVVJb3d4jp9xoVinTNPdLLErRGGZOyCPEG8ZUbRv9kJwIKayVRp2Sr19gDD3MIUWaBjrvPc3-e0Df0ynEQOMy57B2YaSA6BEnH2eK-5Tnakh5QhpioTKGuKP7NPm7wtUBQnxMHgwwon9yvM_I9bu3ny8-VJef3n-8OL-sOqXtXIHoBilrUQ-251pZ0-sSeg-9AW-7ttfcKNZB3zLTDLKVjVUtt3XvQcvGgDwjrzbdQ07fFo-zmwJ2fhwh-rSgKzYUfV5bXtAX_6A3acnlc3cUk-sxheIb1eWEmP3gDjlMkH84ztzqvNucd8V5tzrvbsvMs6Py0k6-_z3xy-oCvDwCgB2MQ4bYBfzD6YZJLdYVxcZhacWdz3-t-J_Xn29DAyQHu1yEr68E44ox1iiujfwJ6ualaA</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Garcia-Meseguer, Maria-Jose</creator><creator>Serrano-Urrea, R</creator><general>Springer-Verlag</general><general>Serdi</general><general>Springer</general><general>Springer Nature B.V</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>Validation of the revised mini nutritional assessment short-forms in nursing homes in Spain</title><author>Garcia-Meseguer, Maria-Jose ; Serrano-Urrea, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c469t-a2cf33525f9d16497d65f9eead7ae9cbd61740cadb078f3b3894b195dea6387a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Accuracy</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Agreements</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Cognitive ability</topic><topic>correlation</topic><topic>elderly</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Geriatric Assessment</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>Institutionalization</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Malnutrition - diagnosis</topic><topic>Malnutrition - epidemiology</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic diseases</topic><topic>Neurosciences</topic><topic>Nursing Homes</topic><topic>Nutrition</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status</topic><topic>Older people</topic><topic>Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)</topic><topic>Prevalence</topic><topic>Primary Care Medicine</topic><topic>Prospective Studies</topic><topic>Quality of Life Research</topic><topic>risk</topic><topic>Risk Factors</topic><topic>ROC Curve</topic><topic>Sensitivity and Specificity</topic><topic>Spain - epidemiology</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garcia-Meseguer, Maria-Jose</creatorcontrib><creatorcontrib>Serrano-Urrea, R</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garcia-Meseguer, Maria-Jose</au><au>Serrano-Urrea, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Validation of the revised mini nutritional assessment short-forms in nursing homes in Spain</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2013</date><risdate>2013</risdate><volume>17</volume><issue>1</issue><spage>26</spage><epage>29</epage><pages>26-29</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>OBJECTIVE: To contribute to the validation of the revised BMI-MNA-SF and CC- MNA-SF with regard to association and agreement with the full-MNA, considered as gold standard, in nursing homes in Spain. DESIGN: Prospective analysis. SETTING: Nursing homes. PARTICIPANTS: Eight hundred ninety five subjects aged 65 or older meeting inclusion criteria. MEASUREMENTS: Correlation, diagnostic accuracy and agreement between the revised MNA short forms and the MNA full form. RESULTS: The MNA-SFs correlated strongly with the full MNA version (Pearson’s correlation coefficient r=0.904; p<0.001). High values of sensitivity, specificity and predictive values were obtained for the BMI- MNA-SF and CC-MNA-SF against the full-MNA when the dichotomized categorizations “malnourished-at risk of malnutrition” vs “well nourished” and “malnourished” vs “at risk of malnutrition-well nourished” were considered (Youden’s index at least 0.695 in all cases). Areas under the ROC curves also reached high values (BMI-SF: 0.950 and CC-SF: 0.923 for the first categorization; BMI-SF: 0.979 and CC-SF: 0.978 for the second one) showing both tests excellent accuracy with the full-MNA. The agreement between the MNA-SFs and the full-MNA was quantified as the percentage of correct classifications. The BMI-MNA-SF classified 83.80% correctly and the CC-MNA-SF classified 78.55% correctly. Significant proportions of subjects were underestimated by both MNA-SFs. Just about 6% of overestimations were found in both cases. CONCLUSION: The revised BMI-MNA-SF and CC-MNA-SF are rapid, easy and reliable tools capable to identify malnourished individuals and those who are at risk of malnutrition with minimal misclassifications with potential harm in nursing home residents. Due to the special characteristics of elderly staying in these institutions, the CC-MNA-SF is a good option to replace the BMI-MNA-SF when BMI is not available.</abstract><cop>Paris</cop><pub>Springer-Verlag</pub><pmid>23299374</pmid><doi>10.1007/s12603-012-0079-z</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Accuracy Aged Aged, 80 and over Aging Agreements Biological and medical sciences Body Mass Index Cognitive ability correlation elderly Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Geriatric Assessment Geriatrics/Gerontology Humans Institutionalization Male Malnutrition Malnutrition - diagnosis Malnutrition - epidemiology Medical sciences Medicine Medicine & Public Health Metabolic diseases Neurosciences Nursing Homes Nutrition Nutrition Assessment Nutritional Status Older people Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) Prevalence Primary Care Medicine Prospective Studies Quality of Life Research risk Risk Factors ROC Curve Sensitivity and Specificity Spain - epidemiology Vertebrates: anatomy and physiology, studies on body, several organs or systems |
| title | Validation of the revised mini nutritional assessment short-forms in nursing homes in Spain |
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