Journal
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
Volume 58, Issue 9, Pages 1734-1738Publisher
WILEY
DOI: 10.1111/j.1532-5415.2010.03016.x
Keywords
malnutrition; undernutrition; Mini Nutritional Assessment; elderly; nutritional screening
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Funding
- Nestle
- Nestle Nutrition, Vevey, Switzerland
- Nestle and Nutricia
- Nestle Nutrition (Vevey, Switzerland)
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OBJECTIVES To provide pooled data on the prevalence of malnutrition in elderly people as evaluated using the Mini Nutritional Assessment (MNA). DESIGN Retrospective pooled analysis of previously published datasets. SETTING Hospital, rehabilitation, nursing home, community. PARTICIPANTS Four thousand five hundred seven people (75.2% female) with a mean age of 82.3. MEASUREMENTS The prevalence of malnutrition in the combined database and in the four settings was examined. RESULTS Twenty-four data sets with information on full MNA classification from researchers from 12 countries were submitted. In the combined database, the prevalence of malnutrition was 22.8%, with considerable differences between the settings (rehabilitation, 50.5%; hospital, 38.7%; nursing home, 13.8%; community, 5.8%). In the combined database, the at risk group had a prevalence of 46.2%. Consequently, approximately two-thirds of study participants were at nutritional risk or malnourished. CONCLUSION The MNA has gained worldwide acceptance and shows a high prevalence of malnutrition in different settings, except for the community. Because of its specific geriatric focus, the MNA should be recommended as the basis for nutritional evaluation in older people.
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