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Prognostic Differences of the Mini Nutritional Assessment Short Form and Long Form in Relation to 1-Year Functional Decline and Mortality in Community-Dwelling Older Adults Receiving Home Care.

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Title: Prognostic Differences of the Mini Nutritional Assessment Short Form and Long Form in Relation to 1-Year Functional Decline and Mortality in Community-Dwelling Older Adults Receiving Home Care.
Authors: Kiesswetter, Eva, Pohlhausen, Stefanie, Uhlig, Katrin, Diekmann, Rebecca, Lesser, Stephanie, Uter, Wolfgang, Heseker, Helmut, Stehle, Peter, Sieber, Cornel C., Volkert, Dorothee
Source: Journal of the American Geriatrics Society. Mar2014, Vol. 62 Issue 3, p512-517. 6p. 4 Charts.
Subjects: Geriatric assessment, Analysis of covariance, Confidence intervals, Health status indicators, Longitudinal method, Scientific observation, Questionnaires, Research funding, U-statistics, Data analysis, Activities of daily living, Repeated measures design, Proportional hazards models, Geriatric Depression Scale, Data analysis software, Descriptive statistics, Statistics
Geographic Terms: Germany
Abstract: Objectives To compare the prognostic value of the revised Mini Nutritional Assessment short form ( MNA- SF) classification with that of the long form ( MNA- LF) in relation to mortality and functional change in community-dwelling older adults receiving home care in Germany. Design Multicenter, 1-year prospective observational study. Setting Community. Participants Older adults (≥65) receiving home care (n = 309). Measurements Nutritional status (well nourished, at risk of malnutrition, malnourished) was classified using the MNA- SF and MNA- LF at baseline. Functional status was determined according to the Barthel Index of activities of daily living ( ADLs) at baseline and after 1 year. Hazard ratios ( HRs) and 95% confidence intervals ( CIs) of mortality were calculated for MNA- SF and MNA- LF categories using stepwise Cox regression analyses. Repeated-measurements analysis of covariance was used to examine changes in ADL scores over time for MNA- SF and MNA- LF categories. Results MNA- SF classified 15% of the sample as malnourished and 41% as being at risk of malnutrition, whereas the MNA- LF classified 14% and 58%, respectively. During the follow-up year, 15% of participants died. The estimated hazard ratios (HR) for 1-year mortality were lower for MNA-SF than for MNA-LF categories (at risk of malnutrition: HR = 2.21, 95% confidence interval (CI) = 1.02−4.75 vs HR = 5.05, 95% CI = 1.53−16.58; malnourished: HR = 3.27, 95% CI = 1.34−8.02 vs HR = 8.75, 95% CI = 2.45−31.18). For MNA- SF categories, no differences in functional change were found. According to the MNA- LF, ADL decline tended to be greater in those at risk of malnutrition (7.1 ± 10.1 points) than in those who were well nourished (3.7 ± 10.1 points) and malnourished (4.9 ± 10.1 points). Conclusion In this sample of older adults receiving home care, the MNA- LF was superior to the MNA- SF in predicting mortality and differentiating functional decline during 1 year of follow-up. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Prognostic Differences of the Mini Nutritional Assessment Short Form and Long Form in Relation to 1-Year Functional Decline and Mortality in Community-Dwelling Older Adults Receiving Home Care.
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  Data: <searchLink fieldCode="AR" term="%22Kiesswetter%2C+Eva%22">Kiesswetter, Eva</searchLink><br /><searchLink fieldCode="AR" term="%22Pohlhausen%2C+Stefanie%22">Pohlhausen, Stefanie</searchLink><br /><searchLink fieldCode="AR" term="%22Uhlig%2C+Katrin%22">Uhlig, Katrin</searchLink><br /><searchLink fieldCode="AR" term="%22Diekmann%2C+Rebecca%22">Diekmann, Rebecca</searchLink><br /><searchLink fieldCode="AR" term="%22Lesser%2C+Stephanie%22">Lesser, Stephanie</searchLink><br /><searchLink fieldCode="AR" term="%22Uter%2C+Wolfgang%22">Uter, Wolfgang</searchLink><br /><searchLink fieldCode="AR" term="%22Heseker%2C+Helmut%22">Heseker, Helmut</searchLink><br /><searchLink fieldCode="AR" term="%22Stehle%2C+Peter%22">Stehle, Peter</searchLink><br /><searchLink fieldCode="AR" term="%22Sieber%2C+Cornel+C%2E%22">Sieber, Cornel C.</searchLink><br /><searchLink fieldCode="AR" term="%22Volkert%2C+Dorothee%22">Volkert, Dorothee</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+the+American+Geriatrics+Society%22">Journal of the American Geriatrics Society</searchLink>. Mar2014, Vol. 62 Issue 3, p512-517. 6p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Germany%22">Germany</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives To compare the prognostic value of the revised Mini Nutritional Assessment short form ( MNA- SF) classification with that of the long form ( MNA- LF) in relation to mortality and functional change in community-dwelling older adults receiving home care in Germany. Design Multicenter, 1-year prospective observational study. Setting Community. Participants Older adults (≥65) receiving home care (n = 309). Measurements Nutritional status (well nourished, at risk of malnutrition, malnourished) was classified using the MNA- SF and MNA- LF at baseline. Functional status was determined according to the Barthel Index of activities of daily living ( ADLs) at baseline and after 1 year. Hazard ratios ( HRs) and 95% confidence intervals ( CIs) of mortality were calculated for MNA- SF and MNA- LF categories using stepwise Cox regression analyses. Repeated-measurements analysis of covariance was used to examine changes in ADL scores over time for MNA- SF and MNA- LF categories. Results MNA- SF classified 15% of the sample as malnourished and 41% as being at risk of malnutrition, whereas the MNA- LF classified 14% and 58%, respectively. During the follow-up year, 15% of participants died. The estimated hazard ratios (HR) for 1-year mortality were lower for MNA-SF than for MNA-LF categories (at risk of malnutrition: HR = 2.21, 95% confidence interval (CI) = 1.02−4.75 vs HR = 5.05, 95% CI = 1.53−16.58; malnourished: HR = 3.27, 95% CI = 1.34−8.02 vs HR = 8.75, 95% CI = 2.45−31.18). For MNA- SF categories, no differences in functional change were found. According to the MNA- LF, ADL decline tended to be greater in those at risk of malnutrition (7.1 ± 10.1 points) than in those who were well nourished (3.7 ± 10.1 points) and malnourished (4.9 ± 10.1 points). Conclusion In this sample of older adults receiving home care, the MNA- LF was superior to the MNA- SF in predicting mortality and differentiating functional decline during 1 year of follow-up. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=94943076
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1111/jgs.12683
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        Text: English
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      – SubjectFull: Geriatric assessment
        Type: general
      – SubjectFull: Analysis of covariance
        Type: general
      – SubjectFull: Confidence intervals
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      – SubjectFull: Health status indicators
        Type: general
      – SubjectFull: Longitudinal method
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      – SubjectFull: Questionnaires
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      – SubjectFull: Research funding
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      – SubjectFull: U-statistics
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      – SubjectFull: Data analysis
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      – SubjectFull: Activities of daily living
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      – SubjectFull: Repeated measures design
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      – SubjectFull: Proportional hazards models
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      – SubjectFull: Germany
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      – TitleFull: Prognostic Differences of the Mini Nutritional Assessment Short Form and Long Form in Relation to 1-Year Functional Decline and Mortality in Community-Dwelling Older Adults Receiving Home Care.
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              Text: Mar2014
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