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Article ; Online: ¿Es válido el cribado nutricional de los ancianos a través del Mini Nutritional Assesment (MNA-SF) en su versión corta adaptada al castellano?

Molina Luque, Rafael / Muñoz Díaz, Belén / Martínez-de la Iglesia, Jorge / Romero-Saldaña, Manuel / Molina Recio, Guillermo

Nutricion hospitalaria

2019 Volume 36, Issue 2, Page(s) 290–295

Abstract: Introduction: Introduction: a short version of the Mini Nutritional Assessment Large Form (MNA-LF) called Mini Nutritional Assessment Short Form (MNA-SF) is available for nutritional screening of the elderly. This MNA-SF allows the use of the ... ...

Title translation	Is the Spanish short version of Mini Nutritional Assessment (MNA-SF) valid for nutritional screening of the elderly?
Abstract	Introduction: Introduction: a short version of the Mini Nutritional Assessment Large Form (MNA-LF) called Mini Nutritional Assessment Short Form (MNA-SF) is available for nutritional screening of the elderly. This MNA-SF allows the use of the circumference of the calf (CC) or body mass index (BMI) and shows a good correlation with the MNA-LF. However, only a few researches that have analyzed the validity of the MNA-SF can be found. Objective: to analyze the validity of the MNA-SF (including two different methods, based on the BMI (MNA-SF [BMI]) or using the calf circumference (MNA-SF [CC]). Design: study of diagnostic tests with 255 subjects over 65 years of age. The Chang method was used as gold standard. Cohen's Kappa index, sensitivity and specificity, positive and negative predictive values, the Youden index and the validity index were calculated. Results: the Kappa indexes for the Chang method were very low when comparing the results with those of the MNA-SF versions (IMC and CP) (0.335 and 0.286, respectively). The following validity results were obtained for MNA-SF (IMC) and MNA-SF (CP): sensitivity 70% and 67%, specificity 68% and 66% and Youden index 0.38 and 0.33, respectively, correctly classifying to 68.5% and 66.5% of the elderly. Conclusions: MNA SF is a useful tool (easy, non-invasive and quick to complete) but very limited for nutritional screening.
MeSH term(s)	Aged ; Aged, 80 and over ; Anthropometry ; Body Mass Index ; Female ; Geriatric Assessment ; Humans ; Language ; Leg/anatomy & histology ; Male ; Mass Screening ; Nutrition Assessment ; Translations
Language	Spanish
Publishing date	2019-02-28
Publishing country	Spain
Document type	Journal Article
ZDB-ID	1481223-x
ISSN	1699-5198 ; 0212-1611
ISSN (online)	1699-5198
ISSN	0212-1611
DOI	10.20960/nh.2070
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Article ; Online: Development of predictive models for nutritional assessment in the elderly.

Muñoz Díaz, Belén / Martínez De La Iglesia, Jorge / Romero-Saldaña, Manuel / Molina-Luque, Rafael / Arenas de Larriva, Antonio P / Molina-Recio, Guillermo

Public health nutrition

2020 Volume 24, Issue 3, Page(s) 449–456

Abstract: Objective: To propose malnutrition screening methods for the elderly population using predictive multivariate models. Due to the greater risk of nutrition deficiencies in ageing populations, nutritional assessment of the elderly is necessary in primary ... ...

Abstract	Objective: To propose malnutrition screening methods for the elderly population using predictive multivariate models. Due to the greater risk of nutrition deficiencies in ageing populations, nutritional assessment of the elderly is necessary in primary health care. Design: This was a cross-sectional study. Multivariate models were obtained by means of discriminant analysis and binary logistic regression. The diagnostic accuracy of each multivariate model was determined and compared with the Chang method based on receiver operating characteristic curves. The optimal cut-point, sensitivity, specificity and Youden index were estimated for each of the models. Setting: The province of Cordoba, Spain. Participants: Two hundred fifty-five patients over the age of 65 years from three health centres and three nursing homes. Results: Fourteen models for predicting risk of malnutrition were obtained, six by discriminant multivariate analysis and eight by binary logistic regression. Sensitivity ranged from 55·6 to 93·1 % and specificity from 64·9 to 94 %. The maximum and minimum Youden indexes were 0·77 and 0·49, respectively. We finally selected a model which does not require a blood test. Conclusions: The proposed models simplify nutritional assessment in the elderly and, except for number 2 of those calculated by binary logistic regression, have better diagnostic accuracy than the Spanish version of the Mini Nutritional Assessment screening tool. The selected model, whose validation is necessary for the future with other different samples, provides good diagnostic accuracy, and it can be performed by non-medical personnel, making it an accessible, easy and rapid tool in daily clinical practice.
MeSH term(s)	Aged ; Cross-Sectional Studies ; Geriatric Assessment ; Humans ; Malnutrition ; Nutrition Assessment ; Nutritional Status ; Sensitivity and Specificity ; Spain
Language	English
Publishing date	2020-08-05
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1436024-x
ISSN	1475-2727 ; 1368-9800
ISSN (online)	1475-2727
ISSN	1368-9800
DOI	10.1017/S1368980020002153
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Article ; Online: Sex-bias in the diagnosis of malnutrition in the elderly: a pilot study.

Molina-Luque, Rafael / Muñoz Díaz, Belén / Romero-Saldaña, Manuel / Martínez de la Iglesia, Jorge / Aguilera-López, María Dolores / Molina-Recio, Guillermo

Women & health

2020 Volume 61, Issue 2, Page(s) 121–132

Abstract: This research aimed to show that using different cutoff points for women and men in nutritional assessment through the Mini Nutritional Assessment (MNA) and different anthropometric variables, improves the diagnostic accuracy of malnutrition among people ...

Abstract	This research aimed to show that using different cutoff points for women and men in nutritional assessment through the Mini Nutritional Assessment (MNA) and different anthropometric variables, improves the diagnostic accuracy of malnutrition among people over 65 years. A cross-sectional study was carried out in a sample of 240 patients of 65 to 104 years in Córdoba (Spain) between 2013 and 2015. Excluded were those with disabling diseases that prevented informed consent. We assessed Nutritional status using the MNA and the Chang Method (Gold Standard). Global cut points per sex were determined for each independent variable using Receiver Operating Characteristic curves, choosing the best of each according to the highest Youden´s index (J). None of the variables studied showed high precision in the diagnosis of malnutrition in the elderly. Different cutoff points were found for all variables by sex, as well as variations in their validity indexes. The number of lymphocytes was more accurate in women (J = 0.58), being the muscular circumference of the arm the best in men (J = 0.8). Regarding MNA, the Long Form version showed higher sensitivity (S) in women (S = 76%) and short versions in men (S = 71% and 59%) at different cutoff points. The introduction of the sex variable seems determinant to achieve a more accurate diagnostic of malnutrition, avoiding biases derivate from a global study without considering its effect in the development of diseases.
MeSH term(s)	Aged ; Cross-Sectional Studies ; Female ; Humans ; Male ; Malnutrition/diagnosis ; Malnutrition/epidemiology ; Nutrition Assessment ; Nutritional Status ; Pilot Projects
Language	English
Publishing date	2020-10-27
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	603396-9
ISSN	1541-0331 ; 0363-0242
ISSN (online)	1541-0331
ISSN	0363-0242
DOI	10.1080/03630242.2020.1834057
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Article ; Online: Estudio de la situación nutricional de pacientes mayores de 65 años incluidos en el programa de atención domiciliaria de una población urbana.

Muñoz Díaz, Belén / Arenas de Larriva, Antonio P / Molina-Recio, Guillermo / Moreno-Rojas, Rafael / Martínez de la Iglesia, Jorge

Atencion primaria

2017 Volume 50, Issue 2, Page(s) 88–95

Abstract: Objective: To analyse the nutritional status of patients older than 65 years included in the home care program (PAD).: Design: Croos-sectional study.: Emplacement: 3 urban health centers.: Participants: 218 patients in the PAD.: Method: Mini ...

Title translation	Study of the nutritional status of patients over 65 years included in the home care program in an urban population.
Abstract	Objective: To analyse the nutritional status of patients older than 65 years included in the home care program (PAD). Design: Croos-sectional study. Emplacement: 3 urban health centers. Participants: 218 patients in the PAD. Method: Mini Nutritional Assessment questionnaire (MNA) was applied. Sociodemographic, anthropometric, dependency, emotional and cognitive status and analytical parameters: 57 variables were collected. Possible associations were analysed by applying the chi square and variance analysis. The level of significance was considered to be P<.05 was considered. Results: The mean age was 83.9 years (SD=7.4); 34.9% were institutionalized and 80.7% were women; 21.2% of patients were malnourished and 40.1% were at risk of it. A significant association was established between poorer nutritional status and older age, lower BMI, greater dependence on basic and instrumental activities of daily living and greater cognitive impairment. The lowest mean hemoglobin, albumin, and iron levels were also associated with malnutrition and risk of malnutrition. Conclusions: More than half of PAD patients are malnourished or at risk for it, and a high proportion of them some laboratory abnormality susceptible to be corrected. Most cognitive impairment and functional dependence are closely related to malnutrition; so patients with these characteristics should receive more attention from the nutritional point of view.
MeSH term(s)	Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Female ; Geriatric Assessment ; Home Care Services ; Humans ; Male ; Nutritional Status ; Spain ; Urban Population
Language	Spanish
Publishing date	2017-06-07
Publishing country	Spain
Document type	Journal Article ; Multicenter Study ; Observational Study
ZDB-ID	1200787-0
ISSN	1578-1275 ; 0212-6567
ISSN (online)	1578-1275
ISSN	0212-6567
DOI	10.1016/j.aprim.2017.02.006
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Article ; Online: Estado nutricional y factores asociados en pacientes ancianos ambulatorios.

Muñoz Díaz, Belén / Martínez de la Iglesia, Jorge / Molina Recio, Guillermo / Aguado Taberné, Cristina / Redondo Sánchez, Juana / Arias Blanco, M Carmen / Romero Saldaña, Manuel

Atencion primaria

2019 Volume 52, Issue 4, Page(s) 240–249

Abstract: Objective: To analyze the nutritional status (NS) of patients older than 65 years and establish their relationship with sociodemographic and health variables.: Design: Cross-sectional observational study in patients older than 65 years.: Location: ...

Title translation	Nutritional status and associated factors in ambulatory elderly patients.
Abstract	Objective: To analyze the nutritional status (NS) of patients older than 65 years and establish their relationship with sociodemographic and health variables. Design: Cross-sectional observational study in patients older than 65 years. Location: 3 health centers. Participants: 255 patients: ambulatory (AP), in domiciliary care (DP) or institutionalized (IP). They completed the study 243 (response rate 95.3%). Main measurements: The Chang method was applied to determine the NS. Sociodemographic, anthropometric variables, dependence, mood, cognitive and analytical parameters were collected. Associations were analyzed applying chi-square and analysis of variance. The prevalence ratio (PR) for malnutrition was calculated. A multivariate model was applied (binary logistic regression). Significance was considered for p<0.05. Results: The average age was 81.3 years (SD=7.4) and 72.0% were women. 48.9% were AP, 26.8% DP and 24.2% IP. 29.6% (95% CI: 23.9-35.8) presented malnutrition. Greater malnutrition was established in relation to living in a residence or requiring home help (PR=5.3), age over 85 (PR=4.9), presenting a moderate or higher dependency for basic activities of daily living (PR=3.9) and instrumental (PR=3.3), need help for mobility (PR=2.9) and present moderate/severe cognitive impairment (PR=2.1). The determinants of malnutrition in the multivariate model were older than 85 years old and being IP or DP. Conclusions: Emphasis should be placed on evaluating NS in patients older than 85 years of age who live in a residence or require home care, since they are the groups at greatest risk of malnutrition.
MeSH term(s)	Activities of Daily Living ; Aged ; Aged, 80 and over ; Analysis of Variance ; Chi-Square Distribution ; Cross-Sectional Studies ; Female ; Home Care Services ; Humans ; Inpatients ; Male ; Malnutrition/epidemiology ; Malnutrition/etiology ; Nutritional Status ; Outpatients ; Prevalence ; Sex Distribution ; Socioeconomic Factors ; Spain/epidemiology
Language	Spanish
Publishing date	2019-01-18
Publishing country	Spain
Document type	Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
ZDB-ID	1200787-0
ISSN	1578-1275 ; 0212-6567
ISSN (online)	1578-1275
ISSN	0212-6567
DOI	10.1016/j.aprim.2018.12.002
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Article ; Online: Corrigendum: Validation (in Spanish) of the Mini Nutritional Assessment survey to assess the nutritional status of patients over 65 years of age.

Muñoz Díaz, Belén / Molina-Recio, Guillermo / Romero-Saldaña, Manuel / Redondo Sánchez, Juana / Aguado Taberné, Cristina / Arias Blanco, Carmen / Molina-Luque, Rafael / Martínez De La Iglesia, Jorge

Family practice

2018 Volume 36, Issue 4, Page(s) 528

Language	English
Publishing date	2018-11-12
Publishing country	England
Document type	Journal Article ; Published Erratum
ZDB-ID	605939-9
ISSN	1460-2229 ; 0263-2136
ISSN (online)	1460-2229
ISSN	0263-2136
DOI	10.1093/fampra/cmy093
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Article ; Online: Validation (in Spanish) of the Mini Nutritional Assessment survey to assess the nutritional status of patients over 65 years of age.

Family practice

2018 Volume 36, Issue 2, Page(s) 172–178

Abstract: Aim: To validate the Mini Nutritional Assessment (MNA) in a Spanish population over 65 years of age with varying degrees of independence.: Design: This cross-sectional validation study used the Chang nutritional assessment method as a reference test.! ...

Abstract	Aim: To validate the Mini Nutritional Assessment (MNA) in a Spanish population over 65 years of age with varying degrees of independence. Design: This cross-sectional validation study used the Chang nutritional assessment method as a reference test. Participants: 248 subjects (72.2% female), with a mean age of 81.3, completed the study. They were classified into three groups: (i) autonomous patients who were able to take part in activities outside their home; (ii) patients who require help with daily self-care; (iii) patients living in a residential health care facility. Setting: Three health centres and three residential care homes situated in Cordoba (Spain). Results: The kappa values for intra-observer and inter-observer agreement were 0.870 and 0.784, respectively. The intra-class correlation coefficient intra-observer was 0.874 and the inter-observer was 0.789. The sensitivity and specificity readings for the diagnostic accuracy of MNA were 63.2% and 72.9% in the total sample, respectively. The area under the curve was 0.726. For patients in the Group A, B and C, the sensitivity was 89.3%, 60.7% and 18.8%, and the specificity was 23.3%, 56.8% and 94.1%, respectively. Conclusion: The results for the reliability of the survey were excellent, and its internal consistency was acceptable. The diagnostic accuracy, as measured by the sensitivity and specificity readings, was lower than that obtained with the original survey. It can therefore be considered more suitable for a population with limited autonomy, and less appropriate for independent patients. The results may not be relevant to patients outside of the Cordova region in Spain.
MeSH term(s)	Aged, 80 and over ; Cross-Sectional Studies ; Female ; Geriatric Assessment/methods ; Humans ; Independent Living ; Male ; Nutrition Assessment ; Nutritional Status ; Reproducibility of Results ; Residential Facilities ; Risk Factors ; Spain/epidemiology ; Surveys and Questionnaires
Language	English
Publishing date	2018-08-09
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Validation Studies
ZDB-ID	605939-9
ISSN	1460-2229 ; 0263-2136
ISSN (online)	1460-2229
ISSN	0263-2136
DOI	10.1093/fampra/cmy051
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Article ; Online: ¿Es válido el cribado nutricional de los ancianos a través del Mini Nutritional Assesment (MNA-SF) en su versión corta adaptada al castellano?

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Article ; Online: Development of predictive models for nutritional assessment in the elderly.

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Article ; Online: Sex-bias in the diagnosis of malnutrition in the elderly: a pilot study.

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Article ; Online: Estudio de la situación nutricional de pacientes mayores de 65 años incluidos en el programa de atención domiciliaria de una población urbana.

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Article ; Online: Estado nutricional y factores asociados en pacientes ancianos ambulatorios.

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Article ; Online: Corrigendum: Validation (in Spanish) of the Mini Nutritional Assessment survey to assess the nutritional status of patients over 65 years of age.

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Article ; Online: Validation (in Spanish) of the Mini Nutritional Assessment survey to assess the nutritional status of patients over 65 years of age.

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