VALIDATION OF SCORE IN MNA SCALE LIKE NUTRITIONAL RISK FACTOR IN INSTITUTIONALIZED GERIATRIC PATIENTS WITH MODERATE AND SEVERE COGNITIVE IMPAIRMENT
link https://doi.org/10.3305/nh.2009.24.6.4571account_box Tarazona Santabalbina, F. J.account_box Belenguer Varea, A.account_box Domenech Pascual, J. R.account_box Gac Espinola, H.account_box Cuesta Peredo, D.account_box Medina Dominguez, L.account_box Salvador Perez, Ma I.account_box Avellana Zaragoza, J. A.
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Introduction: comprehensive geriatric assessment includes examination of the nutritional status given the high prevalence of hyponutrition in this kind of patients, particularly in patients with associated cognitive impairment. Scales for screening the nutritional status include questions on self-perception difficult to answer by demented elder patients.
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| Autor | Tarazona Santabalbina, F. J. Belenguer Varea, A. Domenech Pascual, J. R. Gac Espinola, H. Cuesta Peredo, D. Medina Dominguez, L. Salvador Perez, Ma I. Avellana Zaragoza, J. A. |
| Título | VALIDATION OF SCORE IN MNA SCALE LIKE NUTRITIONAL RISK FACTOR IN INSTITUTIONALIZED GERIATRIC PATIENTS WITH MODERATE AND SEVERE COGNITIVE IMPAIRMENT |
| Revista | NUTRICION HOSPITALARIA |
| ISSN | 0212-1611 |
| ISSN electrónico | 1699-5198 |
| Volumen | 24 |
| Número de publicación | 6 |
| Página inicio | 724 |
| Página final | 731 |
| Fecha de publicación | 2009 |
| Resumen | Introduction: comprehensive geriatric assessment includes examination of the nutritional status given the high prevalence of hyponutrition in this kind of patients, particularly in patients with associated cognitive impairment. Scales for screening the nutritional status include questions on self-perception difficult to answer by demented elder patients. Objective: To study the specificity, the positive predictive value, and the sensitivity of the MNA scale to detect malnutrition in patients diagnosed with Alzheimer's disease with advanced cognitive impairment. Material and methods: a population-based descriptive study with a sample of 52 patients older than 70 years, institutionalized, and with moderate-severe Alzheimer's disease was designed. The sensitivity, specificity, and positive predictive value of MNA scale were studied regarding the parameters on malnutrition of the American Institute of Nutrition (AIN). Results: the sensitivity, specificity, and positive predictive values were 60%, 94.7%, and 93.8%, respectively. There was a significant correlation (p < 0.001) between the score obtained with the MNA Scale and the Tinneti's Risk of Fall Scale (r = 0.577), the Barthel's function (r = 0.742), the MCT cognitive assessment (r = 0.651), and creatinine levels (r = 0.402). More than 50% of the sample presented at least one malnutrition parameter altered. Conclusions: the MNA Scale presents lower sensitivity and specificity in these patients. Designing a nutritional assessment scale without subjective evaluations and only with objective parameters might improve its efficiency in institutionalized elderly patients with moderate-severe cognitive impairment. |
| Derechos | acceso abierto |
| DOI | 10.3305/nh.2009.24.6.4571 |
| Editorial | ARAN EDICIONES, S L |
| Enlace | |
| Id de publicación en WoS | WOS:000271815400014 |
| Paginación | 8 páginas |
| Palabra clave | Nutrition assessment Alzheimer's disease Institutionalization Geriatric assessment Malnutrition ALZHEIMERS PATIENTS ELDERLY-PATIENTS WEIGHT-LOSS MALNUTRITION UNDERNUTRITION OUTPATIENTS POPULATION INFECTIONS PREVALENCE PREDICTORS |
| Tema ODS | 02 Zero Hunger 03 Good Health and Well-being |
| Tema ODS español | 02 Hambre cero 03 Salud y bienestar |
| Tipo de documento | artículo |