Evaluation of the Iranian Mini Nutritional Assessment Short-Form in Community-dwelling Elderly
Background: This study was aimed to assess agreement and diagnostic accuracy of the Iranian version of Mini Nutritional Assessment short-form (MNA-SF) against the original MNA, as a gold standard in community-dwelling elderly. Methods: The full MNA and 9-item MNA-SF comprising questions regard...
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| Format: | Article |
| Language: | English |
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Tabriz University of Medical Sciences
2015-07-01
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| Series: | Health Promotion Perspectives |
| Subjects: | |
| Online Access: | http://journals.tbzmed.ac.ir/HPP/Manuscript/HPP-5-98.pdf |
| _version_ | 1818515566603796480 |
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| author | Aida Malek Mahdavi Reza Mahdavi Mohammad Lotfipour Mohammad Asghari Jafarabadi Elnaz Faramarzi |
| author_facet | Aida Malek Mahdavi Reza Mahdavi Mohammad Lotfipour Mohammad Asghari Jafarabadi Elnaz Faramarzi |
| author_sort | Aida Malek Mahdavi |
| collection | DOAJ |
| description | Background: This study was aimed to assess agreement and diagnostic accuracy of the Iranian version of Mini Nutritional Assessment short-form (MNA-SF) against the original MNA, as a gold standard in community-dwelling elderly.
Methods: The full MNA and 9-item MNA-SF comprising questions regarding clinical status, dietary assessment and self-perception of health status and nutri-tion together with mid-arm and calf circumference measurements without in-cluding the body mass index (BMI) were completed for 205 volunteers aged 65 or older recruited from all over Markazi Province (Iran). Correlation, diagnostic accuracy and agreement between the MNA-SF and full MNA were calculated. Results: The MNA and the MNA-SF classified 45.4% and 64.4% of the sub-jects as malnourished or at risk of malnutrition, respectively. Substantial agree-ment between the MNA-SF and full MNA was observed (Kappa=0.633). The MNA-SF correlated strongly with the full MNA (r=0.868, P<0.001). The MNA-SF showed high sensitivity (96.77%) and negative predictive values (95.89%), relatively high specificity (62.5%) and positive predictive values (68.18%) and fair accuracy (Area under curve =0.796). Conclusion: Iranian MNA-SF seems to be an applicable screening tool for quick detection of malnutrition or at risk of malnutrition in community-dwelling elderly especially when BMI is unavailable. |
| first_indexed | 2024-12-11T00:30:32Z |
| format | Article |
| id | doaj.art-924bb37106434c7d908ad626f2d1be49 |
| institution | Directory Open Access Journal |
| issn | 2228-6497 |
| language | English |
| last_indexed | 2024-12-11T00:30:32Z |
| publishDate | 2015-07-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Health Promotion Perspectives |
| spelling | doaj.art-924bb37106434c7d908ad626f2d1be492022-12-22T01:27:22ZengTabriz University of Medical SciencesHealth Promotion Perspectives2228-64972015-07-01529810310.15171/hpp.2015.012HPP_2843_20150226134028Evaluation of the Iranian Mini Nutritional Assessment Short-Form in Community-dwelling ElderlyAida Malek Mahdavi0Reza Mahdavi1Mohammad Lotfipour2Mohammad Asghari Jafarabadi3Elnaz Faramarzi4Students’ Research Committee, Tabriz University of Medical Sciences, Tabriz, IranNutrition Research Centre, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Biochemistry & Nutrition Therapy, Tabriz University of Medical Sciences, Tabriz, IranRoad Traffic Injury Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, IranLiver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, IranBackground: This study was aimed to assess agreement and diagnostic accuracy of the Iranian version of Mini Nutritional Assessment short-form (MNA-SF) against the original MNA, as a gold standard in community-dwelling elderly. Methods: The full MNA and 9-item MNA-SF comprising questions regarding clinical status, dietary assessment and self-perception of health status and nutri-tion together with mid-arm and calf circumference measurements without in-cluding the body mass index (BMI) were completed for 205 volunteers aged 65 or older recruited from all over Markazi Province (Iran). Correlation, diagnostic accuracy and agreement between the MNA-SF and full MNA were calculated. Results: The MNA and the MNA-SF classified 45.4% and 64.4% of the sub-jects as malnourished or at risk of malnutrition, respectively. Substantial agree-ment between the MNA-SF and full MNA was observed (Kappa=0.633). The MNA-SF correlated strongly with the full MNA (r=0.868, P<0.001). The MNA-SF showed high sensitivity (96.77%) and negative predictive values (95.89%), relatively high specificity (62.5%) and positive predictive values (68.18%) and fair accuracy (Area under curve =0.796). Conclusion: Iranian MNA-SF seems to be an applicable screening tool for quick detection of malnutrition or at risk of malnutrition in community-dwelling elderly especially when BMI is unavailable.http://journals.tbzmed.ac.ir/HPP/Manuscript/HPP-5-98.pdfValidationMini Nutritional AssessmentElderlyMalnutrition |
| spellingShingle | Aida Malek Mahdavi Reza Mahdavi Mohammad Lotfipour Mohammad Asghari Jafarabadi Elnaz Faramarzi Evaluation of the Iranian Mini Nutritional Assessment Short-Form in Community-dwelling Elderly Health Promotion Perspectives Validation Mini Nutritional Assessment Elderly Malnutrition |
| title | Evaluation of the Iranian Mini Nutritional Assessment Short-Form in Community-dwelling Elderly |
| title_full | Evaluation of the Iranian Mini Nutritional Assessment Short-Form in Community-dwelling Elderly |
| title_fullStr | Evaluation of the Iranian Mini Nutritional Assessment Short-Form in Community-dwelling Elderly |
| title_full_unstemmed | Evaluation of the Iranian Mini Nutritional Assessment Short-Form in Community-dwelling Elderly |
| title_short | Evaluation of the Iranian Mini Nutritional Assessment Short-Form in Community-dwelling Elderly |
| title_sort | evaluation of the iranian mini nutritional assessment short form in community dwelling elderly |
| topic | Validation Mini Nutritional Assessment Elderly Malnutrition |
| url | http://journals.tbzmed.ac.ir/HPP/Manuscript/HPP-5-98.pdf |
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