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The 'Mini Nutritional Assessment' (MNA) and the 'Determine Your Nutritional Health' Checklist (NSI Checklist) as predictors of morbidity and mortality in an elderly Danish population.

https://arctichealth.org/en/permalink/ahliterature61847
Source
Br J Nutr. 1999 Jan;81(1):31-6
Publication Type
Article
Date
Jan-1999
Author
A M Beck
L. Ovesen
M. Osler
Author Affiliation
Danish Veterinary and Food Administration, Institute of Food Chemistry and Nutrition, Søborg, Denmark. BE@vfd.dk
Source
Br J Nutr. 1999 Jan;81(1):31-6
Date
Jan-1999
Language
English
Publication Type
Article
Keywords
Aged
Denmark - epidemiology
Female
Humans
Male
Morbidity
Mortality
Nutrition Assessment
Nutrition Surveys
Predictive value of tests
Questionnaires
Research Support, Non-U.S. Gov't
Abstract
The purpose of the present study was to evaluate the capacity of the 'Determine Your Nutritional Health' Checklist (NSI Checklist) and the 'Mini Nutritional Assessment' (MNA) methods to predict nutrition-related health problems. Data were from the Danish part of the 'Survey in Europe of Nutrition in the Elderly, a Concerted Action' (SENECA) baseline survey from 1988, and the follow-up study from 1993. Based on the baseline survey thirty-nine (19.3%) of the subjects were classified at high nutritional risk, 103 (51%) were considered at moderate nutritional risk and sixty (29.7%) were within the 'good' range according to the criteria in the NSI Checklist. With the MNA, 171 subjects were classified according to their nutritional risk into a well-nourished group, comprising 78.4%, and a group who were at risk of undernutrition, comprising 21.6% at baseline. A total of 115 subjects participated in the follow-up study. The mortality rate and the prevalence of various morbidity indicators were compared between the different risk groups. The analysis showed that subjects with a high MNA score (> or = 24) had significantly lower mortality (rate ratio estimate: 0.35; 95% Cl 0.18, 0.66) compared with subjects with a low MNA score (
PubMed ID
10341673 View in PubMed
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[Predictive value of the screening instrument "Mini-assessment of nutritional status"]

https://arctichealth.org/en/permalink/ahliterature61913
Source
Ugeskr Laeger. 1997 Oct 20;159(43):6377-81
Publication Type
Article
Date
Oct-20-1997
Author
A M Beck
L F Ovesen
Author Affiliation
Veterinaer- og Fødevaredirektoratet, Søborg, Instituttet for Levnedsmiddelkemi og Ernaering.
Source
Ugeskr Laeger. 1997 Oct 20;159(43):6377-81
Date
Oct-20-1997
Language
Danish
Publication Type
Article
Keywords
Aged
Denmark
Energy intake
English Abstract
Europe
Follow-Up Studies
Geriatric Assessment
Humans
Nutrition Assessment
Nutrition Disorders - prevention & control
Nutrition Surveys
Nutritional Status
Predictive value of tests
Prognosis
Risk factors
Abstract
The purpose of the study was to evaluate the predictive capacity of the Mini Nutritional Assessment method (MNA), by means of data from the Danish part of the SENECA survey (1988), and the follow-up study from 1993. Using the MNA, 171 persons between 70-75 years of age were classified according to their nutritional risk as either being "well-nourished", comprising 78.4% or "at risk of malnutrition" comprising 21.6%. A total of 115 persons participated in the follow-up study. The participation rate in the follow-up study was significantly lower in the risk group (p
PubMed ID
9411962 View in PubMed
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Modification of the nutrition questionnaire for elderly to increase its ability to detect elderly people with inadequate intake of energy, calcium, vitamin C and vitamin D.

https://arctichealth.org/en/permalink/ahliterature61841
Source
Eur J Clin Nutr. 1999 Jul;53(7):560-9
Publication Type
Article
Date
Jul-1999
Author
A M Beck
L. Ovesen
Author Affiliation
Institute of Food Chemistry and Nutrition, Danish Veterinary and Food Administration, Soeborg.
Source
Eur J Clin Nutr. 1999 Jul;53(7):560-9
Date
Jul-1999
Language
English
Publication Type
Article
Keywords
Aged
Ascorbic Acid - administration & dosage
Body mass index
Calcium - administration & dosage
Denmark
Diet - classification
Energy intake
Female
Geriatric Assessment
Humans
Male
Nutrition Surveys
Nutritional Requirements
Nutritional Status
Observer Variation
Questionnaires
Sensitivity and specificity
Vitamin D - administration & dosage
Abstract
OBJECTIVE: To validate the Nutrition Questionnaire for Elderly (NQE) aimed at health care personnel -and develop and validate a modified version of the questionnaire (MNQE) to improve its sensitivity in detecting elderly people with inadequate intake of specific nutrients and energy. DESIGN: The NQE was used to rank the nutrient intake of participants as 'acceptable' (OK-->) or 'at risk' (OBS-->) with respect to energy, calcium, vitamin C and vitamin D--nutrients with a high risk of deficiency, especially among the homebound or institutionalised elderly. The sensitivity, specificity and predictive capacity were calculated by means of a 4 d estimated record (study 1). Based on the results minor adjustments of the NQE was made, and the already obtained information was used to assess the theoretical validity of the MNQE (study 2). Finally the MNQE was validated in a new population (study 3). SETTING AND SUBJECTS: Ninety-five old people ( > 65 y) living in nursing-homes (Bagsvaerd or Havdrup), or at home in the same home-care district (Valby) or in the same preventive home-visit district (Rødovre) were recruited. Excluded were those who declined to participate or who were in a terminal condition (n = 3). RESULTS: The sensitivity of the NQE regarding the intakes of energy, calcium, vitamin C and vitamin D was quite low (respectively 0.46, 0.08, 0.05 and 0.38) (study 1). However minor adjustments of the NQE increased the sensitivity both in theory (energy: 0.64, calcium: 0.95, vitamin C: 1.00 and vitamin D: 0.84) (study 2) and in practice (energy: 1.00, calcium: 0.40, vitamin C: 0.86 and vitamin D: 0.85) (study 3). Modification of the NQE did not reduce the high specificity and predictive capacity of the original version. CONCLUSIONS: Modifications of the NQE resulted in a questionnaire with a high sensitivity, specificity and predictive capacity for detecting inadequate intake of energy, calcium, vitamin C and vitamin D in elderly people.
PubMed ID
10452411 View in PubMed
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A six months' prospective follow-up of 65+-y-old patients from general practice classified according to nutritional risk by the Mini Nutritional Assessment.

https://arctichealth.org/en/permalink/ahliterature61724
Source
Eur J Clin Nutr. 2001 Nov;55(11):1028-33
Publication Type
Article
Date
Nov-2001
Author
A M Beck
L. Ovesen
M. Schroll
Author Affiliation
Danish Veterinary and Food Administration, Moerkhoej Bygade 19, DK-2860 Soeborg, Denmark. be@fdir.dk
Source
Eur J Clin Nutr. 2001 Nov;55(11):1028-33
Date
Nov-2001
Language
English
Publication Type
Article
Keywords
Aged
Body mass index
Cross-Sectional Studies
Denmark - epidemiology
Diet Records
Energy intake
Female
Follow-Up Studies
Food Services
Geriatric Assessment
Home Care Services
Hospitalization
Humans
Male
Nutrition Assessment
Nutrition Disorders - diagnosis - epidemiology
Nutrition Surveys
Nutritional Status
Prevalence
Prospective Studies
Questionnaires
Risk factors
Abstract
OBJECTIVE: To assess the prevalence of old people at risk of undernutrition according to the Mini Nutritional Assessment (MNA), characterise the at risk group with regard to nutritional state, energy intake, and physical and mental functioning, and to assess the consequences of the MNA score over a 6 month period. DESIGN: A cross-sectional prospective study. SETTING: The clinic of a general practitioner. SUBJECTS: Ninety-four patients 65+-y-old with no acute illness contacted at the clinic. Sixty-one subjects (65%) agreed to participate at baseline and 34 (56%) showed up at the follow-up 6 months later. RESULTS: At baseline, 23 (38%) participants were assessed as being at risk of undernutrition (17-23.5 MNA points). The remaining were classified as well-nourished (>23.5 MNA points). The 23 participants at risk had a higher prevalence of body mass index (BMI)
PubMed ID
11641754 View in PubMed
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