Kucukerdonmez Ozge, Koksal Eda, Rakicioglu Neslisah, Pekcan Gulden
Department of Nutrition and Dietetics, Hacettepe University, Samanparazari, Ankara, Turkey.
Saudi Med J. 2005 Oct;26(10):1611-6.
The elderly population continues to increase in most countries and inadequate nutrition is a common problem affecting their functional and physical status. Therefore, we should periodically assess the nutritional status of the elderly using practical methods. Our study objectives are to assess the nutritional status of the elderly using 2 different methods: Mini Nutritional Assessment (MNA) and Nutritional Screening Initiative Checklist (NSIC), and to evaluate the consistency of the methods.
We carried out a cross-sectional study between February 2003 and March 2004. We included a total of 1,564 elderly volunteers living in Ankara, Turkey, with median (+/- inter quartile range [IQR]) age of 70 +/- 8 (Male: 71 +/- 9; Female: 70 +/- 9 ) years. We utilized 2 frequently used instruments; MNA and NSIC in this study.
The MNA results (<17 points) indicated that 6.5% of the male and 8.8% of the female participants had inadequate nutrition. According to NSIC, 34.3% of males and 36.9% of females were classified as having a high risk of nutritional deficiency. We observed a decrease in MNA and an increase in NSIC scores with the increase of age (p<0.01). We determined a negative correlation of MNA and positive correlation of NSIC with body weight, body mass index (BMI), mid-upper arm circumference (MUAC), and calf circumference (CC) (p<0.01). We did not find correlations between MNA and NSIC score to be statistically significant (r:-0.318; p>0.05). We analyzed agreements between MNA and NSIC score by Kappa statistical method (kappa: 0.13, p: 0.285) and determined that neither of these 2 methods can be used in lieu of the other.
For the assessment of the nutritional status of the elderly, we could use both MNA and NSIC instruments but depending on the facilities and preferences, we cannot use one to replace the other. The MNA includes both anthropometric measurements and various nutritional parameters, and is a practical and most valid method.
在大多数国家，老年人口持续增加，营养不足是影响其功能和身体状况的常见问题。因此，我们应该使用实用方法定期评估老年人的营养状况。我们的研究目的是使用两种不同方法评估老年人的营养状况：微型营养评定法（MNA）和营养筛查倡议检查表（NSIC），并评估这两种方法的一致性。
我们在2003年2月至2004年3月期间进行了一项横断面研究。我们纳入了总共1564名居住在土耳其安卡拉的老年志愿者，年龄中位数（±四分位间距[IQR]）为70±8岁（男性：71±9岁；女性：70±9岁）。在本研究中，我们使用了两种常用工具：MNA和NSIC。
MNA结果（<17分）表明，6.5%的男性参与者和8.8%的女性参与者存在营养不足。根据NSIC，34.3%的男性和36.9%的女性被归类为营养缺乏高风险人群。我们观察到随着年龄的增加，MNA分数降低，NSIC分数升高（p<0.01）。我们确定MNA与体重、体重指数（BMI）、上臂中部周长（MUAC）和小腿周长（CC）呈负相关，NSIC与这些指标呈正相关（p<0.01）。我们发现MNA和NSIC分数之间的相关性无统计学意义（r：-0.318；p>0.05）。我们通过Kappa统计方法分析了MNA和NSIC分数之间的一致性（kappa：0.13，p：0.285），并确定这两种方法都不能替代另一种方法。
为了评估老年人的营养状况，我们可以同时使用MNA和NSIC工具，但根据设施和偏好，我们不能用一种方法替代另一种方法。MNA既包括人体测量指标，也包括各种营养参数，是一种实用且最有效的方法。
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