Department of Healthcare Administration, Asia University, Wufeng and Department of Health Services Management, School of Public Health, China Medical University, Taichung, Taiwan.
J Clin Nurs. 2011 Dec;20(23-24):3295-303. doi: 10.1111/j.1365-2702.2011.03877.x. Epub 2011 Oct 19.
The study was aimed to examine the appropriateness of using the Mini Nutritional Assessment to screen for risk of under- and over-nutrition in adults with intellectual disabilities.
Persons with intellectual disabilities are at increased risk of malnutrition, but routine monitoring of their nutritional conditions are not widely done.
The study purposively recruited 104 institutionalised adults (≥19 years old) with intellectual disabilities to serve as participants.
Participants were interviewed with a structured questionnaire to elicit personal data, health-related information and answers to items in the Activities of Daily Living and the Mini Nutritional Assessment scales and measured for anthropometrics. Biochemical data were taken from their routine medical measurements. Each subject was graded with the Mini Nutritional Assessment that adopted Taiwanese-specific anthropometric cut-off points (T1) and an alternative version that omitted the body mass index item (T2).
Both Mini Nutritional Assessment versions were able indentifying individuals at risk of malnutrition among adults with intellectual disabilities and rated comparable proportions of patients malnourished (6·7 and 5·8% for Mini Nutritional Assessment-T1 and Mini Nutritional Assessment-T2, respectively) or at risk of malnutrition (14·4 and 17·3%, respectively). Persons with cerebral palsy were at greater risk of malnourishment than persons with other disabilities.
The Mini Nutritional Assessment is appropriate for screening for under- and over-nutrition in adults with intellectual disabilities. The Mini Nutritional Assessment (especially the version without body mass index) can make routine monitoring of nutritional status of these patients an easier task. However, further studies are needed to develop subtype-specific versions (tools) as various subtypes of intellectual disability are associated with different nutritional problems.
The Mini Nutritional Assessment can serve as a tool for routine screening for under- and over-nutrition in persons with intellectual disabilities.
本研究旨在探讨使用微型营养评估（Mini Nutritional Assessment，MNA）筛查智力障碍成年人营养不足和营养过剩风险的适宜性。
智力障碍者存在营养风险增加的问题，但他们的营养状况通常未得到广泛监测。
本研究有目的地招募了 104 名机构内的成年智力障碍者（≥19 岁）作为参与者。
通过结构化问卷对参与者进行访谈，以获取个人数据、健康相关信息和日常生活活动及微型营养评估量表的答案，并进行人体测量学测量。生化数据来自他们的常规医疗测量。每位受试者均采用台湾特定的人体测量学截断值（T1）和省略体重指数项的替代版本（T2）进行微型营养评估评分。
微型营养评估的两种版本均能识别智力障碍成年人中存在营养不良风险的个体，并对营养不良（微型营养评估 T1 和微型营养评估 T2 分别为 6.7%和 5.8%）或存在营养不良风险（分别为 14.4%和 17.3%）的患者进行了相似的比例评估。脑瘫患者比其他残疾患者更易发生营养不良。
微型营养评估适用于筛查智力障碍成年人的营养不足和营养过剩。微型营养评估（特别是不包含体重指数的版本）可以使这些患者的营养状况常规监测变得更加容易。然而，需要进一步研究来开发特定亚型的版本（工具），因为各种智力障碍亚型与不同的营养问题相关。
微型营养评估可作为智力障碍者营养不足和营养过剩常规筛查的工具。
