Department of Thoracic Surgery,Tianjin Medical University Cancer Institute and Hospital, Tianjin.
Clin Interv Aging. 2013;8:287-91. doi: 10.2147/CIA.S41941. Epub 2013 Mar 5.
This study assessed the nutritional status of elderly Chinese lung cancer inpatients using a revised version of the Mini-Nutritional Assessment (MNA(®)) tool.
The revised version of the MNA tool was used to assess the nutritional status of 180 elderly Chinese lung cancer inpatients prior to their scheduled surgery between June 2010 and July 2011. Patients' demographic data, anthropometric parameters, and biochemical markers were collected and analyzed.
Among the 180 inpatients who underwent the MNA, 9% were malnourished (MNA score < 19), 33% were at risk of malnutrition (MNA score 19-23), and 58% were well nourished (MNA score ≥ 24). There was significant correlation between the MNA scores of patients who were malnourished, at risk of malnutrition, and well nourished (P < 0.001), as well as between total MNA score and most MNA questions. The three patient groups with different nutritional statuses differed significantly in their responses to anthropometrics and global, diet, and subjective assessments.
Incidence rates of malnutrition prior to surgery are high among elderly Chinese lung cancer inpatients. The revised MNA is a valid and reliable tool that can be used to assess and prevent malnutrition among these inpatients.
本研究采用改良版微型营养评估量表（MNA(®)）评估了老年中国肺癌住院患者的营养状况。
2010 年 6 月至 2011 年 7 月，对 180 例拟行择期手术的老年中国肺癌住院患者采用改良版 MNA 工具进行营养评估。收集并分析患者的人口统计学数据、人体测量学参数和生化标志物。
在接受 MNA 的 180 例住院患者中，9%为营养不良（MNA 评分<19），33%存在营养不良风险（MNA 评分 19-23），58%营养良好（MNA 评分≥24）。营养不良、存在营养不良风险和营养良好患者的 MNA 评分之间（P<0.001）以及总 MNA 评分与大多数 MNA 问题之间存在显著相关性。营养状况不同的三组患者在人体测量学和整体、饮食及主观评估方面的反应存在显著差异。
术前老年中国肺癌住院患者营养不良的发生率较高。改良版 MNA 是一种有效且可靠的工具，可用于评估和预防这些住院患者的营养不良。
