Kizilarslanoglu M C, Kilic M K, Gokce D, Sakalar T, Ulger Z
Muhammet Cemal Kizilarslanoglu, Gazi University School of Medicine, Department of Internal Medicine, Division of Geriatrics, 06560, Besevler, Ankara-Turkey, Tel: 0 312 202 50 70, Fax: 0312 215 42 04, E-mail:
J Nutr Health Aging. 2017;21(5):579-584. doi: 10.1007/s12603-016-0744-8.
In Mini-Nutritional Assessment-Short Form (MNA-SF) test, a practical and reliable alternative parameter is still necessary for patients with difficult body mass index evaluation. We aimed to show whether or not handgrip strength may be used instead of body mass index (BMI) in MNA-SF test.
MNA-SF test scores, calf circumferences (CC), handgrip strength (HGS), and BMI of 191 patients were evaluated. The first one of calculated MNA-SF tests was with BMI, the second one with CC, and the last one with HGS. Zero point was given if CC was <31 cm and 3 points were given if CC was ≥31 cm. Zero, 1, 2, and 3 points were given if the loss of HGS when compared to expected HGS were ≥%60, from ≥%30 to <%60, from ≥%10 to <%30, and <%10 or greater than expected HGS, respectively. MNA-SF scores and nutritional status according to these three measures were compared.
Mean age and median MNA-SF scores of the patients were 75±7.6 years and 12 points (min-max: 0-14) respectively. There were strongly positive correlations between MNA-SF scores with BMI and CC, with BMI and HGS, and with CC and HGS (r=0.938 p<0.001, r=0.938 p<0.001, r=0.914 p<0.001, respectively). Substantial agreement in nutritional status of the patients were seen between MNA-SF groups with BMI and CC, with CC and HGS, and with BMI and HGS (kappa: 0.795 p<0.001, kappa: 0.709 p<0.001, and kappa: 0.760 p<0.001, respectively).
HGS might be considered instead of BMI in MNA-SF test to assess nutritional status of geriatric patients.
在微型营养评定简表（MNA-SF）测试中，对于体重指数评估困难的患者，仍需要一个实用且可靠的替代参数。我们旨在表明在MNA-SF测试中握力是否可用于替代体重指数（BMI）。
对191例患者的MNA-SF测试得分、小腿围（CC）、握力（HGS）和BMI进行评估。计算MNA-SF测试时，第一个用BMI，第二个用CC，最后一个用HGS。若CC＜31cm则计0分，若CC≥31cm则计3分。与预期握力相比，若握力损失≥60%计0分，若握力损失≥30%至＜60%计1分，若握力损失≥10%至＜30%计2分，若握力损失＜10%或大于预期握力则计3分。比较根据这三种测量方法得出的MNA-SF得分和营养状况。
患者的平均年龄和MNA-SF得分中位数分别为75±7.6岁和12分（最小值-最大值：0-14）。MNA-SF得分与BMI和CC、BMI和HGS、CC和HGS之间均呈强正相关（r分别为0.938，p＜0.001；r为0.938，p＜0.001；r为0.914，p＜0.001）。在MNA-SF组中，BMI与CC、CC与HGS、BMI与HGS之间患者营养状况存在高度一致性（kappa值分别为0.795，p＜0.001；kappa值为0.709，p＜0.001；kappa值为0.760，p＜0.001）。
在MNA-SF测试中评估老年患者营养状况时，可考虑用HGS替代BMI。
