School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland; UCD Institute of Food and Health, University College Dublin, Dublin, Ireland.
Department of Nutrition and Health, HAN University of Applied Sciences, Nijmegen, the Netherlands; Department of Nutrition and Dietetics, VU University Medical Centre, Amsterdam, the Netherlands.
Clin Nutr. 2019 Aug;38(4):1807-1819. doi: 10.1016/j.clnu.2018.07.022. Epub 2018 Jul 27.
Many malnutrition screening tools are used to screen for risk of malnutrition in older adults. An aim of the Joint Programming Initiative (JPI) 'A Healthy Diet for a Healthy Life' (HDHL) MalNutrition in the ELderly Knowledge hub (MaNuEL) is to devise recommendations on the best tools to screen for risk of malnutrition in older adults in community and healthcare settings across Europe. The aim of this paper was to develop and apply a scoring system to rate malnutrition screening tools.
Using a targeted literature search strategy, 48 malnutrition screening tools used to screen for risk of malnutrition in older adults were identified across community, rehabilitation, residential care and hospital settings. Criteria to rate each tool were developed; these were based on published evidence and expert opinion. These criteria were translated into a scoring system.
The scoring system had three equally weighted sections; validation, parameters and practicability, and was applied to all 48 tools. Overall, the highest scoring tools per setting for screening for risk of malnutrition in older adults were i) DETERMINE your health checklist for the community setting; ii) the Nutritional Form for the Elderly (NUFFE) for the rehabilitation setting; iii) the Short Nutritional Assessment Questionnaire-Residential Care (SNAQ) for residential care and iv) both the Malnutrition Screening Tool (MST) and the Mini Nutritional Assessment Short Form Version 1 (MNA-SF-V1) for the hospital setting.
Setting-specific tools are more appropriate for use with older adults. These findings will inform recommendations for the optimal screening of geriatric malnutrition across Europe.
许多营养筛查工具被用于筛查老年人的营养不良风险。联合规划倡议（JPI）“健康饮食促进健康生活”（HDHL）营养不良老年知识中心（MaNuEL）的目标之一是制定关于在欧洲社区和医疗保健环境中筛查老年人营养不良风险的最佳工具的建议。本文旨在开发和应用评分系统来评估营养筛查工具。
使用有针对性的文献检索策略，确定了 48 种用于筛查老年人营养不良风险的营养筛查工具，这些工具涵盖了社区、康复、养老院和医院环境。为每个工具制定了评分标准；这些标准基于已发表的证据和专家意见。这些标准被转化为评分系统。
评分系统有三个同等权重的部分：验证、参数和实用性，并应用于所有 48 种工具。总体而言，每个设置中筛查老年人营养不良风险的评分最高的工具是：i）用于社区环境的 DET E R MINE 健康检查表；ii）用于康复环境的老年人营养量表（NUFFE）；iii）用于养老院环境的短期营养评估问卷-养老院（SNAQ）；iv）用于医院环境的营养不良筛查工具（MST）和迷你营养评估简短表格版本 1（MNA-SF-V1）。
特定于设置的工具更适合用于老年人。这些发现将为欧洲老年人营养筛查的最佳建议提供信息。
