Servicio de Geriatría, Hospital Universitario Ramón Y Cajal, IRYCIS, Madrid, Spain.
Eur Geriatr Med. 2021 Jun;12(3):653-656. doi: 10.1007/s41999-020-00442-8. Epub 2021 Jan 19.
We aimed to evaluate and compare the Short Form of the Mini Nutritional Assessment (MNA-SF) as a nutritional screening tool with the new Global Leadership Initiative on Malnutrition (GLIM) diagnostic criteria for malnutrition (the most current reference standard) among older patients with cancer.
Patients ≥ 70 years old, with a G8 screening tool ≤ 14, referred to an oncogeriatric clinic. MNA-SF and GLIM criteria were obtained.
40 patients were included (mean age 84.8 ± 5.5, 60% male). According to the GLIM diagnostic criteria, 57.5% were malnourished. The MNA-SF classified 80% as being malnourished or at risk of malnutrition. MNA-SF showed a high sensitivity (100%) and a low specificity (50%) to detect GLIM-defined malnutrition. The AUC of the ROC curve was 0.75.
The MNA-SF scale is useful as a screening tool to detect malnutrition in older cancer outpatients.
我们旨在评估和比较迷你营养评估量表简表（MNA-SF）作为一种营养筛查工具，以及新的全球营养倡议（GLIM）营养不良诊断标准（目前最主要的参考标准），在老年癌症患者中的应用。
选择年龄≥70 岁，G8 筛查工具得分≤14 分，且转诊至肿瘤老年科的患者。获取 MNA-SF 和 GLIM 标准。
共纳入 40 例患者（平均年龄 84.8±5.5 岁，60%为男性）。根据 GLIM 诊断标准，57.5%的患者存在营养不良。MNA-SF 分类中，80%的患者被归类为营养不良或存在营养不良风险。MNA-SF 检测 GLIM 定义的营养不良具有较高的敏感性（100%）和较低的特异性（50%）。ROC 曲线的 AUC 为 0.75。
MNA-SF 量表可作为一种有用的筛查工具，用于检测老年癌症门诊患者的营养不良。
