Yves Guigoz, Chemin du Raidillon, CH-1066 Epalinges, Switzerland.
J Nutr Health Aging. 2021;25(4):528-583. doi: 10.1007/s12603-021-1601-y.
A tool to assess nutritional status in older persons was really needed. It took 5 years to design the MNA® (Mini Nutrition Assessment) tool, complete the first validations studies both in Europe and in the U.S. and to publish it. After the full MNA®, the MNA® short form and the self-MNA® have been validated. As well as Chinese and other national MNA® forms. Now more than 2000 clinical research have used the MNA® all over the world from community care to hospital. At least 22 Expert groups included the MNA® in new clinical practice guidelines, national or international registries. The MNA® is presently included in almost all geriatric and nutrition textbook and part of the teaching program for medicine and other health care professional worldwide. The urgent need is to target the frail older adults more likely to have weight loss and poor appetite and to prevent frailty and weight loss in the robust. We present in this paper the review of 25 years of clinical research and practice using the MNA® worldwide.
非常需要一种评估老年人营养状况的工具。我们用了 5 年的时间设计了 MNA®（迷你营养评估）工具，完成了在欧洲和美国的第一个验证研究，并发表了该工具。在完整的 MNA®之后，MNA®简短版和自我 MNA®已经得到验证。此外，还包括中文和其他国家的 MNA®形式。现在，全世界有 2000 多项临床研究使用 MNA®，从社区护理到医院。至少有 22 个专家组将 MNA®纳入新的临床实践指南、国家或国际登记册。MNA®目前几乎包含在所有老年医学和营养教科书以及全球医学和其他医疗保健专业的教学计划中。当务之急是针对那些更容易出现体重减轻和食欲不振的体弱老年人，并预防健壮老年人的虚弱和体重减轻。我们在本文中回顾了 25 年来全世界使用 MNA®进行的临床研究和实践。
