Validation and validity: The MNA was validated against two principal criteria, clinical status and comprehensive nutrition assessment using principal component and discriminant analysis. Characteristics: The large variability is due to differences in level of dependence and health status among the elderly. In hospital settings, a low MNA score is associated with an increase in mortality, prolonged length of stay and greater likelihood of discharge to nursing homes. Malnutrition is associated with functional and cognitive impairment and difficulties eating. The MNA R detects risk of malnutrition before severe change in weight or serum proteins occurs.

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Editor s : B. Vellas, P. Garry, Y. Clinical Nutrition vol. The prevalence of malnutrition is high in elderly people in hospital, living innursing homes, or involved in home care programs. Development of malnutritionin the elderly is usually a continuum, starting with inadequate food intakes, followedby changes in body composition and biochemical variables.

The Mini Nutritional Assessment MNA , which is composed of simple measurementsand brief questions that can be completed in about 10 min, was designedand validated to provide a rapid assessment of the nutritional status of frailelderly people in order to facilitate nutrition intervention [1, 2].

The normal physiological consequences of aging alter body size and composition. These alterations affect or are affected by weight-related health conditionsand nutritional status. An altered impaired immune response has previously been detected in elderlyindividuals [1, 2]. Several investigators have suggested that this impairedimmune function is caused by a basic defect in receptor signalling of immune cellsand an altered capacity to respond to antigen-dependent activation signals [3].

Malnutrition in geriatric hospital inpatients over 75 years old is one of the strongestindicators of a poor outcome, including mortality. A subjective rating of thenutritional status correlated strongly p! Many studies show that odor perception declines with age, while diminishedodor perception is associated with poor general health and various diseases [1—3]. Though it has been suggested that many nutrients play a role in odor perception,.

One of the main objectives of gerontological medicine is to assist people reachingretirement age to age successfully. It is now well established that there is a linear decrease in food intake ofhumans over the life span [1].

This occurs in the face of an increase in weight andbody fat in middle age. Nutritional integrity is clearly essential for health in older persons [1], and theMini Nutritional Assessment MNA instrument has been shown to be an effectivemeasure of risk of nutritional failure in older individuals [2].

Weight loss, behavioral problems, and food disorders are common in patientswith Alzheimer disease. Recently, White et al. Malignant diseases are among the leading causes of premature death in Westerncountries, and this is also becoming a tragic reality in other parts of the world[1].

Aging and malnutrition are both well-known surgical risk factors. With regardto age, several clinical studies have shown increased postoperative morbidity andmortality in patients over 60 or 65 years [1—4]. The prevalence of protein-energy malnutrition PEM is very high among theelderly hospital inpatient population and among elderly people living in nursinghomes. Poor nutritional status in the elderly population is now well documented.

The aging represent the single most rapidly increasing segment of the populationof Westernized countries and throughout much of the world [1, 2]. In theUSA, obesity is the major nutritionally related health complication of adults andolder Americans, where it has been variously reported to affect up to one in threeor more of that population [3—5].

Our aim in this study was to evaluate the MNA in a population of institutionalizedelderly people, and its correlation with functional and nutritional variables. Vellas: Is it a physician or a nurse who does the MNA in the nursing home? Cappa: The physician does it. Chumlea: You had 24 men. There can be sometime a sex and age interaction, particularlyin men. Were the men more severely affected or was there no sex difference in theanalysis?

Are women getting adequate nutrition during preconception and pregnancy? Human milk oligosaccharides HMO are multifunctional breast milk components that shape Annales Happiness is a feeling of well-being, joy, or contentment and to occur there has to be a You are about to proceed to an offsite link.

Choose your preferred region or click here to visit the Global NNI website. Main Navigation. Toggle navigation. Register now Login Login. Not yet a member? Home Resources Publication series Publications Article.

Nutrition Publication. Download publication. Articles Subject Index. View full article. Introduction Author s : F. View abstract. Close abstract. Guigoz, B. Chumlea, G. Hall, F. Lilly, R. Siervogel, S. Schiffrin, Y. Guigoz, G. Perruisseau, S. Blum, Y. Delneste, R. Mansourian, B. Vellas, A. Oster, B. Rost, U. Velte, G. Mna and Odor Perception Author s : M. Griep, T. Mets, K. Collys, D. Verleye, I. Ponjaert-Kristoffersen, D. Scheirlinckx, B. Morley, D. Miller, H. Perry, P. Patrick, Y. Louis, Mo.

Perry, E. Nourhashemi, S. Guyonnet, P. Ousset, V. Kostek, S. Lauque, W. Chumlea, B. Vellas, J. Zulian, G. Golda, F. Herrmanna, J-P. Rubenstein, J. Harker, Y. Salva , M. Bleda, I. Mna and Nutritional Intervention Author s : F. Arnaud-Battandier, S. Lauque, M. Paintin, R. Vellas, Y.


The Mini Nutritional Assessment (MNA) Review of the literature--What Does It Tell Us?

The Comprehensive Geriatric Assessment CGA is a multidimensional, multidisciplinary diagnostic process used to determine medical, functional, and psychosocial problems and capabilities in an elderly patient who may be at risk for functional decline. CGA of overall health status begins with a screening process using simple, rapid, inexpensive, and internationally validated scales to rate cognitive function, functional status, walking, balance, and socio-economic status. CGA should also include a nutritional assessment since functional dependency and decreased general health status or quality of life correlate with poor nutritional status in older adults. Prior to , CGA did not include nutrition due to the lack of a validated and easily administered tool to evaluate nutrition in the elderly.


Nestlé Nutrition Institute


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