Nutrition screening of older people in a community general practice, using the MNA-SF

Winter, J., Flanagan, D., McNaughton, S. A. and Nowson, C. 2013, Nutrition screening of older people in a community general practice, using the MNA-SF, Journal of nutrition, health and aging, vol. 17, no. 4, pp. 322-325.

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Title Nutrition screening of older people in a community general practice, using the MNA-SF
Author(s) Winter, J.
Flanagan, D.
McNaughton, S. A.
Nowson, C.
Journal name Journal of nutrition, health and aging
Volume number 17
Issue number 4
Start page 322
End page 325
Total pages 4
Publisher Springer - Verlag
Place of publication Paris, France
Publication date 2013-04
ISSN 1279-7707
1760-4788
Keyword(s) malnutrition
mini nutritional assessment
elderly
community
general practice
Summary Background: Objective The study aimed to determine the prevalence of malnutrition risk in a population of older people (aged 75 years and over) attending a community general practice and identify characteristics of those classified as malnourished or at risk of malnutrition.

Design Cross-sectional study of nutritional risk screen conducted over a six month period.

Participants and setting Patients attending a general practice clinic in Victoria, Australia, who attended for the “75 plus” health assessment check.

Measurements The Mini Nutritional Assessment Short Form (MNA®-SF) was included as part of the health assessment. Information was collected on living situation, co-morbidities, independence with meal preparation and eating, number of medications. Height and weight was measured and MNA®-SF score recorded.

Results Two hundred and twenty five patients attending a general practice for a health assessment with a mean age of 81.3(4.3)(SD) years, 52% female and 34% living alone. Only one patient was categorised by the MNA®-SF as malnourished, with an additional 16% classified as at risk of malnutrition. The mean Body Mass Index (BMI) of the at-risk group was significantly lower than the well-nourished group (23.6 ± 0.8 (SEM) vs 27.4 ± 0.3; p=0.0001). However, 34% of the at-risk group had a BMI of 25 or more with only 13% in the underweight category.

Conclusion In this population of older adults attending their general practitioner for an annual health assessment, one in six were identified as being at nutritional risk which is an additional risk factor for a severe health issue. Importantly, one third of the at-risk group had a BMI in the overweight or obese category, highlighting that older people can be at nutritional risk although they may be overweight or obese.
Language eng
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
Socio Economic Objective 920411 Nutrition
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, Springer
Persistent URL http://hdl.handle.net/10536/DRO/DU:30052036

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