naa a22 4500 510786413 CHVBK 20180411083303.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12603-012-0396-2 doi (NATIONALLICENCE)springer-10.1007/s12603-012-0396-2 Screening for malnutrition among nursing home residents — a comparative analysis of the Mini Nutritional Assessment, the Nutritional Risk Screening, and the Malnutrition Universal Screening Tool [Elektronische Daten] [R. Diekmann, K. Winning, W. Uter, M. Kaiser, C. Sieber, D. Volkert, J. Bauer] Background: The European Society for Clinical Nutrition and Metabolism (ESPEN) has recommended the Mini Nutritional Assessment (MNA®), the Nutritional Risk Screening 2002 (NRS), and the Malnutrition Universal Screening Tool (MUST) for nutritional screening in various settings and age groups. While in recent years all three tools have been applied to nursing home residents, there is still no consensus on the most appropriate screening tool in this specific setting. Aim: The present study aims at comparing the MNA, the NRS, and the MUST with regard to applicability, categorization of nutritional status, and predictive value in the nursing home setting. Method: MNA, NRS, and MUST were performed on 200 residents from two municipal nursing homes in Nuremberg, Germany. Follow-up data on infection, hospitalization, and mortality were collected after six and again after twelve months. Results: Among 200 residents (mean age 85.5 ±7.8 years) the MNA could be completed in 188 (94.0%) and the NRS and MUST in 198 (99.0%) residents. The prevalence of ‘malnutrition' according to the MNA was 15.4%. The prevalence of ‘risk of malnutrition' (NRS) and ‘high risk of malnutrition' (MUST), respectively, was 8.6% for both tools. The individual categorization of nutritional status showed poor agreement between NRS and MUST on the one hand and MNA on the other. For all tools a significant association between nutritional status and mortality was demonstrated during follow-up as classification in ‘malnourished', respectively ‘high risk of malnutrition' or ‘nutritional risk', was significantly associated with increased hazard ratios. However, the MNA showed the best predictive value for survival among well-nourished residents. Conclusion: The evaluation of nutritional status in nursing home residents by MNA, NRS, and MUST shows significant differences. This observation may be of clinical relevance as nutritional intervention is usually based on screening results. As the items of the MNA reflect particularities of the nursing home population, this tool currently appears to be the most suitable one in this setting. Serdi and Springer-Verlag France, 2013 Malnutrition nationallicence screening tool nationallicence nursing home nationallicence nutrition nationallicence outcome nationallicence Diekmann R. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut Winning K. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut Uter W. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut Kaiser M. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut Sieber C. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut Volkert D. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut Bauer J. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 326-331 1279-7707 17:4<326 2013 17 12603 https://doi.org/10.1007/s12603-012-0396-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-012-0396-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Diekmann R. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut NATIONALLICENCE 700 1- Winning K. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut NATIONALLICENCE 700 1- Uter W. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut NATIONALLICENCE 700 1- Kaiser M. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut NATIONALLICENCE 700 1- Sieber C. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut NATIONALLICENCE 700 1- Volkert D. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut NATIONALLICENCE 700 1- Bauer J. Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Heimerichstr. 58, D-40419, Nürnberg, Germany aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 326-331 1279-7707 17:4<326 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer