naa a22 4500 510786472 CHVBK 20180411083304.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12603-013-0034-7 doi (NATIONALLICENCE)springer-10.1007/s12603-013-0034-7 Nutritional status according to the Mini Nutritional Assessment (MNA®) and frailty in community dwelling older persons: A close relationship [Elektronische Daten] [Julia Bollwein, D. Volkert, R. Diekmann, M. Kaiser, W. Uter, K. Vidal, C. Sieber, J. Bauer] Objective: This study investigates the association between MNA results and frailty status in community-dwelling older adults. In addition the relevance of singular MNA items and subscores in this regard was tested. Design: Cross-sectional study. Setting: Community-dwelling older adults were recruited in the region of Nürnberg, Germany. Participants: 206 volunteers aged 75 years or older without cognitive impairment (Mini Mental State Examination >24 points), 66.0% female. Measurements: Frailty was defined according to Fried et al. as presence of three, pre-frailty as presence of one or two of the following criteria: weight loss, exhaustion, low physical activity, low handgrip strength and slow walking speed. Malnutrition (<17 points) and the risk of malnutrition (17-23.5 points) were determined by MNA®. Results: 15.1% of the participants were at risk of malnutrition, no participant was malnourished. 15.5 % were frail, 39.8% pre-frail and 44.7% non-frail. 46.9% of the frail, 12.2% of the pre-frail and 2.2% of the non-frail participants were at risk of malnutrition (p<0.001). Hence, 90% of those at risk of malnutrition were either pre-frail or frail. For the anthropometric, dietary, subjective and functional, but not for the general MNA subscore, frail participants scored significantly lower than pre-frail (p<0.01), and non-frail participants (p<0.01). Twelve of the 18 MNA items were also significantly associated with frailty (p<0.05). Conclusions: These results underline the close association between frailty syndrome and nutritional status in older persons. A profound understanding of the interdependency of these two geriatric concepts will represent the basis for successful treatment strategies. Serdi and Springer-Verlag France, 2013 Mini Nutritional Assessment nationallicence MNA subscores nationallicence frailty nationallicence risk of malnutrition nationallicence community-dwelling older adults nationallicence Bollwein Julia Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut Volkert D. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut Diekmann R. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut Kaiser M. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut Uter W. Institute for Medical Informatics, Biometrics und Epidemiology, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut Vidal K. Nestlé Research Center, Lausanne, Switzerland aut Sieber C. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut Bauer J. Geriatrics Centre Oldenburg, Oldenburg, Germany aut The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 351-356 1279-7707 17:4<351 2013 17 12603 https://doi.org/10.1007/s12603-013-0034-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-013-0034-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bollwein Julia Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut NATIONALLICENCE 700 1- Volkert D. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut NATIONALLICENCE 700 1- Diekmann R. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut NATIONALLICENCE 700 1- Kaiser M. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut NATIONALLICENCE 700 1- Uter W. Institute for Medical Informatics, Biometrics und Epidemiology, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut NATIONALLICENCE 700 1- Vidal K. Nestlé Research Center, Lausanne, Switzerland aut NATIONALLICENCE 700 1- Sieber C. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut NATIONALLICENCE 700 1- Bauer J. Geriatrics Centre Oldenburg, Oldenburg, Germany aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 351-356 1279-7707 17:4<351 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer