naa a22 4500 510786510 CHVBK 20180411083304.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12603-013-0033-8 doi (NATIONALLICENCE)springer-10.1007/s12603-013-0033-8 Nutritional screening strategy in nonagenarians: The value of the MNA-SF (Mini Nutritional Assessment short form) in NutriAction [Elektronische Daten] [M. Vandewoude, A. Van Gossum] Objectives: To identify older subjects at risk of malnutrition using the most appropriate tool available for the specific setting and to evaluate the Mini Nutritional Assessment short form (MNA-SF) in a sample of nonagenarians. Design: Questionnaire based national screening week for the risk and prevalence of malnutrition in older people (NutriAction). Setting: Older people in the community (CD) and in nursing homes (NH). Participants: General practices (n=70) and Nursing Homes (n=70). Measurements: Questionnaire based on items from validated screening instruments: the MNA-SF, the Short Nutritional Assessment Questionnaire (SNAQ) and additional clinically relevant parameters (mobility, independence, social isolation and co-morbidities). Results: In total 5,334 people were screened of which 16% were aged over 90 years. In this age group, 66% of the screened individuals were at risk of malnutrition (MNA ≤ 11), and women were affected significantly more than men (p<0.001). Actual malnutrition was present in 22% (BMI <20), 20% (SNAQ) and 25% (clinical evaluation). The MNA appeared to be very sensitive but had a low specificity as well in the nonagenarians (98% and 44%) as in the younger old (97% and 52%). The SNAQ was not a sensitive tool for detecting malnutrition in this study population (25%). Although clinical impression had a low sensitivity (60-61%) it has a good specificity (86% in 90+ and 91% below 90yr). Conclusion: The overall risk of and the prevalence of malnutrition is common in older people. The prevalence is higher in women, in nursing homes and in older age groups. The MNA-SF followed by a clinical subjective evaluation seems to be the preferred strategy for detecting malnutrition in nonagenarians. Serdi and Springer-Verlag France, 2013 Malnutrition nationallicence nonagenarians nationallicence screening tool nationallicence MNA nationallicence MNA-SF : Mini-Nutritional Assessment-Short Form nationallicence SNAQ : Short Nutritional Assessment Questionnaire nationallicence CD : community dwelling nationallicence NH : nursing home nationallicence Vandewoude M. University of Antwerp, Ziekenhuisnetwerk Antwerpen, Belgium aut Van Gossum A. Université Libre de Bruxelles, Brussels, Belgium aut The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 310-314 1279-7707 17:4<310 2013 17 12603 https://doi.org/10.1007/s12603-013-0033-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-013-0033-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Vandewoude M. University of Antwerp, Ziekenhuisnetwerk Antwerpen, Belgium aut NATIONALLICENCE 700 1- Van Gossum A. Université Libre de Bruxelles, Brussels, Belgium aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 310-314 1279-7707 17:4<310 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer