The Mini Nutritional Assessment (MNA) for Grading the Nutritional State of Elderly Patients: Presentation of the MNA, History and Validation

1999 ◽  
pp. 3-12 ◽  
Author(s):  
Y. Guigoz ◽  
B. Vellas
Keyword(s):  
Elderly Patients ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Nutritional State

The mini nutritional assessment (MNA) and its use in grading the nutritional state of elderly patients

Nutrition ◽  
1999 ◽  
Vol 15 (2) ◽  
pp. 116-122 ◽  
Author(s):  
Bruno Vellas ◽  
Yves Guigoz ◽  
Philip J Garry ◽  
Fati Nourhashemi ◽  
David Bennahum ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Nutritional State

scholarly journals Correlation Analysis of Cognitive Impairment And Malnutrition In Elderly Patients With Chronic Heart Failure

2021 ◽  
Author(s):  
Hong Liang ◽  
Xiaoping Li ◽  
Wei Lv ◽  
Kexin Zhang ◽  
Jiyan Leng
Keyword(s):  
Heart Failure ◽  
Cognitive Impairment ◽  
Cognitive Function ◽  
Chronic Heart Failure ◽  
Elderly Patients ◽  
Odds Ratio ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Fat Free Mass ◽  
Arm Circumference

Abstract Aims: The purpose of this study was to evaluate the correlation between cognitive impairment (CI) and malnutrition in elderly patients with chronic heart failure (CHF) and to determine the relationship between different nutritional indexes and cognitive impairment in patients with chronic heart failure.Methods and results: We examined the correlation between CI and nutritional indicators in elderly hospitalized patients with CHF. The nutritional status of patients was evaluated by Mini Nutritional Assessment（MNA), anthropometric assessment indicators, human component analysis indicators and laboratory tests indicators. Use of the Min-mental state examinatsion (MMSE) to evaluate cognitive function. The study included 184 heart failure patients aged 60 or older. According to the international common cognitive function assessment scale, the patients were divided into CI group and not CI group. In terms of nutrition, compared with those without CI, patients with CI had lower MNA score, Body mass index (BMI), arm circumference, calf circumference, fat free mass, upper arm muscle circumference, lymphocytes absolute value, hemoglobin, hematocrit, albumin, prealbumin, and cholesterol (P < 0.001). Among them, albumin (odds ratio [OR]=0.767, P < 0.05), arm circumference (odds ratio [OR]=0.614; P < 0.05), MNA score (odds ratio [OR]=0.675; P < 0.001) was significantly correlated with CI in elderly patients with CHF, and We found that the AUC was the largest when the three indexes were combined to draw the ROC curve (AUC: 0.935).Conclusions: Our findings emphasize that malnutrition is common in the elderly population, and that it is strongly associated with cognitive decline. Identifying and treating malnutrition is essential for all older people.

scholarly journals Impact of Malnutrition on Long-Term Mortality in Elderly Patients with Acute Myocardial Infarction

Nutrients ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 224 ◽  
Author(s):  
Klara Komici ◽  
Dino Vitale ◽  
Angela Mancini ◽  
Leonardo Bencivenga ◽  
Maddalena Conte ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Nutritional Status ◽  
Elderly Patients ◽  
Troponin I ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Grace Score ◽  
Long Term Mortality

Background: Malnutrition is a frequent condition in the elderly, and is associated with prolonged hospitalization and increased mortality. However, the impacts of malnutrition among elderly patients with acute myocardial infarction have not been clarified yet. Methods and Results: We enrolled 174 patients aged 65 years and over, admitted with the diagnosis of acute myocardial infarction (AMI), who underwent evaluation of nutritional status by Mini Nutritional Assessment (MNA) and evaluation of mortality risk by GRACE Score 2.0. All-cause mortality was the outcome considered for this study. Over a mean follow-up of 24.5 ± 18.2 months, 43 deaths have been registered (24.3%). Non-survivors were more likely to be older, with worse glomerular filtration rate, lower systolic blood pressure, lower albumin and MNA score, higher prevalence of Killip classification III-IV grade, and higher Troponin I levels. Multivariate Cox proportional analysis revealed that GRACE Score and MNA showed a significant and independent impact on mortality, (HR = 1.76, 95%, CI = 1.34–2.32, and HR = 0.56, 95% CI = 0.42–0.73, respectively). Moreover, the clinical decision curve revealed a higher clinical net benefit when the MNA was included, compared to the partial models without MNA. Conclusion: Nutritional status is an independent predictor of long-term mortality among elderly patients with AMI. MNA score in elderly patients with AMI may help prognostic stratification and identification of patients with, or at risk of, malnutrition in order to apply interventions to improve nutritional status, and maybe survival in this population.

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