Comparison of Mini Nutritional Assessment‐Short and Long Form to predict all‐cause mortality up to 7 years in geriatric outpatients. (9th June 2022)

• Record Type: Journal Article
• Authors: Ozturk, Yelda; Sarikaya, Derya; Emin Kuyumcu, Mehmet; Yesil, Yusuf; Koca, Meltem; Guner Oytun, Merve; Unsal, Pelin; Balci, Cafer; Balam Dogu, Burcu; Cankurtaran, Mustafa; Halil, Meltem
• Is Part Of: Nutrition in clinical practice. Volume 37:Number 6(2022)
• Page Start: 1418
• Page End: 1428
• Publication Date: 2022-06-09
• Subjects: geriatric assessment -- malnutrition -- mortality -- nutrition status -- outpatients; Nutrition -- Periodicals; Diet therapy -- Periodicals; Artificial feeding -- Periodicals; 615.854
• DOI: 10.1002/ncp.10878
• Languages: English
• ISSNs: 0884-5336

Abstract

Abstract: Background: We aimed to find out whether the Mini Nutritional Assessment‐Short Form (MNA‐SF) can predict mortality up to 7 years when compared with the Mini Nutritional Assessment‐Long Form (MNA‐LF) in geriatric outpatients. Methods: This retrospective study was conducted in patients (≥65 years) who were admitted to the geriatric outpatient clinic of a university hospital. MNA‐SF and MNA‐LF results were available for all patients. Patients were grouped as normal nutrition status (score 12–14), at risk of malnutrition (score between 8 and 11), or malnourished (score ≤7) according to MNA‐SF. Based on MNA‐LF, patients had normal nutrition status (score ≥24), were at risk of malnutrition (score 17–23.5), or were malnourished (score <17). Survival of the patients was assessed retrospectively. Results: The study included 209 patients (62.2% female). During the 7‐year follow‐up, 77 (36.8%) patients died. After adjusting for age, sex, and Charlson comorbidity index, MNA‐SF was significantly associated with all‐cause mortality during 6‐month, 1‐year, 3‐year, 5‐year, and 7‐year follow‐up time. MNA‐LF was superior to MNA‐SF to estimate 6‐month ( P = 0.004) and 1‐year mortality ( P = 0.031). There was no difference between MNA‐SF and MNA‐LF regarding 3‐year, 5‐year, and 7‐year mortality. Conclusion: MNA‐SF can predict short‐term and long‐term mortality in geriatric outpatients as well as MNA‐LF. A cut‐off value of 11, indicating risk of malnutrition according to MNA‐SF, may be used for the risk estimation of 1‐year, 3‐year, and 5‐year mortality. Therefore, this study highlights the importance of screening all geriatric outpatients for malnutrition and especially the risk of malnutrition for early intervention and treatment.