The mini nutritional assessment (MNA) and its use in grading the nutritional state of elderly patients
Abstract
The Mini Nutritional Assessment (MNA) has recently been designed and validated to provide a single, rapid assessment of nutritional status in elderly patients in outpatient clinics, hospitals, and nursing homes. It has been translated into several languages and validated in many clinics around the world. The MNA test is composed of simple measurements and brief questions that can be completed in about 10 min. Discriminant analysis was used to compare the findings of the MNA with the nutritional status determined by physicians, using the standard extensive nutritional assessment including complete anthropometric, clinical biochemistry, and dietary parameters. The sum of the MNA score distinguishes between elderly patients with: 1) adequate nutritional status, MNA > or = 24; 2) protein-calorie malnutrition, MNA < 17; 3) at risk of malnutrition, MNA between 17 and 23.5. With this scoring, sensitivity was found to be 96%, specificity 98%, and predictive value 97%. The MNA scale was also found to be predictive of mortality and hospital cost. Most important it is possible to identify people at risk for malnutrition, scores between 17 and 23.5, before severe changes in weight or albumin levels occur. These individuals are more likely to have a decrease in caloric intake that can be easily corrected by nutritional intervention.
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ESPEN recommended the use of the Malnutrition Universal Screening Tool (MUST) in community settings, the Nutritional Risk Screening tool (NRS-2002) in clinical settings, and the Mini Nutritional Assessment (MNA) for the elderly.
“ESPEN recommended the use of the Malnutrition Universal Screening Tool (MUST) in community settings (48), the Nutritional Risk Screening tool (NRS-2002) in clinical settings (49), and the Mini Nutritional Assessment (MNA) for the elderly (50).”
From Evolution of the diagnosis of malnutrition in adults: a primer for clinicians (2024) · cites this paper as [50]
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Self-citation
- Authors
- Vellas, B., Guigoz, Y., Garry, P. J., Nourhashemi, F., Bennahum, D., Lauque, S., & Albarede, J.-L.
- Affiliations
- Nestlé (Switzerland) (CH)
- University of New Mexico (US)
- Corresponding author
- Guigoz, Yves
- ORCID
- Vellas, Bruno
- Venue
- Nutrition
- Publisher
- Elsevier BV
- Published
- 1999-02
- Volume
- 15
- Issue
- 2
- Pages
- 116-122
- ISSN
- 0899-9007 (ISSN-L)
- OpenAlex
- W2082755106
- Cited by
- 2,161
- References
- 32
- Citations by year
- 2026: 140 · 2025: 172 · 2024: 159 · 2023: 159 · 2022: 157 · 2021: 134 · 2020: 174 · 2019: 109 · 2018: 103 · 2017: 75 · 2016: 72 · 2015: 75 · 2014: 62 · 2013: 79 · 2012: 70
- FWCI
- 5.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Keywords
- Mini Nutritional Assessment, nutritional assessment, elderly patients, malnutrition, protein-energy malnutrition, nutritional screening, mortality prediction, hospital costs, dietary intervention
- MeSH terms
- Aged, Aging, Anthropometry, Diet, Geriatrics, Humans, Nutrition Disorders, Nutritional Status, Perception, Nutrition Assessment
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