Cited by 2,751Nutrition and Health in AgingBody Composition Measurement TechniquesClinical Nutrition and Gastroenterology

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Screening for Undernutrition in Geriatric Practice: Developing the Short-Form Mini-Nutritional Assessment (MNA-SF)

Rubenstein, L. Z., Harker, J. O., Salva, A., Guigoz, Y., Vellas, B.·2001·The Journals of Gerontology Series A: Biological Sciences and Medical Sciences

DOI 10.1093/gerona/56.6.m366

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Abstract

BACKGROUND: The Mini-Nutritional Assessment (MNA) is a validated assessment instrument for nutritional problems, but its length limits its usefulness for screening. We sought to develop a screening version of this instrument, the MNA-SF, that retains good diagnostic accuracy. METHODS: We reanalyzed data from France that were used to develop the original MNA and combined these with data collected in Spain and New MEXICO: Of the 881 subjects with complete MNA data, 151 were from France, 400 were from Spain, and 330 were from New MEXICO: Independent ratings of clinical nutritional status were available for 142 of the French subjects. Overall, 73.8% were community dwelling, and mean age was 76.4 years. Items were chosen for the MNA-SF on the basis of item correlation with the total MNA score and with clinical nutritional status, internal consistency, reliability, completeness, and ease of administration. RESULTS: After testing multiple versions, we identified an optimal six-item MNA-SF total score ranging from 0 to 14. The cut-point score for MNA-SF was calculated using clinical nutritional status as the gold standard (n = 142) and using the total MNA score (n = 881). The MNA-SF was strongly correlated with the total MNA score (r = .945). Using an MNA-SF score of > or = 11 as normal, sensitivity was 97.9%, specificity was 100%, and diagnostic accuracy was 98.7% for predicting undernutrition. CONCLUSIONS: The MNA-SF can identify persons with undernutrition and can be used in a two-step screening process in which persons, identified as "at risk" on the MNA-SF, would receive additional assessment to confirm the diagnosis and plan interventions.

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“Mini-mental state”
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282
Progress in Development of the Index of ADL
Katz, S., Downs, T. D., Cash, H., & Grotz, R. C. (1970) · The Gerontologist · doi:10.1093/geront/10.1_part_1.20 · Cited by 4,129
Mini Nutritional Assessment: a practical assessment tool for grading the nutritional state of elderly patients.
Guigoz, Y., Vellas, B. J., Garry, P. J., Vellas, B. J., & Albaréde, J. L. (1994) · Cited by 892
Self-citation
Nutrition and health risks in the elderly: the nutrition screening initiative.
Posner, B. M., Jette, A. M., SMITH, K., & Miller, D. R. (1993) · American Journal of Public Health · doi:10.2105/ajph.83.7.972 · Cited by 469
Nutrition and Function: Is There a Relationship Between Body Mass Index and the Functional Capabilities of Community‐Dwelling Elderly?
Galanos, A. N., Pieper, C. F., Cornoni‐Huntley, J. C., Bales, C. W., & Fillenbaum, G. G. (1994) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1994.tb07483.x · Cited by 311
The Mini Nutritional Assessment (MNA) for Grading the Nutritional State of Elderly Patients: Presentation of the MNA, History and Validation
Guigoz, Y., & Vellas, B. J. (1999) · KARGER eBooks · doi:10.1159/000062967 · Cited by 299
Self-citation
Protein‐Calorie Undernutrition in the Nursing Home
Rudman, D., & Feller, A. (1989) · Journal of The American Geriatrics Society · doi:10.1111/j.1532-5415.1989.tb05880.x · Cited by 217
Nutrition Screening in Older Persons
Reuben, D. B., Greendale, G. A., & Harrison, G. G. (1995) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1995.tb05818.x · Cited by 154
Geriatric assessment technology : the state of the art
Rubenstein, L. Z., Wieland, D., & Bernabei, R. (1995) · Springer eBooks · Cited by 122
Self-citation
Progress in the Development of a Nutritional Risk Index
Wolinsky, F. D., Coe, R. M., McIntosh, W. A., Kubena, K. S., Prendergast, J. M., Chavez, M. N., Miller, D. K., Romeis, J. C., & Landmann, W. A. (1990) · Journal of Nutrition · doi:10.1093/jn/120.suppl_11.1549 · Cited by 104

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Background
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“Based on the modified cutoff values of the MNA®–SF, 36% (135/376), 28% (106/376), and 36% (135/376) of patients were malnourished, at risk of malnutrition, and well‐nourished, respectively.”
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Dietary intake and nutritional risk among free-living elderly people in Palma de Mallorca.
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“- Nutritional status: Participants are to be assessed for nutritional status using the Mini-Nutritional Assessment Short-Form (MNA-SF) (27) composed of 6 questions, whose score ranges from 0 to 14, with a higher score indicating better nutritional status.”
Method
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“However, there were no significant differences in median CRP levels across categories of MNA-SF (median CRP levels in malnourished patients: 1.4 (IQR: 0.4–4.3) mg/dl, at risk of malnutrition: 1.4 (IQR: 0.5–4.6) mg/dl and normal nutritional status: 1.1 (IQR: 0.4–4.1) mg/dl).”
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Method
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Lang, P.-O., Zekry, D., Michel, J., Dramé, M., Novella, J., Jolly, D., & Blanchard, F. (2009) · The journal of nutrition health & aging · doi:10.1007/s12603-009-0182-y · Cited by 43
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“…the most common tools are Downton Fall Risk Index (DFRI) to assess fall risk (Downton 1993), the short form of Mini Nutritional Assessment (MNA-SF) (Rubenstein et al. 2001) to assess risk for malnutrition and the Modified Norton Scale (MNS) (Ek 1987) to assess risk for developing pressure ulcers.”
Method
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Sanchís, J. M., Ariza‐Solé, A., Abu‐Assi, E., Alegre, O., Alfonso, F., Barrabés, J. A., Barrabés, J. A., Carol, A., Villanueva, P. D., del Blanco, B. G., et al. (2018) · Revista Española de Cardiología (English Edition) · doi:10.1016/j.rec.2018.02.007 · Cited by 43
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Rétornaz, F., Seux, V., Sourial, N., Braud, A. C., Monette, J., Bergman, H., & Soubeyrand, J. (2007) · The Journals of Gerontology Series A · doi:10.1093/gerona/62.8.917 · Cited by 43
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Comparison of Grip Strength Measurements by Widely Used Three Dynamometers in Outpatients Aged 60 Years and Over
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“The mean scores of ADLs, MNA-SF, and MMSE were; 5.9 ± 0.07, 13.1 ± 0.44, and 28.5 ± 1.28, respectively.”
BackgroundMethodInfluential
Enhancing Intrinsic Capacity and Related Biomarkers in Community-Dwelling Multimorbid Older Adults Through Integrated Multidomain Interventions: Ancillary Findings From the Taiwan Integrated Geriatric (TIGER) Trial
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Mini-Nutritional-Assessment (MNA) without Body Mass Index (BMI) predicts functional disability in elderly Taiwanese
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Evaluación funcional y cognitiva en una población urbana de mayores de 89 años. Estudio NonaSantFeliu
Feliu, A. F., Formiga, F., Henríquez, E., Lombarte, I., Olmedo, C., & Farriols, R. P. (2006) · Revista Española de Geriatría y Gerontología · doi:10.1016/s0211-139x(06)72995-x · Cited by 42
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“a shorter version has been validated and is composed of only 6 questions (19, 20) and predicts the full Mna well under most conditions.”
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“Older adults with fewer remaining teeth or oral hypofunction often exhibit lower masticatory muscle strength, lower BMI [8, 12, 21], and reduced muscle mass [4, 11], thereby increasing the risk of developing sarcopenia and frailty [11, 21].”
BackgroundInfluential
Interrater reliability using Modified Norton Scale, Pressure Ulcer Card, Short Form‐Mini Nutritional Assessment by registered and enrolled nurses in clinical practice
Bååth, C., Hall‐Lord, M., Idvall, E., Wiberg-Hedman, K., & Wilde‐Larsson, B. (2008) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2007.02131.x · Cited by 41
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“Firstly, information bias may have occurred during evaluation of occlusal support and the DSS, MNA-SF and Barthel index, because all these measures were evaluated by the same research coworker.”
Influential
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“In addition, the Mini Nutritional Assessment-Short Form (MNA-SF), which is used to assess food intake, weight loss, mobility, psychological stress or acute disease, neuropsychological problems, and body mass index, was administered to investigate nutritional status [32].”
Method
Predictive Value of Nutritional Risk Screening 2002 and Mini Nutritional Assessment Short Form in Mortality in Chinese Hospitalized Geriatric Patients
Zhang, X., Zhang, X., Zhu, Y., Tao, J., Zhang, Z., Zhang, Y., Wang, Y., Ke, Y., Ren, C., & Xu, J. (2020) · Clinical Interventions in Aging · doi:10.2147/cia.s244910 · Cited by 41
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Sze, S., Pellicori, P., Zhang, J., Weston, J., & Clark, A. L. (2020) · Current Developments in Nutrition · doi:10.1093/cdn/nzaa071 · Cited by 41
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“It provides a score from 0–14 classifying the person as having a normal nutritional state (score = 12–14), being at risk of malnutrition (score = 8–11) or being malnourished (score = 0–7) [33,34].”
BackgroundInfluential
Validity of the malnutrition screening tool for older adults at high risk of hospital readmission
Wu, M., Courtney, M. D., Shortridge‐Baggett, L. M., Finlayson, K. J., & Isenring, E. A. (2012) · QUT ePrints (Queensland University of Technology) · Cited by 41
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“The mini mental state test [78] as well as the mini nutritional assessment [79] were performed to ensure that participants were cognitively capable of understanding the goals and procedures of the study and rule out malnutrition.”
Method
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Phase angle is associated with sarcopenic obesity in post-stroke patients
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“In addition, the MNA-SF which has high sensitivity and specificity [22], is able to identify those individuals who might not be considered as at risk based on physical appearance, such as those who are obese.”
BackgroundMethod
Malnutrition is associated with increased risk of hospital admission and death in the first 18 months of institutionalization
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Is the MNA valid in different populations and across practice settings?
Wc, C. (2006) · PubMed · Cited by 40
Malnutrition Screening Tools Are Not Sensitive Enough to Identify Older Hospital Patients with Malnutrition
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“The MNA-SF takes more risk factors into account and consists of questions on weight loss over the last three months, decreased intake, mobility, psychological stress or acute illness in the past three months, neuropsychological problems, and BMI [17].”
Background
Comprehensive geriatric assessment in older adults with cancer: Recommendations by the Italian Society of Geriatrics and Gerontology (SIGG)
Fusco, D., Ferrini, A., Pasqualetti, G., Giannotti, C., Cesari, M., Laudisio, A., Ballestrero, A., Scabini, S., Odetti, P. R., Colloca, G. F., et al. (2020) · European Journal of Clinical Investigation · doi:10.1111/eci.13347 · Cited by 43
“Rubenstein LZ, Harker JO, Salvà A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF).”
BackgroundMethodInfluential
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FRAIL Scale also Predicts Long-Term Outcomes in Older Patients With Acute Coronary Syndromes
Rodríguez-Queraltó, O., Formiga, F., López‐Palop, R., Marín, F. R., Vidán, M. T., Martínez‐Sellés, M., Díez‐Villanueva, P., Sanchís, J. M., Corbí, M., Aboal, J., et al. (2019) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2019.10.007 · Cited by 39
Effects of Physical Rehabilitation and Nutritional Intake Management on Improvement in Tongue Strength in Sarcopenic Patients
Nagano, A., Maeda, K., Koike, M., Murotani, K., Ueshima, J., Shimizu, A., Inoue, T., Sato, K., Suenaga, M., Ishida, Y., et al. (2020) · Nutrients · doi:10.3390/nu12103104 · Cited by 41
“The MNA-SF is a nutritional risk screening tool for older adults, which ranges from 0 to 14 points, and a score of 11 or less indicates existing nutritional risk [37].”
Background
Impact of frailty on 30-day and 1-year mortality in hospitalised elderly patients with community-acquired pneumonia: a prospective observational study
Luo, J., Tang, W., Sun, Y., & Jiang, C.-Y. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-038370 · Cited by 40
Four different frailty models predict health outcomes in older patients with stable chronic obstructive pulmonary disease
Zhang, D., Tang, W., Dou, L., Luo, J., & Sun, Y. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-02750-z · Cited by 39
“Information about demographic characteristics, smoking history, body mass index (BMI), medication history, comorbidities [using the modified Charlson comorbidity index (CCI)] [23], nutrition status [using the Mini Nutritional Assessment-Short Form (MNA-SF)] [24], and functional performance [using the Katz Activities o…”
Method
Mini-Nutritional Assessment predicts functional decline of elderly Taiwanese: result of a population-representative sample
Lee, L.-C., & Tsai, A. C.-H. (2011) · British Journal Of Nutrition · doi:10.1017/s0007114511004880 · Cited by 39
Nutritional considerations in institutionalized elders
Labossiere, R., & Bernard, M. (2008) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0b013e3282f323e0 · Cited by 39
Embodied Conversational Agent Appearance for Health Assessment of Older Adults: Explorative Study
ter Stal, S., Broekhuis, M., van Velsen, L., Hermens, H., & Tabak, M. (2020) · JMIR Human Factors · doi:10.2196/19987 · Cited by 36
“The Mini Nutritional Assessment [23] tests for malnutrition with 6 multiple-choice questions related to nutrition and weight.”
Method
Nutrition and Physical Therapy: A Position Paper by the Physical Therapist Section of the Japanese Association of Rehabilitation Nutrition (Secondary Publication)
Inoue, T., Iida, Y., Takahashi, K., Shirado, K., Nagano, F., Miyazaki, S., Takeuchi, I., Yoshimura, Y., Momosaki, R., Maeda, K., et al. (2022) · JMA Journal · doi:10.31662/jmaj.2021-0201 · Cited by 37
“The validated nutritional screening tools are the Mini Nutritional Assessment Short-Form (MNAⓇ-SF), Malnutrition Universal Screening Tool, and Malnutrition Screening Tool.”
Prognostic implications of the global leadership initiative on malnutrition criteria as a routine assessment modality for malnutrition in hospitalized patients at a university hospital
Mori, N., Maeda, K., Fujimoto, Y., Nonogaki, T., Ishida, Y., Ohta, R., Shimizu, A., Ueshima, J., Nagano, A., & Fukushima, R. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.12.008 · Cited by 38
Relationships between sarcopenia, nutrient intake, and gut microbiota in Chinese community-dwelling older women
Yan, X., Li, H., Xie, R., Li, L., Ding, L., Cheng, X., Xu, J., Bai, L., & Qiao, Y. (2023) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2023.105063 · Cited by 37
Sarcopenia and Nutrition in Elderly Rheumatoid Arthritis Patients: A Cross-Sectional Study to Determine Prevalence and Risk Factors
Cano‐García, L., Arija, S. M., Domínguez‐Quesada, C., Vacas, J., Armenteros-Ortiz, P. J., Ruiz, D., Martín-Martín, J. M., Redondo‐Rodríguez, R., García-Studer, A., Ortiz-Marquez, F., et al. (2023) · Nutrients · doi:10.3390/nu15112440 · Cited by 38
“Malnutrition and risk of malnutrition were evaluated using the Short-form Mini Nutritional Assessment (MNA-SF) screening tool (range, 0 to 14), which scores as follows: normal, >11; risk of malnutrition, 8–11; and malnutrition, 0–7 points [44].”
Method
A dynamic online nomogram for predicting the heterogeneity trajectories of frailty among elderly gastric cancer survivors
Miao, X., Guo, Y., Ding, L., Xu, X., Zhao, K., Zhu, H., Chen, L., Chen, Y., Zhu, S., & Xu, Q. (2024) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2024.104716 · Cited by 38
Geriatric Nutritional Risk Index May Be a Significant Predictor of Mortality in Korean Hemodialysis Patients: A Single Center Study
Park, J., Kim, S. B., Shin, H. S., Jung, Y. S., & Rım, H. (2012) · Therapeutic Apheresis and Dialysis · doi:10.1111/j.1744-9987.2011.01046.x · Cited by 38
“The so-called Mini Nutritional Assessment–Short Form (MNA-SF) (8), nutrition risk score (NRS) (9), Malnutrition Universal Screening Tool (MUST) (10), Malnutrition Screening Tool (MST) (11), and geriatric nutritional risk index (GNRI) (1) are tools consisting of two to five components that were developed for use with e…”
Predictive items of functional decline and 2-year mortality in nonagenarians--the NonaSantfeliu study
Ferrer, A., Formiga, F., Ruiz, D., Mascaró, J., Olmedo, C., & Pujol, R. (2008) · European Journal of Public Health · doi:10.1093/eurpub/ckn020 · Cited by 38
Tolerance and long-term efficacy of polyethylene glycol 4000 (Forlax®) compared to lactulose in elderly patients with chronic constipation
Chassagne, P., Ducrotte, P., Garnier, P., & Mathiex‐Fortunet, H. (2016) · The journal of nutrition health & aging · doi:10.1007/s12603-016-0762-6 · Cited by 38
Association between gait abnormality and malnutrition in a community‐dwelling elderly population
Misu, S., Asai, T., Doi, T., Sawa, R., Ueda, Y., Saito, T., Nakamura, R., Murata, S., Sugimoto, T., Yamada, M., et al. (2016) · Geriatrics and gerontology international/Geriatrics & gerontology international · doi:10.1111/ggi.12839 · Cited by 38
Oral health matters for the nutritional status of older persons—A population‐based study
Lindmark, U., Jansson, H., Lannering, C., & Johansson, L. (2017) · Journal of Clinical Nursing · doi:10.1111/jocn.14146 · Cited by 38
CE: Malnutrition in Older Adults
Mangels, A. R. (2018) · AJN American Journal of Nursing · doi:10.1097/01.naj.0000530915.26091.be · Cited by 38
Prevalence, Factors, and Health Impacts of Chronic Pain Among Community-Dwelling Older Adults in China
Si, H., Wang, C., Jin, Y., Tian, X., Qiao, X., Liu, N., & Dong, L. (2019) · Pain Management Nursing · doi:10.1016/j.pmn.2019.01.006 · Cited by 38
Motoric cognitive risk syndrome is associated with processing speed and executive function, but not delayed free recall memory: The Korean frailty and aging cohort study (KFACS)
Shim, H., Kim, M., & Won, C. W. (2019) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2019.103990 · Cited by 38
Pilot study GLIM criteria for categorization of a malnutrition diagnosis of patients undergoing elective gastrointestinal operations: A pilot study of applicability and validation
Henrique, J. R., Pereira, R. G., Ferreira, Á. R. S., Keller, H., de van der Schueren, M. A. E., González, M. C., Meira, W., & Correia, M. I. T. D. (2020) · Nutrition · doi:10.1016/j.nut.2020.110961 · Cited by 38
Relationship Between Nutritional Status and Quality of Life in Patients with Lung Cancer
Polański, J., Jankowska‐Polańska, B., & Mazur, G. J. (2021) · Cancer Management and Research · doi:10.2147/cmar.s287551 · Cited by 38
The Impact of Frailty on Prognosis in Elderly Hemodialysis Patients: A Prospective Cohort Study
Li, Y., Zhang, D., Ma, Q., Diao, Z., Liu, S., & Shi, X. (2021) · Clinical Interventions in Aging · doi:10.2147/cia.s329665 · Cited by 38
“MNA-SF score was classified as follows: normal nutrition (>11 points), malnutrition risk (7–11 points) and malnutrition (<7 points).(9)”
Background
The Applicability of the ESPEN and EASO-Defined Diagnostic Criteria for Sarcopenic Obesity in Japanese Patients after Stroke: Prevalence and Association with Outcomes
Yoshimura, Y., Wakabayashi, H., Nagano, F., Matsumoto, A., Shimazu, S., Shiraishi, A., Kido, Y., & Bise, T. (2022) · Nutrients · doi:10.3390/nu14194205 · Cited by 40
“Data Collection Basic patient data were collected upon admission, including age, sex, BMI, stroke type, premorbid ADL using the modified Rankin scale (mRS) score [31], comorbidities using the Charlson comorbidity index (CCI) score [32], days from onset of stroke to admission to the wards [33], information on paralysis…”
Method
The two‐step Mini Nutritional Assessment procedure in community resident homes
Wikby, K., Ek, A., & Christensson, L. (2008) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2007.02012.x · Cited by 38
Quick-and-easy nutritional screening tools to detect disease-related undernutrition in hospital in- and outpatient settings: A systematic review of sensitivity and specificity
van Venrooij, L. M. W., de Vos, R., Borgmeijer-Hoelen, A. M. M. J., Kruizenga, H. M., Jonkers‐Schuitema, C. F., & de Mol, B. A. J. M. (2007) · e-SPEN the European e-Journal of Clinical Nutrition and Metabolism · doi:10.1016/j.eclnm.2007.03.001 · Cited by 38
Interaction between malnutrition and physical disability in older adults: is there a malnutrition-disability cycle?
Nishioka, S., & Wakabayashi, H. (2022) · Nutrition Reviews · doi:10.1093/nutrit/nuac047 · Cited by 39
Accidents iatrogènes médicamenteux chez le sujet âgé hospitalisé en court séjour gériatrique : étude de prévalence et des facteurs de risques
Cécile, M., Seux, V., Pauly, V., Tassy, S., Reynaud-Levy, O., Dalco, O., Thirion, X., Soubeyrand, J., & Rétornaz, F. (2009) · La Revue de Médecine Interne · doi:10.1016/j.revmed.2009.01.010 · Cited by 37
Behavioral data gathering for assessing functional status and health in older adults using mobile phones
Castro, L. A., Favela, J., Quintana, E., & Perez, M. (2014) · Personal and Ubiquitous Computing · doi:10.1007/s00779-014-0825-9 · Cited by 37
“Among the tests, they assessed morbidity, independence in activities of daily living using the ADL-KATZ [22], the SF-36 health survey [23], the Mini-Nutritional Assessment (MNA) [24], and the International Physical Activity Questionnaire (IPAQ) [25, 26].”
Method
Nutritional screening strategy in nonagenarians: The value of the MNA-SF (Mini Nutritional Assessment short form) in NutriAction
Vandewoude, M. F. J., & Gossum, A. V. (2013) · The journal of nutrition health & aging · doi:10.1007/s12603-013-0033-8 · Cited by 37
“According to a recent literature review, the MNA-SF appeared to be the most appropriate nutrition screening tool for use in community-dwelling older adults with a reported sensitivity of 98% (14) and a specificity of 94% (8).”
Method
The relationship between malnutrition risk and clinical outcomes in a cohort of frail older hospital patients
Slee, A., Birch, D., & Stokoe, D. (2016) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2016.06.002 · Cited by 38
Global Geriatric Assessment and In-Hospital Bleeding Risk in Elderly Patients with Acute Coronary Syndromes: Insights from the LONGEVO-SCA Registry
Ariza‐Solé, A., Guerrero, C., Formiga, F., Aboal, J., Abu‐Assi, E., Marín, F. R., Bueno, H., Alegre, O., López‐Palop, R., Vidán, M. T., et al. (2018) · Thrombosis and Haemostasis · doi:10.1055/s-0038-1623532 · Cited by 37
Using frailty and quality of life measures in clinical care of the elderly in Canada to predict death, nursing home transfer and hospitalisation - the frailty and ageing cohort study
Rosenberg, T., Montgomery, P. R., Hay, V., & Lattimer, R. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-032712 · Cited by 36
Japanese Heart Failure Society 2018 Scientific Statement on Nutritional Assessment and Management in Heart Failure Patients
Yamamoto, K., Tsuchihashi‐Makaya, M., Kinugasa, Y., Iida, Y., Kamiya, K., Kihara, Y., Kono, Y., Sato, Y., Suzuki, N., Takeuchi, H., et al. (2020) · Circulation Journal · doi:10.1253/circj.cj-20-0322 · Cited by 37
MNA-SF as a screening tool for malnutrition diagnosed with the glim criteria in older persons with cancer
Sobrini-Morillo, P., Sánchez-Castellano, C., & Cruz-Jentoft, A. J. (2021) · European Geriatric Medicine · doi:10.1007/s41999-020-00442-8 · Cited by 37
Nutrition and Food Security in Bangladesh: Achievements, Challenges, and Impact of the COVID-19 Pandemic
Fahim, S. M., Hossain, M. S., Sen, S., Das, S., Hossain, M., Ahmed, T., Rahman, S. M. M., Rahman, M. K., & Alam, S. (2021) · The Journal of Infectious Diseases · doi:10.1093/infdis/jiab473 · Cited by 37
Use of the mini nutritional assessment tool in elderly people from long-term institutions of Southeast of Brazil
Ferreira, L. S., Nascimento, L. F. C., & Marucci, M. D. F. N. (2008) · The journal of nutrition health & aging · doi:10.1007/bf02982623 · Cited by 37
Malnutrition Prevalence and Burden on Healthcare Resource Use Among Spanish Community-Living Older Adults: Results of a Longitudinal Analysis
Rodríguez-Sánchez, B., SULO, S. S., Carnicero, J. A. C., Rueda, R., & Rodríguez‐Mañas, L. (2020) · ClinicoEconomics and Outcomes Research · doi:10.2147/ceor.s256671 · Cited by 36
Association of frailty and chemotherapy-related adverse outcomes in geriatric patients with cancer: a pilot observational study in Taiwan
Ho, Y., Tang, W., Chen, S., Lee, S., Chen, J., Hung, Y., & Chou, W. (2021) · Aging · doi:10.18632/aging.203673 · Cited by 36
Bedside measures of malnutrition and association with mortality in hospitalized adults
Asiimwe, S. B., Muzoora, C. K., Wilson, L. A., & Moore, C. C. (2014) · Clinical Nutrition · doi:10.1016/j.clnu.2014.03.013 · Cited by 38
Prevalence and factors associated with geriatric malnutrition in an outpatient clinic of a teaching hospital in Jeddah, Saudi Arabia
Alzahrani, S. H., Sayed, I. A. E., & Alshamrani, S. M. (2016) · Annals of Saudi Medicine · doi:10.5144/0256-4947.2016.346 · Cited by 36
Validity of the Self-Mini Nutritional Assessment (Self-MNA) for the Evaluation of Nutritional Risk. A Cross-Sectional Study Conducted in General Practice
Donini, L. M., Marrocco, W., Marocco, C., & Lenzi, A. (2017) · The journal of nutrition health & aging · doi:10.1007/s12603-017-0919-y · Cited by 36
“Scores ranging from 17 to 23.5 points are indicative of increased nutritional risk, and values below 17 points strongly suggest a state of malnutrition; - MNA-SF (30, 31).”
Influential
Impact of Premorbid Malnutrition and Dysphagia on Ischemic Stroke Outcome in Elderly Patients: A Community-Based Study
Aliasghari, F., Izadi, A., Khalili, M., Farhoudi, M., Ahmadiyan, S., & Deljavan, R. (2018) · Journal of the American College of Nutrition · doi:10.1080/07315724.2018.1510348 · Cited by 36
Effects of a Texture-Modified, Enriched, and Reshaped Diet on Dietary Intake and Body Weight of Nursing Home Residents with Chewing and/or Swallowing Problems: An Enable Study
Ott, A., Senger, M., Lötzbeyer, T., Gefeller, O., Sieber, C. C., & Volkert, D. (2019) · Journal of Nutrition in Gerontology and Geriatrics · doi:10.1080/21551197.2019.1628158 · Cited by 40

Authors: Rubenstein, L. Z., Harker, J. O., Salva, A., Guigoz, Y., & Vellas, B.
Affiliations: University of California, Los Angeles (US)
VA Sepulveda Ambulatory Care Center (US)
Nestlé (Switzerland) (CH)
Corresponding author: Rubenstein, L. Z.
ORCID: Rubenstein, L. Z.
Vellas, B.
Venue: The Journals of Gerontology Series A: Biological Sciences and Medical Sciences
Publisher: Oxford University Press (OUP)
Published: 2001-06-01
Volume: 56
Issue: 6
Pages: M366-M372
ISSN: 1079-5006 (ISSN-L)
1758-535X
DOI: 10.1093/gerona/56.6.m366
OpenAlex: W2122613011
Cited by: 2,751
References: 14
Citations by year: 2026: 252 · 2025: 266 · 2024: 265 · 2023: 239 · 2022: 252 · 2021: 263 · 2020: 179 · 2019: 143 · 2018: 112 · 2017: 112 · 2016: 109 · 2015: 93 · 2014: 79 · 2013: 61 · 2012: 76
FWCI: 5.19
Type: journal article
Language: en
Open access: closed
Locations: The Journals of Gerontology Series A (publishedVersion)
PubMed (publishedVersion)
Funders: U.S. Department of Veterans Affairs
Geriatric Research Education and Clinical Center
VA Greater Los Angeles Healthcare System
Topics: Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
Health Sciences › Medicine › Physiology (medical) › Body Composition Measurement Techniques
Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
Keywords: Mini Nutritional Assessment, undernutrition screening, nutritional assessment, older adults, elderly nutrition, screening tool development, diagnostic accuracy, two-stage screening
MeSH terms: Aged, Female, Geriatrics, Humans, Male, Mass Screening, Nutrition Disorders, Professional Practice, Nutrition Assessment, Discriminant Analysis

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Screening for Undernutrition in Geriatric Practice: Developing the Short-Form Mini-Nutritional Assessment (MNA-SF)

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