title: The nutritional status of frail elderly with care needs according to the mini-nutritional assessment.
abstract: OBJECTIVE
  Although malnutrition is common in the geriatric population, the relationship between frail elderly with various care needs and nutritional status remains unknown. The purpose of this study was to analyze the association between subjects with higher care needs and poorer nutritional status in the Japanese community-dwelling frail elderly.
  
  
  METHODS
  A total of 281 community-dwelling elderly subjects from day-care centers (81.9+/-7.2yr of age mean+/-SD; 72 men and 209 women) who were eligible for Long-Term Care Insurance were enrolled in this study to evaluate their nutritional status using the mini-nutritional assessment. The levels of care needs of participants were classified into six levels according to the Long-Term Care Insurance program.
  
  
  RESULTS
  According to the mini-nutritional assessment classification, 39.9%, 51.2%, and 8.9% of the participants were assessed as well-nourished, at-risk of malnutrition, and malnourished, respectively. There were significant differences among the six groups with regard to the nutritional status; subjects with higher care needs were associated with poorer nutritional status. In the higher care needs group, more than half of the subjects did not know their weight change during 3-month intervals.
  
  
  CONCLUSIONS
  The population of elderly with higher care needs in the community is associated with a higher prevalence of malnutrition.
authors.affiliation: Department of Geriatric, Nagoya University, Graduate School of Medicine, Nagoya, Japan.
authors.forename: Sachiko
authors.initials: S
authors.lastname: Izawa
authors.forename: Masafumi
authors.initials: M
authors.lastname: Kuzuya
authors.forename: Kiwako
authors.initials: K
authors.lastname: Okada
authors.forename: Hiromi
authors.initials: H
authors.lastname: Enoki
authors.forename: Teruhiko
authors.initials: T
authors.lastname: Koike
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kanda
authors.forename: Akihisa
authors.initials: A
authors.lastname: Iguchi
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D016330:Frail Elderly; D015577:Geriatric Assessment / Q000379:methods*; D006299:Health Services for the Aged; D006304:Health Status; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D044342:Malnutrition / Q000453:epidemiology* / Q000209:etiology; D008403:Mass Screening; D015596:Nutrition Assessment; D009752:Nutritional Status; D015995:Prevalence; D018570:Risk Assessment; D012307:Risk Factors; D011795:Surveys and Questionnaires / Q000592:standards