Use of the mini nutritional assessment tool in elderly people from long-term institutions of southeast of Brazil.
BACKGROUND
the Mini Nutritional Assessment (MNA) is a multidimensional method of nutritional evaluation that allows the diagnosis of malnutrition and risk of malnutrition in elderly people, it is important to mention that this method has not been well studied in Brazil.


OBJECTIVE
to verify the use of the MNA in elderly people that has been living in long term institutions for elderly people.


METHODS
transversal study.


METHODS
89 people (>/= 60 years), being 64.0% men. The average of age for both genders was 73.7 +/- 9.1 years old, being 72.8 +/- 8.9 years old for men, and 75.3 +/- 9.3 years old for women.


METHODS
long-term institutions for elderly people located in the Southeast of Brazil.


METHODS
it was calculated the sensibility, specificity, and positive and negative predictive values. It was data to set up a ROC curve to verify the accuracy of the MNA. The variable used as a "standard" for the nutritional diagnosis of the elderly people was the corrected arm muscle area because it is able to provide information or an estimative of the muscle reserve of a person being considered a good indicator of malnutrition in elderly people.


RESULTS
the sensibility was 84.0%, the specificity was 36.0%, the positive predictive value was 77.0%, and the negative predictive value was 47.0%; the area of the ROC curve was 0.71 (71.0%).


CONCLUSIONS
the MNA method has showed accuracy, and sensibility when dealing with the diagnosis of malnutrition and risk of malnutrition in institutionalized elderly groups of the Southeastern region of Brazil, however, it presented a low specificity.
Ferreira
L S
LS
Department of Nutrition - School of Public Health-University of São Paulo, Brazil. lucianasf@usp.br
Nascimento
L F C
LF
Marucci
M F N
MF
D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000175:diagnosis; D008875:Middle Aged; D015596:Nutrition Assessment; D009752:Nutritional Status; D012372:ROC Curve; D018570:Risk Assessment; D012680:Sensitivity and Specificity