title: Prospective validation of the modified mini nutritional assessment short-forms in the community, nursing home, and rehabilitation setting.
abstract: OBJECTIVE
  To validate the modified Mini Nutritional Assessment (MNA) short-forms (MNA-SFs) with respect to agreement with full MNA classification in the target populations of the MNA.
  
  
  METHODS
  Prospective analysis.
  
  
  METHODS
  Community, nursing home, rehabilitation.
  
  
  METHODS
  Six hundred fifty-seven individuals aged 65 and older (75.3% female; mean age 82.3 ± 7.4).
  
  
  METHODS
  Classification agreement between full MNA score and MNA-SF scores.
  
  
  RESULTS
  Agreement between the full MNA and classification using the MNA-SFs was 84.6% when the MNA-SF using body mass index (BMI) was applied and 81.4% when the MNA-SF using calf circumference (CC) was applied. The highest agreement of classification was found in the community setting (90.8% and 90.4%, respectively) and the lowest in the rehabilitation setting (72.4% and 71.4%, respectively). Both MNA-SFs tended to underestimate nutritional status, but that was significant only for the MNA-SF with CC.
  
  
  CONCLUSIONS
  The modified MNA-SFs represent a valuable tool for rapid and reliable nutritional screening.
authors.affiliation: Institute for Biomedicine of Aging, Friedrich-Alexander University, Nuremberg, Germany. dr-kaiser@web.de
authors.forename: Matthias J
authors.initials: MJ
authors.lastname: Kaiser
authors.forename: Jürgen M
authors.initials: JM
authors.lastname: Bauer
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Uter
authors.forename: Lorenzo M
authors.initials: LM
authors.lastname: Donini
authors.forename: Inken
authors.initials: I
authors.lastname: Stange
authors.forename: Dorothee
authors.initials: D
authors.lastname: Volkert
authors.forename: Rebecca
authors.initials: R
authors.lastname: Diekmann
authors.forename: Michael
authors.initials: M
authors.lastname: Drey
authors.forename: Julia
authors.initials: J
authors.lastname: Bollwein
authors.forename: Settimio
authors.initials: S
authors.lastname: Tempera
authors.forename: Alessandro
authors.initials: A
authors.lastname: Guerra
authors.forename: Laura M
authors.initials: LM
authors.lastname: Ricciardi
authors.forename: Cornel C
authors.initials: CC
authors.lastname: Sieber
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000886:Anthropometry; D015992:Body Mass Index; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D005858:Germany / Q000453:epidemiology; D006305:Health Status Indicators; D006801:Humans; D015994:Incidence; D008297:Male; D044342:Malnutrition / Q000175:diagnosis* / Q000453:epidemiology / Q000534:rehabilitation; D009735:Nursing Homes; D015596:Nutrition Assessment; D009752:Nutritional Status; D011446:Prospective Studies; D012372:ROC Curve; D011795:Surveys and Questionnaires / Q000592:standards*