title: Validation of the nutrition screening tool 'Seniors in the Community: Risk Evaluation for Eating and Nutrition, version II' among octogenarians.
abstract: OBJECTIVE
  To determine the validity of the nutrition screening tool 'Seniors in the Community: Risk Evaluation for Eating and Nutrition, version II' (SCREEN II) among a purposive sample of octogenarians.
  
  
  METHODS
  Cross-sectional validation study.
  
  
  METHODS
  Bay of Plenty, New Zealand.
  
  
  METHODS
  Forty-five community-living residents aged 85-86 years. Equal proportions of participants were recruited at low, medium and high nutrition risk based on their SCREEN II score 12 months prior.
  
  
  METHODS
  Nutrition risk was assessed using SCREEN II. Demographic and health data were established. Using established criterion a dietitian's nutrition risk rating assessment ranked participants from low risk (score of 1) to high risk (score of 10). The assessment included a medical history, anthropometric measures and dietary intake. Dietary intake was established from three 24 hour multiple pass recalls (MPR). A Spearman's correlation determined the association between the SCREEN II score and the dietitian's risk score. Receiver operating characteristic (ROC) curves were completed to determine the sensitivity and specificity of the cut-off point for high nutrition risk.
  
  
  RESULTS
  The SCREEN II score was significantly correlated with the dietitian's risk rating (rs = -0.76 (p<0.01). A newly defined cut-off point <49 was established for high nutrition risk derived from ROC curves and AUC (0.87, p < 0.01); sensitivity 90% and specificity 86%.
  
  
  CONCLUSIONS
  SCREEN II is a simple, easy to use, 14 item questionnaire and appears to be a valid tool for detection of nutrition risk people aged 85-86 years.
authors.affiliation: C.A. Wham, Massey University, Institute of Food Nutrition and Human Health, Auckland, New Zealand, C.A.Wham@massey.ac.nz.
authors.forename: C A
authors.initials: CA
authors.lastname: Wham
authors.forename: K M
authors.initials: KM
authors.lastname: Redwood
authors.forename: N
authors.initials: N
authors.lastname: Kerse
mesh_terms: D000369:Aged, 80 and over; D019540:Area Under Curve; D003430:Cross-Sectional Studies; D004046:Dietetics / Q000379:methods*; D004435:Eating; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000175:diagnosis* / Q000517:prevention & control; D008403:Mass Screening / Q000379:methods*; D011939:Mental Recall; D009520:New Zealand; D015596:Nutrition Assessment; D009752:Nutritional Status; D012372:ROC Curve; D012016:Reference Values; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires / Q000592:standards*