title: Validation of the modified mini nutritional assessment short-forms in different populations of older people in Poland.
abstract: OBJECTIVE
  To assess the usefulness in different populations of elderly people in Poland of both modified versions of Mini Nutritional Assessment Short-Forms (MNA-SFs) with a three-category scoring classification: one using BMI (MNA-SF-BMI) and another using calf circumference (MNA-SF-CC).
  
  
  METHODS
  A group of 932 community-dwelling subjects from the urban environment, 812 subjects from the rural environment and 859 subjects from an institutional environment (nursing homes).
  
  
  METHODS
  Agreement between both MNA-SFs and the MNA full form.
  
  
  RESULTS
  MNA-SF-BMI correctly classified 84.12%, 82.51% and 81.84% of subjects from urban, rural and institutional environment, respectively. For MNA-SF-CC those values were 82.4%, 71.8% and 76.6%, respectively. The sensitivity and specificity of MNA-SF-BMI and MNA-SF-CC against full MNA in screening for "at risk/malnutrition" and "malnutrition" were generally very high, except for relatively lower sensitivity (74.1%) when screening for "malnutrition" with MNA-SF-CC in nursing homes.
  
  
  CONCLUSIONS
  Both MNA-SFs can be recommended as screening tools in assessing the nutritional state of the community-dwelling and institutionalised elderly in Poland. The full version of the MNA confirmed the results of MNA-SFs in this group. The "classic" MNA-SF using BMI was found to perform better than the MNA-SF-CC. The MNA-SF-CC should be used only when measuring BMI is not possible. While using MNA-SF-CC in nursing homes, a higher MNA-SF-CC cut-point of eleven should be rather used in this population to screen for "at risk/malnutrition".
authors.affiliation: T. Kostka, Department of Geriatrics, Medical University, Pl. Hallera 1, 90-647 Lodz, Poland. TomaszKostka@wp.pl.
authors.forename: J
authors.initials: J
authors.lastname: Kostka
authors.forename: E
authors.initials: E
authors.lastname: Borowiak
authors.forename: T
authors.initials: T
authors.lastname: Kostka
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D007866:Leg / Q000033:anatomy & histology; D008297:Male; D044342:Malnutrition / Q000175:diagnosis* / Q000453:epidemiology; D009735:Nursing Homes; D015596:Nutrition Assessment; D009752:Nutritional Status; D011044:Poland / Q000453:epidemiology; D012111:Residence Characteristics; D012424:Rural Population; D012680:Sensitivity and Specificity; D014505:Urban Population