title: The Mini Nutritional Assessment-Short Form and mortality in nursing home residents--results from the INCUR study.
abstract: OBJECTIVE
  To examine whether the Mini Nutritional Assessment-Short Form (MNA-SF) score and its individual items are predictors of mortality in a nursing home population.
  
  
  METHODS
  Prospective, secondary analysis from the Incidence of pNeumonia and related ConseqUences in nursing home Residents (INCUR) study with 1-year follow-up.
  
  
  METHODS
  A total of 773 older persons (women 74.4%) living in 13 French nursing homes.
  
  
  METHODS
  At baseline, nutritional status was assessed with the MNA-SF. Overall mortality rate was measured over a 12-month follow-up period after the baseline assessment visit. Cox proportional hazard models were performed to test the predictive capacity of the MNA-SF score and its single components for mortality.
  
  
  RESULTS
  Mean age of participants was 86.2 (standard deviation, SD 7.5) years. Mean MNA-SF score was 9.8 (SD 2.4). Among participants, 198 (25.6%) presented a normal nutritional status (12-14 points), 454 (58.7%) were at risk of malnutrition (8-11 points), and 121 (15.7%) were malnourished. After one year of follow-up, 135 (17.5%) participants had died. Age, female gender, baseline weight, BMI and MNA-SF were significant predictors of mortality whereas no specific chronic disease was. The total MNA-SF score was a significant predictor of mortality (Hazard Ratio=0.83; 95% CI 0.75-0.91; p<0.001), even after adjustment for potential confounders. Four individual items: weight loss, decrease in food intake, recent stress and BMI were independent predictors of mortality.
  
  
  CONCLUSIONS
  The MNA-SF appears to be an accurate predictor of one-year mortality in nursing home residents. Thus, this tool may be regarded not only as a nutritional screening tool, but also as an instrument for identifying the most-at-risk individuals in this population.
authors: Matthieu Lilamand, MD MSc. Gérontopôle - Institut du Vieillissement, 37 Allées Jules Guesde. 31000 Toulouse France. Phone: +33 (0)5 61145657. Fax: +33 (0)5 61145640 email: mlilamand@hotmail.fr.
authors: M
authors: M
authors: Lilamand
authors: E
authors: E
authors: Kelaiditi
authors: L
authors: L
authors: Demougeot
authors: Y
authors: Y
authors: Rolland
authors: B
authors: B
authors: Vellas
authors: M
authors: M
authors: Cesari
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D004435:Eating; D005260:Female; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D015577:Geriatric Assessment; D006801:Humans; D015994:Incidence; D008297:Male; D044342:Malnutrition / Q000453:epidemiology; D009026:Mortality / Q000639:trends; D009735:Nursing Homes; D015596:Nutrition Assessment; D009752:Nutritional Status; D011014:Pneumonia / Q000453:epidemiology; D016016:Proportional Hazards Models; D011446:Prospective Studies; D012307:Risk Factors; D012737:Sex Factors; D015431:Weight Loss