title: Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults.
abstract: BACKGROUND
  Malnutrition is a pitfall in older adults despite its high prevalence and serious consequences. There are various screening tests however, none of them have been validated for our country. In this study, we aimed to test the hypothesis that MNA (long form of MNA) and MNA-SF (short form of MNA) are applicable to screen malnutrition in Turkish geriatric patients.
  
  
  METHODS
  Two hundred and thirty-six patients aged 65 years and over who were admitted to our geriatric medicine outpatient clinic were enrolled in the study. Four groups of data (anthropometric measurements, biochemical markers, three-day diet record and geriatric assessment scales) were recorded. Long and short forms of MNA test were performed. Two different geriatricians interpreted the patients' nutritional status with the aid of aforementioned data. Patients were divided into three groups which were patients with malnutrition, with malnutrition risk and well-nourished. Concordance between the two geriatricians' clinical assessment was analyzed by kappa statistics. Excellent concordance was found, therefore the first specialist's decisions were accepted as gold-standard. A third physician performed the long and short forms of MNA test. The concordance between the first clinician's assessment and MNA test results were compared subsequently.
  
  
  RESULTS
  MNA and MNA-SF results were compared with first clinician's decision of malnutrition and kappa coefficients were 0.68 and 0.66, respectively. Sensitivity analysis indicated that MNA was 92% sensitive and 86% specific, whereas MNA-SF was 94% sensitive and 81% specific.
  
  
  CONCLUSIONS
  MNA and MNA-SF are suitable for malnutrition screening in Turkish older adults.
authors.affiliation: Hacettepe University Faculty of Medicine, Department of Internal Medicine, Ankara, Turkey.
authors.forename: Derya
authors.initials: D
authors.lastname: Sarikaya
authors.affiliation: Hacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey. Electronic address: meltemhalil@gmail.com.
authors.forename: Meltem
authors.initials: M
authors.lastname: Halil
authors.affiliation: Hacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: Mehmet Emin
authors.initials: ME
authors.lastname: Kuyumcu
authors.affiliation: Hacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: Mustafa Kemal
authors.initials: MK
authors.lastname: Kilic
authors.affiliation: Hacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Yesil
authors.affiliation: Hacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: Ozgur
authors.initials: O
authors.lastname: Kara
authors.affiliation: Hacettepe University Medical School, Department of Nutrition and Dietetics, Ankara, Turkey.
authors.forename: Seniz
authors.initials: S
authors.lastname: Ozturk
authors.affiliation: Hacettepe University Medical School, Department of Nutrition and Dietetics, Ankara, Turkey.
authors.forename: Evrim
authors.initials: E
authors.lastname: Gungor
authors.affiliation: Hacettepe University Medical School, Department of Biostatistics, Ankara, Turkey.
authors.forename: Erdem
authors.initials: E
authors.lastname: Karabulut
authors.affiliation: Hacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: Burcu
authors.initials: B
authors.lastname: Balam Yavuz
authors.affiliation: Hacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Cankurtaran
authors.affiliation: Hacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.
authors.forename: Servet
authors.initials: S
authors.lastname: Ariogul
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D015994:Incidence; D008297:Male; D008310:Malocclusion / Q000175:diagnosis* / Q000453:epidemiology; D008403:Mass Screening / Q000379:methods*; D015596:Nutrition Assessment; D009752:Nutritional Status; D015995:Prevalence; D014421:Turkey / Q000453:epidemiology
keywords: Geriatric; Malnutrition; Mini nutritional assessment; Validity