Evaluation of the nutritional status of older hospitalised geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002).
The present study aimed to evaluate a short-form (MNA-SF) version of the Mini Nutritional Assessment (MNA), in which some of the items were operationalised, based on scores from tools used for a comprehensive geriatric assessment, as a method for analysing the nutritional status of hospitalised geriatric patients. We compared this MNA-SF version with the corresponding MNA long-form (MNA-LF) and Nutritional Risk Screening 2002 (NRS 2002) in terms of completion rate, prevalence and agreement regarding malnutrition and/or the risk of this.



In total, 201 patients aged ≥65 years who were hospitalised in geriatric wards were included in this analysis.



The MNA-SF, MNA-LF and NRS 2002 were completed in 98.0%, 95.5% and 99.5% of patients (P = 0.06), respectively. The MNA-SF, MNA-LF and NRS 2002 categorised 93.4%, 91.1% and 66.0% of patients as being malnourished or at risk of being malnourished (P < 0.001). Agreement between the MNA-SF and MNA-LF was substantial (κ = 0.70, P < 0.001). No agreement between the MNA-SF and NRS 2002 was found (κ = -0.12, P < 0.001). Interestingly, NRS 2002 part 1 (prescreening) revealed a false negative rate of 21.0% (only in patients aged ≥70 years who showed moderate disease severity) in relation to the NRS 2002 part 2.



The MNA-SF version emerged as a useful tool for evaluating the nutritional status of hospitalised geriatric patients. The NRS 2002 part 1 showed limited value as a prescreening aid in relation to the NRS 2002 part 2 in the same group of patients.
Department of Internal Medicine III (Medicine of Ageing), Geriatrics Centre Erlangen, Hospital of the Congregation of St Francis Sisters of Vierzehnheiligen, Erlangen, Germany.
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Christner
Department of Internal Medicine III (Medicine of Ageing), Geriatrics Centre Erlangen, Hospital of the Congregation of St Francis Sisters of Vierzehnheiligen, Erlangen, Germany.|Institute of Biomedicine of Ageing (IBA), Friedrich-Alexander University Erlangen-Nürnberg (FAU), Nürnberg, Germany.
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Ritt
Institute of Biomedicine of Ageing (IBA), Friedrich-Alexander University Erlangen-Nürnberg (FAU), Nürnberg, Germany.
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Volkert
Institute of Biomedicine of Ageing (IBA), Friedrich-Alexander University Erlangen-Nürnberg (FAU), Nürnberg, Germany.|Department of Geriatrics, St Marien-Hospital Borken, Borken, Germany.
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Wirth
Institute of Biomedicine of Ageing (IBA), Friedrich-Alexander University Erlangen-Nürnberg (FAU), Nürnberg, Germany.|Department of Internal Medicine and Geriatrics, Hospital of the Order of St John of God, Regensburg, Germany.
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Sieber
Department of Internal Medicine III (Medicine of Ageing), Geriatrics Centre Erlangen, Hospital of the Congregation of St Francis Sisters of Vierzehnheiligen, Erlangen, Germany.|Institute of Biomedicine of Ageing (IBA), Friedrich-Alexander University Erlangen-Nürnberg (FAU), Nürnberg, Germany.
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Gaßmann
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D007297:Inpatients; D008297:Male; D044342:Malnutrition / Q000175:diagnosis*; D008403:Mass Screening / Q000379:methods*; D015596:Nutrition Assessment; D018570:Risk Assessment / Q000379:methods*
clinical nutrition; malnutrition; nutrition screening; nutritional assessment