PMID- 22217470
OWN - NLM
STAT- MEDLINE
DCOM- 20120827
LR  - 20191210
IS  - 1872-6976 (Electronic)
IS  - 0167-4943 (Linking)
VI  - 54
IP  - 3
DP  - 2012 May-Jun
TI  - Mini-Nutritional-Assessment (MNA) without body mass index (BMI) predicts 
      functional disability in elderly Taiwanese.
PG  - e405-10
LID - 10.1016/j.archger.2011.12.006 [doi]
AB  - Nutritional status and functional ability are mutually dependent especially in 
      the elderly. This study examined the functional status-predictive ability of the 
      MNA in a cross-sectional study. We analyzed the dataset of the "Survey of Health 
      and Living Status of the Elderly in Taiwan" (SHLSET). Subjects were 2948>/=65 
      year-old persons who were rated with the long-form (LF) and short-form (SF) MNA 
      with or without BMI for the risk of malnutrition, and with the Activities of 
      Daily Living (ADL) and the Instrument Activities of Daily Living (IADL) for 
      functional status. The ADL and IADL scores were calculated according to rated 
      nutritional status. Receiver Operating Characteristic (ROC) curves were generated 
      for ADL and IADL status predicted by the MNA. Logistic regression was performed 
      to evaluate the association of rated MNA scores with ADL or IADL status. Results 
      showed that both SF and LF of MNA-T1 and T2 were able to predict ADL and IADL 
      disabilities. Those who were rated malnourished or at risk of malnutrition had 
      drastically higher risk of ADL or IADL dependency compared to those who were 
      rated normal. The SF versions performed well in rating nutritional status and 
      predicting ADL and IADL status. Overall, MNA-T2-SF performed at least equally 
      well as MNA-T1-SF in rating functional decline. These results suggest the MNA is 
      able to predict functional decline of the elderly. MNA-T2, especially the SF, a 
      version without BMI should be particularly useful in clinical, long-term care and 
      community settings.
CI  - Copyright (c) 2011 Elsevier Ireland Ltd. All rights reserved.
FAU - Lee, Li-Chin
AU  - Lee LC
AD  - Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan.
FAU - Tsai, Alan Chung-hong
AU  - Tsai AC
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
DEP - 20120103
PL  - Netherlands
TA  - Arch Gerontol Geriatr
JT  - Archives of gerontology and geriatrics
JID - 8214379
SB  - IM
MH  - Activities of Daily Living
MH  - Aged
MH  - Aged, 80 and over
MH  - Body Mass Index
MH  - Cross-Sectional Studies
MH  - Female
MH  - Geriatric Assessment/*methods
MH  - Health Surveys/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Malnutrition/complications/diagnosis
MH  - *Nutrition Assessment
MH  - Nutritional Status
MH  - ROC Curve
MH  - Risk
MH  - Sensitivity and Specificity
MH  - Taiwan
EDAT- 2012/01/06 06:00
MHDA- 2012/08/28 06:00
CRDT- 2012/01/06 06:00
PHST- 2011/10/15 00:00 [received]
PHST- 2011/12/07 00:00 [revised]
PHST- 2011/12/08 00:00 [accepted]
PHST- 2012/01/06 06:00 [entrez]
PHST- 2012/01/06 06:00 [pubmed]
PHST- 2012/08/28 06:00 [medline]
AID - S0167-4943(11)00336-0 [pii]
AID - 10.1016/j.archger.2011.12.006 [doi]
PST - ppublish
SO  - Arch Gerontol Geriatr. 2012 May-Jun;54(3):e405-10. doi: 
      10.1016/j.archger.2011.12.006. Epub 2012 Jan 3.