PMID- 27417799
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160715
LR  - 20201001
IS  - 2227-9032 (Print)
IS  - 2227-9032 (Electronic)
IS  - 2227-9032 (Linking)
VI  - 3
IP  - 3
DP  - 2015 Sep 11
TI  - Identifying Malnutrition in an Elderly Ambulatory Rehabilitation Population: 
      Agreement between Mini Nutritional Assessment and Validated Screening Tools.
PG  - 822-9
LID - 10.3390/healthcare3030822 [doi]
AB  - Malnutrition is common in older adults and often goes unrecognised and untreated. 
      Australian evidence-based guidelines for the management of malnutrition indicate 
      that only the Mini Nutritional Assessment short form (MNA-sf) and Rapid Screen 
      are recommended for use as malnutrition screening tools in the rehabilitation 
      setting. The aim of this secondary analysis was to assess the validity and 
      reliability of two malnutrition screening tools, validated in other adult 
      sub-groups, in a rehabilitation population aged >/=60 years. The Council on 
      Nutrition Appetite Questionnaire (CNAQ) and the Simplified Nutritional Appetite 
      Questionnaire (SNAQ), were completed by 185 ambulatory rehabilitation patients 
      (48% male; median age 78 years) and results compared to the full MNA as a 
      reference technique. Prevalence of risk of malnutrition was 63% according to the 
      MNA. For identification of risk of malnutrition the CNAQ had sensitivity of 54%, 
      specificity 81%, positive predictive value 83% and negative predictive value 51%, 
      compared to 28%, 94%, 89% and 44%, respectively, using SNAQ. Assessment of 
      reliability indicated significant slight to fair agreement between MNA with CNAQ 
      (kappa = 0.309, p < 0.001) and SNAQ (kappa = 0.176, p < 0.001). Neither the CNAQ nor the 
      SNAQ have a high level of validity or reliability in this elderly population and 
      are therefore not recommended for use in the ambulatory rehabilitation setting. 
      Further work is necessary to assess the validity and reliability of other 
      malnutrition screening tools to establish their usefulness in this population.
FAU - Yaxley, Alison
AU  - Yaxley A
AD  - Nutrition and Dietetics, School of Health Sciences, Faculty of Medicine, Nursing 
      and Health Sciences, Flinders University, GPO Box 2100, Adelaide, SA 5001, 
      Australia. alison.yaxley@flinders.edu.au.
FAU - Crotty, Maria
AU  - Crotty M
AD  - Rehabilitation, Aged and Extended Care, School of Health Sciences, Faculty of 
      Medicine, Nursing and Health Sciences, Flinders University, GPO Box 2100, 
      Adelaide, SA 5001, Australia. maria.crotty@flinders.edu.au.
FAU - Miller, Michelle
AU  - Miller M
AD  - Nutrition and Dietetics, School of Health Sciences, Faculty of Medicine, Nursing 
      and Health Sciences, Flinders University, GPO Box 2100, Adelaide, SA 5001, 
      Australia. michelle.miller@flinders.edu.au.
LA  - eng
PT  - Journal Article
DEP - 20150911
PL  - Switzerland
TA  - Healthcare (Basel)
JT  - Healthcare (Basel, Switzerland)
JID - 101666525
PMC - PMC4939561
OTO - NOTNLM
OT  - malnutrition
OT  - older adult
OT  - rehabilitation
OT  - screening
EDAT- 2015/01/01 00:00
MHDA- 2015/01/01 00:01
PMCR- 2015/09/11
CRDT- 2016/07/16 06:00
PHST- 2015/05/27 00:00 [received]
PHST- 2015/08/31 00:00 [revised]
PHST- 2015/09/07 00:00 [accepted]
PHST- 2016/07/16 06:00 [entrez]
PHST- 2015/01/01 00:00 [pubmed]
PHST- 2015/01/01 00:01 [medline]
PHST- 2015/09/11 00:00 [pmc-release]
AID - healthcare3030822 [pii]
AID - healthcare-03-00822 [pii]
AID - 10.3390/healthcare3030822 [doi]
PST - epublish
SO  - Healthcare (Basel). 2015 Sep 11;3(3):822-9. doi: 10.3390/healthcare3030822.