Comparison of Mini Nutritional Assessment Tool and Geriatric Nutrition Risk Index in Predicting 12-Y Mortality Among Community-Dwelling Older Persons.
J Nutr
; 154(7): 2215-2225, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38763266
ABSTRACT
BACKGROUND:
Malnutrition is a common and dangerous condition in older adults, which has been associated with increased risk of mortality.OBJECTIVES:
This study aimed to evaluate and compare the abilities of Mini Nutritional Assessment short form (MNA-SF), MNA full form (MNA-FF), and geriatric nutritional risk index (GNRI) to predict all-cause and expanded cardiovascular disease (CVD)-related mortality in community-dwelling older adults.METHODS:
This research was an observational cohort study conducted in a community setting, with a 12-y follow-up involving 1001 community-living older adults aged 65 y or older who were enrolled in 2009 and followed up until 2021. Nutritional status assessment was carried out in 2009 using MNA-SF, MNA-FF, and GNRI. Multivariate Cox proportional hazards regression was applied to determine adjusted hazard ratios of mortality with 95% CIs.RESULTS:
A total of 368 deaths (36.76%) and 122 expanded CVD-related deaths (12.19%) were observed after a median follow-up of 12 y. Compared with normal nutritional status, poor nutritional status assessed by the MNA-SF, MNA-FF, and GNRI was found to be associated with an increased all-cause mortality in older persons. MNA-SF and MNA-FF, but not GNRI, were associated with expanded CVD-related mortality. The MNA-FF showed better discriminatory accuracy for all-cause (C-statistics 0.77; 95% CI 0.63, 0.79) and expanded CVD-related mortality (C-statistics 0.79; 95% CI 0.70, 0.83) than MNA-SF (C-statistics 0.76; 95% CI 0.73-0.79; and C-statistics 0.76; 95% CI 0.72-0.81, respectively) and GNRI (C-statistics 0.75; 95% CI 0.73-0.79; and C-statistics 0.76; 95% CI 0.72-0.80, respectively).CONCLUSIONS:
Our findings indicate that MNA-SF, MNA-FF, and GNRI were all independent predictors of all-cause mortality. In particular, the MNA-FF may be the best nutritional assessment tool for predicting all-cause and CVD-related mortality among older persons residing in community, compared with MNA-SF and GNRI.Palavras-chave
Texto completo:
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Avaliação Geriátrica
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Avaliação Nutricional
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Estado Nutricional
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Vida Independente
Limite:
Aged
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Aged80
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Female
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Humans
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Male
Idioma:
En
Revista:
J Nutr
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Taiwan