Association between Mini Nutritional Assessment and the Fried frailty index in older people living in the community

作者：Juerschik Pilar; Botigue Teresa; Nuin Carmen; Lavedan Ana

来源：Medicina Clinica, 2014, 143(5): 191-195.

DOI：10.1016/j.medcli.2013.08.009

• Frail elderly
• Undernutrition
• Screening
• Scales

Background and objective: To assess the association between Mini Nutritional Assessment (MNA) and the Fried frailty index in older people living in the community. %26lt;br%26gt;Material and method: Cross-sectional study of individuals aged 75 and over living in the community. %26lt;br%26gt;Variables: nutritional status measured by Mini Nutritional Assessment Short Form (MNA-SF) and MNA, and frailty measured by Fried%26apos;s frailty criteria. %26lt;br%26gt;Results: The sample consisted of 640 individuals with a mean age of 81.3 +/- 5.0 years; 39.7% were men. According to the MNA-SF, 76.9% of patients were well nourished, 19.8% were at risk of malnutrition and 1.9% were malnourished, while percentages were 78.1, 19.6 and 2.3%, respectively, according to the MNA. According to Fried criteria, 43.4% were not frail, 47% were pre-frail and 9.6% were frail. The largest. proportion of frail subjects were at risk of malnutrition. The higher the score of MNA components, the higher was the frailty index. Likewise, there was a significant association between the 5 frailty criteria and the categories of MNA and MNA-SF. The area under the ROC curve for the MNA-SF was 0.75 while for the MNA it was 0.80. %26lt;br%26gt;Conclusions: The results presented show a clear association between Mini Nutritional Assessment and Fried%26apos;s criteria. They also suggest that the %26quot;nutritional risk%26quot; MNA category is the one most strongly associated with the Fried%26apos;s frailty index.

• 出版日期2014-9-9