Development and validation of criteria for determining undernutrition in community-dwelling older men and women: The Short Nutritional Assessment Questionnaire 65+

作者：Wijnhoven Hanneke A H^*; Schilp Janneke; van Bokhorst de van der Schueren Marian A E; de Vet Henrica C W; Kruizenga Hinke M; Deeg Dorly J H; Ferrucci Luigi; Visser Marjolein

来源：Clinical Nutrition, 2012, 31(3): 351-358.

DOI：10.1016/j.clnu.2011.10.013

• Undernutrition
• Community-dwelling
• Older people
• SNAQ(65+)

Background %26 aims: There is no valid, fast and easy-to-apply set of criteria to determine (risk of) undernutrition in community-dwelling older persons. The aim of this study was to develop and validate such criteria. %26lt;br%26gt;Methods: Selection of potential anthropometric and undernutrition-related items was based on consensus literature. The criteria were developed using 15-year mortality in community-dwelling older persons %26gt;= 65 years (Longitudinal Aging Study Amsterdam, n = 1687) and validated in an independent sample (InCHIANTI, n = 1142). %26lt;br%26gt;Results: Groups distinguished were: (1) undernutrition (mid-upper arm circumference %26lt;25 cm or involuntary weight loss %26gt;= 4 kg/6 months); (2) risk of undernutrition (poor appetite and difficulties climbing staircase); and (3) no undernutrition (others). Respective hazard ratio%26apos;s for 15-year mortality were: (1) 2.22 (95% Cl 1.83-2.69); and (2) 1.57 (1.22-2.01) ((3) = reference). The area under the curve (AUC) was 0.55. Comparable results were found stratified by sex, excluding cancer/obstructive lung disease/(past) smoking, using 6-year mortality, and applying results to the InCHIANTI study (hazard ratio%26apos;s 2.12 and 2.46, AUC 0.59). %26lt;br%26gt;Conclusions: The developed set of criteria (SNAQ(65+)) for determining (risk of) undernutrition in community-dwelling older persons shows good face validity and moderate predictive validity based on the consistent association with mortality in a second independent study sample.

• 出版日期2012-6