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Malnutrition Risk among Older Mexican Adults in the Mexican Health and Aging Study

Few studies assess the malnutrition risk of older Mexican adults because most studies do not assess nutritional status. This study proposes a modified version of the Mini Nutritional Assessment (MNA) to assess the risk of malnutrition among older Mexicans adults in the Mexican Health and Aging Study...

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Autores principales: Avila, Jaqueline C., Samper-Ternent, Rafael, Wong, Rebeca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8151238/
https://www.ncbi.nlm.nih.gov/pubmed/34065807
http://dx.doi.org/10.3390/nu13051615
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author Avila, Jaqueline C.
Samper-Ternent, Rafael
Wong, Rebeca
author_facet Avila, Jaqueline C.
Samper-Ternent, Rafael
Wong, Rebeca
author_sort Avila, Jaqueline C.
collection PubMed
description Few studies assess the malnutrition risk of older Mexican adults because most studies do not assess nutritional status. This study proposes a modified version of the Mini Nutritional Assessment (MNA) to assess the risk of malnutrition among older Mexicans adults in the Mexican Health and Aging Study (MHAS). Data comes from the 2012, 2015, and 2018 waves of the MHAS, a nationally representative study of Mexicans aged 50 and older. The sample included 13,338 participants and a subsample of 1911 with biomarker values. ROC analysis was used to calculate the cut point for malnutrition risk. This cut point was compared to the definition of malnutrition from the ESPEN criteria, BMI, low hemoglobin, or low cholesterol. Logistic regression was used to assess predictors of malnutrition risk. A score of 10 was the optimal cut point for malnutrition risk in the modified MNA. This cut point had high concordance to identify malnutrition risk compared to the ESPEN criteria (97.7%) and had moderate concordance compared to BMI only (78.6%), and the biomarkers of low hemoglobin (56.1%) and low cholesterol (54.1%). Women, those older than 70, those with Seguro Popular health insurance, and those with fair/poor health were more likely to be malnourished. The modified MNA is an important tool to assess malnutrition risk in future studies using MHAS data.
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spelling pubmed-81512382021-05-27 Malnutrition Risk among Older Mexican Adults in the Mexican Health and Aging Study Avila, Jaqueline C. Samper-Ternent, Rafael Wong, Rebeca Nutrients Article Few studies assess the malnutrition risk of older Mexican adults because most studies do not assess nutritional status. This study proposes a modified version of the Mini Nutritional Assessment (MNA) to assess the risk of malnutrition among older Mexicans adults in the Mexican Health and Aging Study (MHAS). Data comes from the 2012, 2015, and 2018 waves of the MHAS, a nationally representative study of Mexicans aged 50 and older. The sample included 13,338 participants and a subsample of 1911 with biomarker values. ROC analysis was used to calculate the cut point for malnutrition risk. This cut point was compared to the definition of malnutrition from the ESPEN criteria, BMI, low hemoglobin, or low cholesterol. Logistic regression was used to assess predictors of malnutrition risk. A score of 10 was the optimal cut point for malnutrition risk in the modified MNA. This cut point had high concordance to identify malnutrition risk compared to the ESPEN criteria (97.7%) and had moderate concordance compared to BMI only (78.6%), and the biomarkers of low hemoglobin (56.1%) and low cholesterol (54.1%). Women, those older than 70, those with Seguro Popular health insurance, and those with fair/poor health were more likely to be malnourished. The modified MNA is an important tool to assess malnutrition risk in future studies using MHAS data. MDPI 2021-05-12 /pmc/articles/PMC8151238/ /pubmed/34065807 http://dx.doi.org/10.3390/nu13051615 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Avila, Jaqueline C.
Samper-Ternent, Rafael
Wong, Rebeca
Malnutrition Risk among Older Mexican Adults in the Mexican Health and Aging Study
title Malnutrition Risk among Older Mexican Adults in the Mexican Health and Aging Study
title_full Malnutrition Risk among Older Mexican Adults in the Mexican Health and Aging Study
title_fullStr Malnutrition Risk among Older Mexican Adults in the Mexican Health and Aging Study
title_full_unstemmed Malnutrition Risk among Older Mexican Adults in the Mexican Health and Aging Study
title_short Malnutrition Risk among Older Mexican Adults in the Mexican Health and Aging Study
title_sort malnutrition risk among older mexican adults in the mexican health and aging study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8151238/
https://www.ncbi.nlm.nih.gov/pubmed/34065807
http://dx.doi.org/10.3390/nu13051615
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