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Diagnostic Performance and Accuracy of the MNA-SF against GLIM Criteria in Community-Dwelling Older Adults from Poland

Up to 28% of elderly residents in Europe are at risk of malnutrition. As uniform diagnostic criteria for malnutrition have not been formulated, in autumn 2018, the Global Leadership Initiative on Malnutrition (GLIM) presented a consensus on its diagnosis. According to the consensus, the diagnosis of...

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Autores principales: Kaluźniak-Szymanowska, Aleksandra, Krzymińska-Siemaszko, Roma, Lewandowicz, Marta, Deskur-Śmielecka, Ewa, Stachnik, Katarzyna, Wieczorowska-Tobis, Katarzyna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308417/
https://www.ncbi.nlm.nih.gov/pubmed/34202898
http://dx.doi.org/10.3390/nu13072183
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author Kaluźniak-Szymanowska, Aleksandra
Krzymińska-Siemaszko, Roma
Lewandowicz, Marta
Deskur-Śmielecka, Ewa
Stachnik, Katarzyna
Wieczorowska-Tobis, Katarzyna
author_facet Kaluźniak-Szymanowska, Aleksandra
Krzymińska-Siemaszko, Roma
Lewandowicz, Marta
Deskur-Śmielecka, Ewa
Stachnik, Katarzyna
Wieczorowska-Tobis, Katarzyna
author_sort Kaluźniak-Szymanowska, Aleksandra
collection PubMed
description Up to 28% of elderly residents in Europe are at risk of malnutrition. As uniform diagnostic criteria for malnutrition have not been formulated, in autumn 2018, the Global Leadership Initiative on Malnutrition (GLIM) presented a consensus on its diagnosis. According to the consensus, the diagnosis of malnutrition requires a positive screening test result for the risk of malnutrition, and the presence of at least one etiologic and one phenotypic criterion. This study aimed to assess the diagnostic performance and accuracy of the Mini Nutritional Assessment—Short Form (MNA-SF) against GLIM criteria. The analysis involved 273 community-dwelling volunteers aged ≥ 60 years. All participants were screened for malnutrition with the MNA-SF questionnaire. Next, the GLIM phenotypic and etiologic criteria were assessed in all subjects. Based on the presence of at least one phenotypic and one etiologic criterion, malnutrition was diagnosed in more than one-third of participants (n = 103, 37.7%). According to the MNA-SF, only 7.3% of subjects had malnutrition, and 28.2% were at risk of malnutrition. The agreement between the MNA-SF score and the GLIM criteria were observed in only 22.3% of the population. The sensitivity and specificity of MNA-SF against the GLIM criteria were fair (59.2% and 78.8%, respectively). The area under the curve (AUC) was 0.77, indicating the fair ability of MNA-SF to diagnose malnutrition. Based on the present study results, the best solution may be an optional replacement of the screening tool in the first step of the GLIM algorithm with clinical suspicion of malnutrition.
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spelling pubmed-83084172021-07-25 Diagnostic Performance and Accuracy of the MNA-SF against GLIM Criteria in Community-Dwelling Older Adults from Poland Kaluźniak-Szymanowska, Aleksandra Krzymińska-Siemaszko, Roma Lewandowicz, Marta Deskur-Śmielecka, Ewa Stachnik, Katarzyna Wieczorowska-Tobis, Katarzyna Nutrients Article Up to 28% of elderly residents in Europe are at risk of malnutrition. As uniform diagnostic criteria for malnutrition have not been formulated, in autumn 2018, the Global Leadership Initiative on Malnutrition (GLIM) presented a consensus on its diagnosis. According to the consensus, the diagnosis of malnutrition requires a positive screening test result for the risk of malnutrition, and the presence of at least one etiologic and one phenotypic criterion. This study aimed to assess the diagnostic performance and accuracy of the Mini Nutritional Assessment—Short Form (MNA-SF) against GLIM criteria. The analysis involved 273 community-dwelling volunteers aged ≥ 60 years. All participants were screened for malnutrition with the MNA-SF questionnaire. Next, the GLIM phenotypic and etiologic criteria were assessed in all subjects. Based on the presence of at least one phenotypic and one etiologic criterion, malnutrition was diagnosed in more than one-third of participants (n = 103, 37.7%). According to the MNA-SF, only 7.3% of subjects had malnutrition, and 28.2% were at risk of malnutrition. The agreement between the MNA-SF score and the GLIM criteria were observed in only 22.3% of the population. The sensitivity and specificity of MNA-SF against the GLIM criteria were fair (59.2% and 78.8%, respectively). The area under the curve (AUC) was 0.77, indicating the fair ability of MNA-SF to diagnose malnutrition. Based on the present study results, the best solution may be an optional replacement of the screening tool in the first step of the GLIM algorithm with clinical suspicion of malnutrition. MDPI 2021-06-24 /pmc/articles/PMC8308417/ /pubmed/34202898 http://dx.doi.org/10.3390/nu13072183 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
Kaluźniak-Szymanowska, Aleksandra
Krzymińska-Siemaszko, Roma
Lewandowicz, Marta
Deskur-Śmielecka, Ewa
Stachnik, Katarzyna
Wieczorowska-Tobis, Katarzyna
Diagnostic Performance and Accuracy of the MNA-SF against GLIM Criteria in Community-Dwelling Older Adults from Poland
title Diagnostic Performance and Accuracy of the MNA-SF against GLIM Criteria in Community-Dwelling Older Adults from Poland
title_full Diagnostic Performance and Accuracy of the MNA-SF against GLIM Criteria in Community-Dwelling Older Adults from Poland
title_fullStr Diagnostic Performance and Accuracy of the MNA-SF against GLIM Criteria in Community-Dwelling Older Adults from Poland
title_full_unstemmed Diagnostic Performance and Accuracy of the MNA-SF against GLIM Criteria in Community-Dwelling Older Adults from Poland
title_short Diagnostic Performance and Accuracy of the MNA-SF against GLIM Criteria in Community-Dwelling Older Adults from Poland
title_sort diagnostic performance and accuracy of the mna-sf against glim criteria in community-dwelling older adults from poland
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308417/
https://www.ncbi.nlm.nih.gov/pubmed/34202898
http://dx.doi.org/10.3390/nu13072183
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