FNCE 2023
Session 357. Providing MNT for the Pediatric Type 1 Diabetes Population: What Does the Evidence Show?
Monday, October 9, 8:30 AM - 9:30 AM
See session information ♦ See EAL review results

Malnutrition in Older Adults

MiOA: Assessment: Community (2022)

Assessment
In older adults living in the community, what is the validity and reliability of the Mini-Nutritional Assessment for identifying malnutrition?
- Conclusion
  Mini-Nutritional Assessment (MNA) has overall moderate validity and low reliability for the assessment of malnutrition in older adults living in the community. Results should be interpreted with caution due to variability in reference standards among studies.
- Grade: Moderate (B)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults living in the community, what is the validity and reliability of the Mini-Nutritional Assessment for identifying malnutrition?
- Search Plan and Results: MiOA: Assessment 2021
In older adults living in the community, what is the ability of the Mini-Nutritional Assessment to predict mortality?
- Conclusion
  Mini-Nutritional Assessment (MNA) may predict mortality among adults 65 years and older in the community.
- Grade: Moderate (B)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults living in the community, what is the ability of the Mini-Nutritional Assessment to predict mortality?
- Search Plan and Results: MiOA: Assessment 2021
In older adults living in the community, what is the ability of the Mini-Nutritional Assessment to predict hospitalization?
- Conclusion
  Mini-Nutritional Assessment (MNA) may have predictive ability in identifying the risk of hospitalization in older adults living in the community based on limited evidence.
- Grade: Low (C)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults living in the community, what is the ability of the Mini-Nutritional Assessment to predict hospitalization?
- Search Plan and Results: MiOA: Assessment 2021
In older adults living in the community, what is the ability of the Mini-Nutritional Assessment to predict a decline in physical function?
- Conclusion
  Mini-Nutritional Assessment (MNA) has limited ability to predict a decline in physical function for older adults living in the community.
- Grade: Low (C)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults living in the community, what is the ability of Mini-Nutritional Assessment to predict a decline in physical function?
- Search Plan and Results: MiOA: Assessment 2021
In older adults living in the community, what is the validity and reliability of the Subjective Global Assessment for identifying malnutrition?
- Conclusion
  The Subjective Global Assessment (SGA) has overall moderate validity for the assessment of malnutrition in older adults living in the community. No studies were identified that evaluated the reliability of SGA.
- Grade: Very Low (D)
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In older adults living in the community, what is the validity and reliability of the Subjective Global Assessment for identifying malnutrition?
- Search Plan and Results: MiOA: Assessment 2021
In older adults living in the community, what is the predictive ability of the Subjective Global Assessment for mortality, hospitalization or declined physical function?
- Conclusion
  In older adults living in the community, no studies were identified that evaluated the predictive ability of the Subjective Global Assessment for mortality, hospitalization or declined physical function.
- Grade: V
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Search Plan and Results: MiOA: Assessment 2021