MiOA: Assessment: Long-Term Care (2022)
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Assessment
In older adults living in long-term care, what is the validity and/or reliability of the Mini-Nutritional Assessment for identifying malnutrition?
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Conclusion
The Mini-Nutritional Assessment (MNA) has overall low validity for the assessment of malnutrition in older adults living in long-term care. No studies were identified that evaluated the reliability of MNA.
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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.
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Evidence Summary: In older adults living in long-term care, what is the validity and/or reliability of the Mini-Nutritional Assessment for identifying malnutrition?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Christensson L, Unosson M, Ek A. Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care. European Journal of Clinical Nutrition 2002; 56:810-818
- Muñoz Díaz B, Molina-Recio G, Romero-Saldaña M, Redondo Sánchez J, Aguado Taberné C, Arias Blanco C, Molina-Luque R, Martínez De La Iglesia J. Validation (in Spanish) of the Mini Nutritional Assessment survey to assess the nutritional status of patients over 65 years of age. Family Practice 2019; 36:172-178
- Detail
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Search Plan and Results: MiOA: Assessment 2021
In older adults living in long-term care, what is the ability of the Mini-Nutritional Assessment to predict mortality?-
Conclusion
Mini-Nutritional Assessment can predict mortality among adults 65 years and older living in long-term care.
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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.
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Evidence Summary: In older adults living in long-term care, what is the ability of the Mini-Nutritional Assessment to predict mortality?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Cereda E, Pedrolli C, Zagami A, Vanotti A, Piffer S, Opizzi A, Rondanelli M, Caccialanza R. Nutritional screening and mortality in newly institutionalised elderly: a comparison between the geriatric nutritional risk index and the mini nutritional assessment. Clinical Nutrition (Edinburgh, Scotland) 2011; 30:793-798
- Cereda E, Pusani C, Limonta D, Vanotti A. The ability of the Geriatric Nutritional Risk Index to assess the nutritional status and predict the outcome of home-care resident elderly: a comparison with the Mini Nutritional Assessment. British Journal of Nutrition 2009; 102:563-570
- Chan M, Lim Y, Ernest A, Tan T. Nutritional assessment in an Asian nursing home and its association with mortality. Journal of Nutrition, Health & Aging 2010; 14:23-28
- Diekmann R, Winning K, Uter W, Kaiser M, Sieber C, Volkert D, Bauer J. Screening for malnutrition among nursing home residents - a comparative analysis of the mini nutritional assessment, the nutritional risk screening, and the malnutrition universal screening tool. The Journal of Nutrition, Health & Aging 2013; 17:326-331
- Donini L, De Felice M, Savina C, Coletti C, Paolini M, Laviano A, Scavone L, Neri B, Cannella C. Predicting the outcome of long-term care by clinical and functional indices: the role of nutritional status. Journal of Nutrition, Health & Aging 2011; 15:586-592
- Kaiser R, Winning K, Uter W, Lesser S, Stehle P, Sieber C, Bauer J. Comparison of two different approaches for the application of the mini nutritional assessment in nursing homes: resident interviews versus assessment by nursing staff. The Journal of Nutrition, Health & Aging 2009; 13:863-869
- Tsai A, Ku P. Population-specific Mini Nutritional Assessment effectively predicts the nutritional state and follow-up mortality of institutionalized elderly Taiwanese regardless of cognitive status. The British Journal of Nutrition 2008; 100:152-158
- Tsai A, Ku P, Tsai J. Population-specific Mini Nutritional Assessment can improve mortality-risk-predicting ability in institutionalised older Taiwanese. Journal of Clinical Nursing 2010; 19:2493-2499
- Veronese N, De Rui M, Toffanello E, De Ronch I, Perissinotto E, Bolzetta F, D'Avanzo B, Cardin F, Coin A, Manzato E, Sergi G. Body mass index as a predictor of all-cause mortality in nursing home residents during a 5-year follow-up. Journal of the American Medical Directors Association 2013; 14:53-57
- Detail
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Search Plan and Results: MiOA: Assessment 2021
In older adults living in long-term care, what is the ability of the Mini-Nutritional Assessment to predict hospitalizations?-
Conclusion
Results of one study suggest that the Mini-Nutritional Assessment does not predict hospitalization among elderly people in long term care.
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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.
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Evidence Summary: In older adults living in long-term care, what is the ability of the Mini-Nutritional Assessment to predict hospitalizations?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Detail
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Search Plan and Results: MiOA: Assessment 2021
In older adults living in long-term care, what is the ability of the Mini-Nutritional Assessment to predict a decline in physical function?-
Conclusion
No studies were identified that evaluated the ability of Mini-Nutritional Assessment to predict a decline in physical function in older adults living in long-term care.
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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.
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Search Plan and Results: MiOA: Assessment 2021
In older adults living in long-term care, what is the validity and/or reliability of Subjective Global Assessment for identifying malnutrition?-
Conclusion
The Subjective Global Assessment (SGA) has overall low validity for the assessment of malnutrition in older adults living in long-term care. No studies were identified that evaluated the reliability of SGA.
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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 long-term care, what is the validity and/or reliability of Subjective Global Assessment for identifying malnutrition?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Christensson L, Unosson M, Ek A. Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care. European Journal of Clinical Nutrition 2002; 56:810-818
- Keller H, Vucea V, Slaughter S, Jager-Wittenaar H, Lengyel C, Ottery F, Carrier N. Prevalence of malnutrition or risk in residents in long term care: comparison of four tools. Journal of Nutrition in Gerontology and Geriatrics 2019; 38:329-344
- Detail
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Search Plan and Results: MiOA: Assessment 2021
In older adults living in long-term care, what is the ability of Subjective Global Assessment to predict mortality, hospitalization, or a decline in physical function?-
Conclusion
No studies were identified that evaluated the ability of Subjective Global Assessment to predict mortality, hospitalization or a decline in physical function.
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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.
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Search Plan and Results: MiOA: Assessment 2021
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Conclusion