The ‘Mini Nutritional Assessment’ (MNA) and the ‘Determine Your Nutritional Health’ Checklist (NSI Checklist) as predictors of morbidity and mortality in an elderly Danish population
The ‘Mini Nutritional Assessment’ (MNA) and the ‘Determine Your Nutritional Health’ Checklist (NSI Checklist) as predictors of morbidity and mortality in an elderly Danish population
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“迷你营养评估”（MNA）和“确定您的营养健康”清单（NSI 检查清单）作为丹麦老年人口发病率和死亡率的预测因素
DOI：
10.1017/s0007114599000112
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发表时间：
1999
影响因子：
3.6
通讯作者：
M. Osler
中科院分区：
文献类型：
--
作者：
A. Beck;L. Ovesen;M. Osler
本研究的目的是评估“确定您的营养健康”检查表（NSI检查表）和“迷你营养评估”（MNA）方法预测营养相关健康问题的能力。数据来自1988年“欧洲老年人营养调查，协调行动”（SENECA）基线调查的丹麦部分，以及1993年的后续研究。根据基线调查，根据NSI检查表中的标准，39名（19.3%）受试者被归类为高营养风险，103名（51%）被认为具有中度营养风险，60名（29.7%）处于“良好”范围内。根据MNA，171名受试者根据其营养风险分为营养良好组（占78.4%）和营养不良风险组（占21.6%）。共有115名受试者参加了随访研究。对不同风险群体的死亡率和各种发病率指标的流行情况进行了比较。分析显示，与MNA评分较低（≤ 23.5）的受试者相比，MNA评分较高（≥ 24）的受试者的死亡率显著较低（率比估计值：0.35; 95% CI 0.18，0.66）。相比之下，NSI检查表评分不是死亡率的显著预测因子（率比估计值：1.45; 95% CI 0.78，2.71）。在1988年至1993年期间，16名被NSI检查表判定为高营养风险的丹麦人比其他参与者有更多的急性疾病（P < 0.001）。两组之间在参与率、住院率、医生就诊率、帮助需求或体重减轻方面没有显著差异。在1988年至1993年期间，1988年被MNA判定为营养不良风险的13名丹麦人的参与率较低（P <0.01），而急性疾病（P <0.05）、需要帮助（P < 0.05）和体重减轻（P < 0.001）的发生率高于营养良好组。两组之间的住院率和医生就诊率无显著差异。总之，研究结果表明，NSI检查表和MNA的修改版本能够识别出一组70-75岁的受试者，这些受试者患有某些营养相关健康问题的风险增加。此外，MNA评分≤ 23.5可预测丹麦人群的死亡率。
The purpose of the present study was to evaluate the capacity of the‘Determine Your Nutritional Health’ Checklist (NSI Checklist) and the ‘Mini Nutritional Assessment’ (MNA) methods to predict nutrition-related health problems. Data were from the Danish part of the ‘Survey in Europe of Nutrition in the Elderly, a Concerted Action’ (SENECA) baseline survey from 1988, and the follow-up study from 1993. Based on the baseline survey thirty-nine (19.3 %) of the subjects were classified at high nutritional risk, 103 (51 %) were considered at moderate nutritional risk and sixty (29.7 %) were within the ‘good’ range according to the criteria in the NSI Checklist. With the MNA, 171 subjects were classified according to their nutritional risk into a well-nourished group, comprising 78.4 %, and a group who were at risk of undernutrition, comprising 21·6 % at baseline. A total of 115 subjects participated in the follow-up study. The mortality rate and the prevalence of various morbidity indicators were compared between the different risk groups. The analysis showed that subjects with a high MNA score (≥ 24) had significantly lower mortality (rate ratio estimate: 0.35; 95 % Cl 0.18, 0.66) compared with subjects with a low MNA score (≤ 23.5). In contrast, the NSI Checklist score was not a significant predictor of mortality (rate ratio estimate: 1.45; 95 % Cl 0.78, 2.71). The sixteen Danes judged to be at high nutritional risk by the NSI Checklist in 1988, had more acute diseases (P < 0.001) than the rest of the participants, between 1988 and 1993. No significant differences were found in the participation rates, hospitalization rates, physician visits, need of help or weight loss between the groups. The thirteen Danes judged to be at risk of undernutrition in 1988 by the MNA, had a lower participation rate (P < 0.01) and higher occurrence of acute disease (P < 0.05), need of help (P < 0.05), and weight loss (P < 0.001) than the well-nourished group, between 1988 and 1993. No significant differences were found in hospitalization rates and physician visits between the two groups. In conclusion, the results indicate that modified versions of the NSI Checklist and the MNA are capable of identifying a group of 70–75-year-old subjects with increased risk of certain nutrition-related health problems. Further, an MNA score ≤ 23.5 predicts mortality in a Danish population.