Relationships between nutritional markers and the mini-nutritional assessment in 155 older persons
Relationships between nutritional markers and the mini-nutritional assessment in 155 older persons
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DOI：
10.1111/j.1532-5415.2000.tb02605.x
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发表时间：
2000-10-01
影响因子：
6.3
通讯作者：
Albarede, JL
中科院分区：
文献类型：
--
作者：
Vellas, B;Guigoz, Y;Albarede, JL
目的：探讨综合营养评估（包括人体测量、营养生物标志物、膳食摄入量评估）所测量的营养状况与mini -营养评估（MNA）营养筛选工具之间的关系。设计：前瞻性研究。参与者：155名老年受试者（53名男性和102名女性；平均年龄= 78岁；范围= 56-97岁）。这些参与者在老年评估单位住院（n = 105）或在社区自由生活（n = 50）。测量：体重、身高、膝高、中臂和小腿围、肱三头肌和肩胛下皮肤皱纹、白蛋白、甲状腺转蛋白（白蛋白前）、转铁蛋白、铜蓝蛋白、c反应蛋白、α(1)-酸性糖蛋白、胆固醇、维生素A、D、E、B-1、B-2、B-6、B-12、叶酸、铜、锌、3天饮食记录并填写食物频率问卷；MNA营养筛选。结果：MNA评分与营养摄入（能量、碳水化合物、纤维、钙、维生素D、铁、维生素B6和维生素C）、人体测量和生物营养参数（白蛋白、转甲状腺素、转铁蛋白、舞甾醇、视黄醇、α -生育酚、25-OH胆钙化醇锌）显著相关。MNA得分在17到23.5之间可以确定那些轻度营养不良的人，营养干预可能对其有效。结论：MNA是一种实用的、无创的、具有成本效益的仪器，可用于体弱老年人的快速营养评估和有效干预。
OBJECTIVE: To investigate the relationships between nutritional status measured by a comprehensive nutritional assessment including anthropometric measurements, nutritional biological markers, evaluation of dietary intake, and the Mini-Nutritional Assessment (MNA) nutrition screening tool.DESIGN: A prospective study.PARTICIPANTS: One hundred fifty-five older subjects (53 men and 102 women; mean age = 78 years; range = 56-97 years). These participants were hospitalized in a geriatric evaluation unit (n = 105) or free living in the community (n = 50).MEASUREMENT: Weight, height, knee height, midarm and calf circumferences, triceps and subscapular skinfolds, albumin, transthyretin (prealbumin), transferrin, ceruroplasmin, C-reactive protein, alpha(1)-acid glycoprotein, cholesterol, vitamins A, D, E, B-1, B-2, B-6, B-12, folate, copper, zinc, a 3 day food record combined with a food-frequency questionnaire; the MNA nutritional screening.RESULTS: The MNA scores have been found to be significantly correlated to nutritional intake (P < .05 for energy, carbohydrates, fiber, calcium, vitamin D, iron, vitamin B6, and vitamin C), anthropometric and biological nutritional parameters (P < .001 for albumin, transthyretin, transferrin, choresterol, retinol, alpha-tocopherol, 25-OH cholecalciferol zinc). An MNA score between 17 and 23.5 can identify those persons with mild malnutrition in which nutrition intervention may be effective.CONCLUSIONS: The MNA is a practical, noninvasive, and cost-effective instrument allowing for rapid nutritional evaluation and effective intervention in frail older persons..