Show simple item record

Population-specific Mini Nutritional Assessment can improve mortality-risk-predicting ability in institutionalised older Taiwanese

dc.contributor.authorTsai, Alan C.en_US
dc.contributor.authorKu, Pei-Yuen_US
dc.contributor.authorTsai, Jeng-Dauen_US
dc.date.accessioned2011-01-31T17:53:55Z
dc.date.available2011-11-01T15:13:00Zen_US
dc.date.issued2010-09en_US
dc.identifier.citationTsai, Alan C.; Ku, Pei-Yu; Tsai, Jeng-Dau; (2010). "Population-specific Mini Nutritional Assessment can improve mortality-risk-predicting ability in institutionalised older Taiwanese." Journal of Clinical Nursing 19(17-18): 2493-2499. <http://hdl.handle.net/2027.42/79325>en_US
dc.identifier.issn0962-1067en_US
dc.identifier.issn1365-2702en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/79325
dc.description.abstractThe study determined whether a new version of the Mini Nutritional Assessment that adopted population-specific anthropometric cut-points would improve the mortality-predicting ability in institutionalised Taiwanese older people.Routine screening is the key for detecting emerging malnutrition, but the tool must be simple, reliable and easy-to-use to be well accepted. The Mini Nutritional Assessment can meet these requirements, but for non-Western populations, modifications based on anthropometric considerations are needed.The study purposively sampled 208 residents, aged >65 years, of a long-term care institution in Central Taiwan. Subjects were free of acute infection/disease and able to communicate. A university human-subject-study ethics committee approved the protocol.The study included biochemical measurements and a structured questionnaire for eliciting personal data and answers to questions in the Mini Nutritional Assessment. Follow-up survival/mortality was tracked for two consecutive six-month periods and analysed according to nutritional statuses graded with the original or a modified Mini Nutritional Assessment. The modified version adopted population-specific anthropometric cut-points and was without body mass index.The modification improved the mortality-predictive ability. Mortality rates for the first six months were 8·7, 3·9 and 0% according to the original Mini Nutritional Assessment and 10·6, 3·4 and 0% according to the modified version for subjects rated malnourished, at risk of malnutrition and normal, respectively. The mortality-predictive ability of both versions weakened after six months.Both versions can predict follow-up mortality, but the modified version has improved ability. For best results, the tool should be applied every six months or less (shorter for more frail older people) to screen for new cases of at-risk individuals.The Mini Nutritional Assessment that adopts population-specific anthropometric cut-points may have improved nutritional-risk and mortality-risk predictive abilities. The tool can help care-workers detect emerging nutritional problems and enable timely intervention. Routine use of the tool may help improve the quality of care.en_US
dc.format.extent124983 bytes
dc.format.extent3106 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherBlackwell Publishing Ltden_US
dc.subject.otherElderlyen_US
dc.subject.otherMalnutritionen_US
dc.subject.otherMini Nutritional Assessmenten_US
dc.subject.otherNutritionen_US
dc.subject.otherRisk Assessmenten_US
dc.subject.otherTaiwanen_US
dc.titlePopulation-specific Mini Nutritional Assessment can improve mortality-risk-predicting ability in institutionalised older Taiwaneseen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelNursingen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.identifier.pmid20920077en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/79325/1/j.1365-2702.2010.03299.x.pdf
dc.identifier.doi10.1111/j.1365-2702.2010.03299.xen_US
dc.identifier.sourceJournal of Clinical Nursingen_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


Files in this item

Show simple item record

Remediation of Harmful Language

The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.

Accessibility

If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.