首页> 外文期刊>International journal of nursing studies >Population-specific modifications of the short-form Mini Nutritional Assessment and Malnutrition Universal Screening Tool for elderly Taiwanese.
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Population-specific modifications of the short-form Mini Nutritional Assessment and Malnutrition Universal Screening Tool for elderly Taiwanese.

机译:针对台湾老年人的简短形式的“迷你营养评估和营养不良通用筛查工具”的针对特定人群的修改。

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BACKGROUND: The Mini Nutritional Assessment (MNA) and the Malnutrition Universal Screening Tool (MUST) are two widely used malnutrition screening scales. OBJECTIVE: The study was to compare the grading ability of the two scales, and to determine whether adoption of population-specific anthropometric cut-points could improve the grading ability of these tools and whether calf circumference (CC) could be an acceptable alternative to BMI in these scales. DESIGN: Purposive sampling. SETTINGS: Outpatients receiving annual physical examination at an area hospital. PARTICIPANTS: Community-living elderly who were 65 years or older, able to communicate orally, without acute health conditions and willing to sign a study-consent. METHODS: Subjects were measured for anthropometrics and blood biochemical indicators, and interviewed for personal data and answers to the MNA and MUST. The risk of malnutrition was evaluated with the short-form MNA (MNA-SF) and the MUST, each in three versions (the original, Taiwan version-1 (T1) which adopted population-specific anthropometric cut-points, and Taiwan version-2 (T2) which replaced BMI with CC). Long-form (LF) MNA versions served as references. RESULTS: Results showed that (a) in both scales, patterns of nutritional status rated with the original versions were different from those rated with respective modified versions but ratings made with two modified versions were the same, (b) the T2 versions showed the best grading ability based on agreement with the reference (MNA-LF), and (c) MNA-SF versions rated greater proportions of subjects at risk of malnutrition than the respective MUST versions. CONCLUSIONS: (a) Adoption of population-specific anthropometric cut-points improves the grading ability of the MNA-SF and the MUST in community-living Taiwanese, (b) CC is an acceptable alternative to BMI for both MNA-SF and MUST, and (c) nutritional assessment tools should be as much population or ethnically specific as possible to account for cultural and anthropometric differences across populations.
机译:背景:迷你营养评估(MNA)和营养不良通用筛查工具(MUST)是两种广泛使用的营养不良筛查量表。目的:本研究旨在比较两种量表的分级能力,并确定采用特定人群的人体测量切点是否可以提高这些工具的分级能力,以及小腿围(CC)是否可以替代BMI在这些规模。设计:目的抽样。地点:在地区医院接受年度身体检查的门诊病人。参与者:65岁或65岁以上,有社区沟通能力的老年人,能够通过口头交流,没有急性健康状况,并且愿意签署研究同意书。方法:测量受试者的人体测量学和血液生化指标,并采访其个人数据以及MNA和MUST的答案。使用简短的MNA(MNA-SF)和MUST评估了营养不良的风险,每种形式分为三个版本(原始版本,台湾版本1(T1)采用了特定于人群的人体测量学切点,而台湾版本- 2(T2),将BMI替换为CC)。长格式(LF)MNA版本用作参考。结果:结果表明,(a)在两个量表上,原始版本评分的营养状况模式与相应修改版本的评分不同,但两个修改版本的评分相同;(b)T2版本显示最佳根据与参考文献(MNA-LF)达成的协议进行分级的能力,以及(c)MNA-SF版本对营养不良风险受试者的比例要高于相应的MUST版本。结论:(a)采用特定人群的人体测量切点可提高MNA-SF和MUST在居住在台湾的台湾人中的分级能力;(b)CC对于MNA-SF和MUST都是BMI的可接受替代方案, (c)营养评估工具应尽可能多地针对人口或族裔,以解决人口之间的文化和人体测量学差异。

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