Validation (in Spanish) of the Mini Nutritional Assessment survey to assess the nutritional status of patients over 65 years of age.

Autor:	Muñoz Díaz B; UGC La Sierra, Servicio Andaluz de Salud, Córdoba, Spain., Molina-Recio G; Department of Nursing, University of Cordoba, Córdoba, Spain., Romero-Saldaña M; Department of Occupational Safety and Health, City Hall of Cordoba, Córdoba, Spain., Redondo Sánchez J; UGC Lucano, Servicio Andaluz de Salud, Córdoba, Spain., Aguado Taberné C; UGC Santa Rosa, Servicio Andaluz de Salud, Córdoba, Spain., Arias Blanco C; UGC La Sierra, Servicio Andaluz de Salud, Córdoba, Spain., Molina-Luque R; Department of Nursing, University of Cordoba, Córdoba, Spain., Martínez De La Iglesia J; UGC Lucano, Servicio Andaluz de Salud, Córdoba, Spain.
Jazyk:	angličtina
Zdroj:	Family practice [Fam Pract] 2019 Mar 20; Vol. 36 (2), pp. 172-178.
DOI:	10.1093/fampra/cmy051
Abstrakt:	Aim: To validate the Mini Nutritional Assessment (MNA) in a Spanish population over 65 years of age with varying degrees of independence. Design: This cross-sectional validation study used the Chang nutritional assessment method as a reference test. Participants: 248 subjects (72.2% female), with a mean age of 81.3, completed the study. They were classified into three groups: (i) autonomous patients who were able to take part in activities outside their home; (ii) patients who require help with daily self-care; (iii) patients living in a residential health care facility. Setting: Three health centres and three residential care homes situated in Cordoba (Spain). Results: The kappa values for intra-observer and inter-observer agreement were 0.870 and 0.784, respectively. The intra-class correlation coefficient intra-observer was 0.874 and the inter-observer was 0.789. The sensitivity and specificity readings for the diagnostic accuracy of MNA were 63.2% and 72.9% in the total sample, respectively. The area under the curve was 0.726. For patients in the Group A, B and C, the sensitivity was 89.3%, 60.7% and 18.8%, and the specificity was 23.3%, 56.8% and 94.1%, respectively. Conclusion: The results for the reliability of the survey were excellent, and its internal consistency was acceptable. The diagnostic accuracy, as measured by the sensitivity and specificity readings, was lower than that obtained with the original survey. It can therefore be considered more suitable for a population with limited autonomy, and less appropriate for independent patients. The results may not be relevant to patients outside of the Cordova region in Spain. (© The Author(s) 2018. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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