Frequency of Malnutrition in Older Adults: A Multinational Perspective Using the Mini Nutritional Assessment
Identifieur interne : 002963 ( Istex/Corpus ); précédent : 002962; suivant : 002964Frequency of Malnutrition in Older Adults: A Multinational Perspective Using the Mini Nutritional Assessment
Auteurs : Matthias J. Kaiser ; Jürgen M. Bauer ; Christiane R Msch ; Wolfgang Uter ; Yves Guigoz ; Tommy Cederholm ; David R. Thomas ; Patricia S. Anthony ; Karen E. Charlton ; Marcello Maggio ; Alan C. Tsai ; Bruno Vellas ; Cornel C. SieberSource :
- Journal of the American Geriatrics Society [ 0002-8614 ] ; 2010-09.
English descriptors
- KwdEn :
- Acute care, Assessment test, Basic characteristics, Body mass index, Bruno vellas, Christiane ramsch, Clin, Clin nutr, Clinical nutrition, Data analysis, Data collection, Data interpretation, Data sets, Database, Early detection, Elderly patients, Elderly people, Elderly persons, European populations, Geriatric, Geriatric medicine, Geriatric rehabilitation, Guigoz, Internal medicine, International group, Malnourished, Malnutrition, Marcello maggio, Mini, Nestle, Nestle nutrition, Nursing home, Nursing home residents, Nursing homes, Nutr, Nutr clin pract, Nutr health, Nutritional, Nutritional evaluation, Nutritional risk, Nutritional risk screening, Nutritional screening, Nutritional status, Older adults, Older people, Older persons, Present study, Prevalence, Rehabilitation units, Research grant, Screening, Screening tool, Statistical analysis, Study participants, Study population, Tommy cederholm, Vellas, Wolfgang uter, Yves guigoz.
- Teeft :
- Acute care, Assessment test, Basic characteristics, Body mass index, Bruno vellas, Christiane ramsch, Clin, Clin nutr, Clinical nutrition, Data analysis, Data collection, Data interpretation, Data sets, Database, Early detection, Elderly patients, Elderly people, Elderly persons, European populations, Geriatric, Geriatric medicine, Geriatric rehabilitation, Guigoz, Internal medicine, International group, Malnourished, Malnutrition, Marcello maggio, Mini, Nestle, Nestle nutrition, Nursing home, Nursing home residents, Nursing homes, Nutr, Nutr clin pract, Nutr health, Nutritional, Nutritional evaluation, Nutritional risk, Nutritional risk screening, Nutritional screening, Nutritional status, Older adults, Older people, Older persons, Present study, Prevalence, Rehabilitation units, Research grant, Screening, Screening tool, Statistical analysis, Study participants, Study population, Tommy cederholm, Vellas, Wolfgang uter, Yves guigoz.
Abstract
OBJECTIVES: To provide pooled data on the prevalence of malnutrition in elderly people as evaluated using the Mini Nutritional Assessment (MNA).
Url:
DOI: 10.1111/j.1532-5415.2010.03016.x
Links to Exploration step
ISTEX:DE9B55CF29DAE3508235F3877872BCB3C0BA567ALe document en format XML
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Kaiser</name><affiliation><mods:affiliation>From the Institute for Biomedicine of Aging</mods:affiliation></affiliation></author><author><name sortKey="Bauer, Jurgen M" sort="Bauer, Jurgen M" uniqKey="Bauer J" first="Jürgen M." last="Bauer">Jürgen M. Bauer</name><affiliation><mods:affiliation>From the Institute for Biomedicine of Aging</mods:affiliation></affiliation></author><author><name sortKey="R Msch, Christiane" sort="R Msch, Christiane" uniqKey="R Msch C" first="Christiane" last="R Msch">Christiane R Msch</name><affiliation><mods:affiliation>Department of Medical Informatics, Biometry and Epidemiology, Friedrich‐Alexander University Erlangen‐Nürnberg, Erlangen, Germany</mods:affiliation></affiliation></author><author><name sortKey="Uter, Wolfgang" sort="Uter, Wolfgang" uniqKey="Uter W" first="Wolfgang" last="Uter">Wolfgang Uter</name><affiliation><mods:affiliation>Department of Medical Informatics, Biometry and Epidemiology, Friedrich‐Alexander University Erlangen‐Nürnberg, Erlangen, Germany</mods:affiliation></affiliation></author><author><name sortKey="Guigoz, Yves" sort="Guigoz, Yves" uniqKey="Guigoz Y" first="Yves" last="Guigoz">Yves Guigoz</name><affiliation><mods:affiliation>Nestlé Nutrition/HealthCare Nutrition, Gland, Switzerland</mods:affiliation></affiliation></author><author><name sortKey="Cederholm, Tommy" sort="Cederholm, Tommy" uniqKey="Cederholm T" first="Tommy" last="Cederholm">Tommy Cederholm</name><affiliation><mods:affiliation>Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden</mods:affiliation></affiliation></author><author><name sortKey="Thomas, David R" sort="Thomas, David R" uniqKey="Thomas D" first="David R." last="Thomas">David R. 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Kaiser MD</name><affiliations><json:string>From the Institute for Biomedicine of Aging</json:string></affiliations></json:item><json:item><name>Jürgen M. Bauer MD</name><affiliations><json:string>From the Institute for Biomedicine of Aging</json:string></affiliations></json:item><json:item><name>Christiane Rämsch Dipl.‐Biomath. (FH)</name><affiliations><json:string>Department of Medical Informatics, Biometry and Epidemiology, Friedrich‐Alexander University Erlangen‐Nürnberg, Erlangen, Germany</json:string></affiliations></json:item><json:item><name>Wolfgang Uter MD</name><affiliations><json:string>Department of Medical Informatics, Biometry and Epidemiology, Friedrich‐Alexander University Erlangen‐Nürnberg, Erlangen, Germany</json:string></affiliations></json:item><json:item><name>Yves Guigoz PhD</name><affiliations><json:string>Nestlé Nutrition/HealthCare Nutrition, Gland, Switzerland</json:string></affiliations></json:item><json:item><name>Tommy Cederholm MD, PhD</name><affiliations><json:string>Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden</json:string></affiliations></json:item><json:item><name>David R. Thomas MD</name><affiliations><json:string>Division of Geriatric Medicine, Saint Louis University Health Sciences Center, St. Louis, Missouri</json:string></affiliations></json:item><json:item><name>Patricia S. Anthony MS, RD</name><affiliations><json:string>Nestlé Nutrition/HealthCare Nutrition, Gland, Switzerland</json:string></affiliations></json:item><json:item><name>Karen E. Charlton PhD</name><affiliations><json:string>School of Health Sciences, Faculty of Health and Behavioral Sciences, University of Wollongong, Wollongong, Australia</json:string></affiliations></json:item><json:item><name>Marcello Maggio MD, PhD</name><affiliations><json:string>Department of Internal Medicine and Biomedical Sciences, Section of Geriatrics, University Hospital of Parma, Parma, Italy</json:string></affiliations></json:item><json:item><name>Alan C. Tsai PhD</name><affiliations><json:string>Graduate Institute of Long‐Term Care, Department of Healthcare Administration, Asia University, Taiwan, ROC</json:string></affiliations></json:item><json:item><name>Bruno Vellas MD, PhD</name><affiliations><json:string>CHU Toulouse, Inserm U558, Department of Geriatric Medicine, Toulouse, France.</json:string></affiliations></json:item><json:item><name>Cornel C. Sieber MD</name><affiliations><json:string>From the Institute for Biomedicine of Aging</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>malnutrition</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>undernutrition</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Mini Nutritional Assessment</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>elderly</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>nutritional screening</value></json:item></subject><articleId><json:string>JGS3016</json:string></articleId><arkIstex>ark:/67375/WNG-F6QC8PPX-L</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>OBJECTIVES: To provide pooled data on the prevalence of malnutrition in elderly people as evaluated using the Mini Nutritional Assessment (MNA).</abstract><qualityIndicators><score>5.677</score><pdfWordCount>3425</pdfWordCount><pdfCharCount>22584</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>5</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>21</abstractWordCount><abstractCharCount>144</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>Frequency of Malnutrition in Older Adults: A Multinational Perspective Using the Mini Nutritional Assessment</title><pmid><json:string>20863332</json:string></pmid><corporate><json:item><name>for the Mini Nutritional Assessment International Group</name></json:item></corporate><genre><json:string>article</json:string></genre><host><title>Journal of the American Geriatrics Society</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1532-5415</json:string></doi><issn><json:string>0002-8614</json:string></issn><eissn><json:string>1532-5415</json:string></eissn><publisherId><json:string>JGS</json:string></publisherId><volume>58</volume><issue>9</issue><pages><first>1734</first><last>1738</last><total>5</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2009</json:string><json:string>2000</json:string><json:string>2010</json:string></date><geogName></geogName><orgName><json:string>Health Sciences Center</json:string><json:string>University Hospital of Parma, Parma, Italy</json:string><json:string>Uppsala University</json:string><json:string>Australia, Asia, Africa, and the United States</json:string><json:string>American Geriatrics Society</json:string><json:string>Society for Clinical Nutrition and Metabolism</json:string><json:string>Department of Public Health and Caring Sciences</json:string><json:string>Saint Louis University</json:string><json:string>ESPEN Working Group.</json:string><json:string>Friedrich-Alexander University</json:string><json:string>SAS Institute, Cary, NC</json:string><json:string>MNA International Group</json:string><json:string>Department of Geriatric Medicine, Toulouse, France</json:string><json:string>ÃÃ Department of Internal Medicine and Biomedical Sciences</json:string><json:string>Institute for Biomedicine of Aging, Friedrich-Alexander University Erlangen-Nurnberg, Heimerichstrasse</json:string><json:string>Characteristic Rehabilitation Community Nursing Home Hospital Table</json:string><json:string>Nestec Ltd.</json:string><json:string>Geriatrics Congress</json:string><json:string>Division of Geriatric Medicine</json:string><json:string>Institute of Long-Term Care, Department of Healthcare Administration, Asia University, Taiwan, ROC</json:string><json:string>University of Wollongong</json:string><json:string>Nutrition</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Karen E. Charlton</json:string><json:string>Cornel C. Sieber</json:string><json:string>David R. Thomas</json:string><json:string>Christiane Ramsch</json:string><json:string>Alan C. Tsai</json:string><json:string>Wolfgang Uter</json:string><json:string>Jurgen M. Bauer</json:string><json:string>Marcello Maggio</json:string><json:string>Matthias J. Kaiser</json:string><json:string>To</json:string><json:string>Patricia S. Anthony</json:string><json:string>Yves Guigoz</json:string><json:string>Tommy Cederholm</json:string></persName><placeName><json:string>Uppsala</json:string><json:string>Paris</json:string><json:string>Switzerland</json:string><json:string>Nuremberg</json:string><json:string>Germany</json:string><json:string>United States</json:string><json:string>Australia</json:string><json:string>Austria</json:string><json:string>Vevey</json:string><json:string>Erlangen</json:string><json:string>Japan</json:string><json:string>South Africa</json:string><json:string>Vienna</json:string><json:string>Toulouse</json:string><json:string>Wollongong</json:string><json:string>Lausanne</json:string><json:string>France</json:string><json:string>Italy</json:string><json:string>Sweden</json:string><json:string>Spain</json:string><json:string>Belgium</json:string><json:string>Netherlands</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>October 2008</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-F6QC8PPX-L</json:string></ark><categories><wos><json:string>1 - social science</json:string><json:string>2 - gerontology</json:string><json:string>1 - science</json:string><json:string>2 - geriatrics & gerontology</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - geriatrics</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Geriatrics and Gerontology</json:string></scopus></categories><publicationDate>2010</publicationDate><copyrightDate>2010</copyrightDate><doi><json:string>10.1111/j.1532-5415.2010.03016.x</json:string></doi><id>DE9B55CF29DAE3508235F3877872BCB3C0BA567A</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/DE9B55CF29DAE3508235F3877872BCB3C0BA567A/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/DE9B55CF29DAE3508235F3877872BCB3C0BA567A/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/DE9B55CF29DAE3508235F3877872BCB3C0BA567A/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Frequency of Malnutrition in Older Adults: A Multinational Perspective Using the Mini Nutritional Assessment</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><availability><licence>© 2010, Copyright the Authors. Journal compilation © 2010, The American Geriatrics Society</licence></availability><date type="published" when="2010-09"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Frequency of Malnutrition in Older Adults: A Multinational Perspective Using the Mini Nutritional Assessment</title><title level="a" type="short">FREQUENCY OF MALNUTRITION IN THE ELDERLY</title><author xml:id="author-0000"><persName><forename type="first">Matthias J.</forename><surname>Kaiser</surname><roleName type="degree">MD</roleName></persName><affiliation>From the Institute for Biomedicine of Aging</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Jürgen M.</forename><surname>Bauer</surname><roleName type="degree">MD</roleName></persName><affiliation>From the Institute for Biomedicine of Aging</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Christiane</forename><surname>Rämsch</surname><roleName type="degree">Dipl.‐Biomath. (FH)</roleName></persName><affiliation>Department of Medical Informatics, Biometry and Epidemiology, Friedrich‐Alexander University Erlangen‐Nürnberg, Erlangen, Germany<address><country key="DE"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Wolfgang</forename><surname>Uter</surname><roleName type="degree">MD</roleName></persName><affiliation>Department of Medical Informatics, Biometry and Epidemiology, Friedrich‐Alexander University Erlangen‐Nürnberg, Erlangen, Germany<address><country key="DE"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Yves</forename><surname>Guigoz</surname><roleName type="degree">PhD</roleName></persName><affiliation>Nestlé Nutrition/HealthCare Nutrition, Gland, Switzerland<address><country key="CH"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Tommy</forename><surname>Cederholm</surname><roleName type="degree">MD, PhD</roleName></persName><affiliation>Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden<address><country key="SE"></country></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">David R.</forename><surname>Thomas</surname><roleName type="degree">MD</roleName></persName><affiliation>Division of Geriatric Medicine, Saint Louis University Health Sciences Center, St. Louis, Missouri<address><country key="US"></country></address></affiliation></author><author xml:id="author-0007"><persName><forename type="first">Patricia S.</forename><surname>Anthony</surname><roleName type="degree">MS, RD</roleName></persName><affiliation>Nestlé Nutrition/HealthCare Nutrition, Gland, Switzerland<address><country key="CH"></country></address></affiliation></author><author xml:id="author-0008"><persName><forename type="first">Karen E.</forename><surname>Charlton</surname><roleName type="degree">PhD</roleName></persName><affiliation>School of Health Sciences, Faculty of Health and Behavioral Sciences, University of Wollongong, Wollongong, Australia<address><country key="AU"></country></address></affiliation></author><author xml:id="author-0009"><persName><forename type="first">Marcello</forename><surname>Maggio</surname><roleName type="degree">MD, PhD</roleName></persName><affiliation>Department of Internal Medicine and Biomedical Sciences, Section of Geriatrics, University Hospital of Parma, Parma, Italy<address><country key="IT"></country></address></affiliation></author><author xml:id="author-0010"><persName><forename type="first">Alan C.</forename><surname>Tsai</surname><roleName type="degree">PhD</roleName></persName><affiliation>Graduate Institute of Long‐Term Care, Department of Healthcare Administration, Asia University, Taiwan, ROC</affiliation></author><author xml:id="author-0011"><persName><forename type="first">Bruno</forename><surname>Vellas</surname><roleName type="degree">MD, PhD</roleName></persName><affiliation>CHU Toulouse, Inserm U558, Department of Geriatric Medicine, Toulouse, France.<address><country key="FR"></country></address></affiliation></author><author xml:id="author-0012"><persName><forename type="first">Cornel C.</forename><surname>Sieber</surname><roleName type="degree">MD</roleName></persName><affiliation>From the Institute for Biomedicine of Aging</affiliation></author><author xml:id="author-0013"><author><orgName>for the Mini Nutritional Assessment International Group</orgName></author></author><idno type="istex">DE9B55CF29DAE3508235F3877872BCB3C0BA567A</idno><idno type="ark">ark:/67375/WNG-F6QC8PPX-L</idno><idno type="DOI">10.1111/j.1532-5415.2010.03016.x</idno><idno type="unit">JGS3016</idno><idno type="supplier">3016</idno><idno type="toTypesetVersion">file:JGS.JGS3016.pdf</idno></analytic><monogr><title level="j" type="main">Journal of the American Geriatrics Society</title><title level="j" type="alt">JOURNAL OF AMERICAN GERIATRICS SOCIETY</title><idno type="pISSN">0002-8614</idno><idno type="eISSN">1532-5415</idno><idno type="book-DOI">10.1111/(ISSN)1532-5415</idno><idno type="book-part-DOI">10.1111/jgs.2010.58.issue-9</idno><idno type="product">JGS</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">58</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1734">1734</biblScope><biblScope unit="page" to="1738">1738</biblScope><biblScope unit="page-count">5</biblScope><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2010-09"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">OBJECTIVES: </hi> To provide pooled data on the prevalence of malnutrition in elderly people as evaluated using the Mini Nutritional Assessment (MNA).</p><p><hi rend="bold">DESIGN: </hi> Retrospective pooled analysis of previously published datasets.</p><p><hi rend="bold">SETTING: </hi> Hospital, rehabilitation, nursing home, community.</p><p><hi rend="bold">PARTICIPANTS: </hi> Four thousand five hundred seven people (75.2% female) with a mean age of 82.3.</p><p><hi rend="bold">MEASUREMENTS: </hi> The prevalence of malnutrition in the combined database and in the four settings was examined.</p><p><hi rend="bold">RESULTS: </hi> Twenty‐four data sets with information on full MNA classification from researchers from 12 countries were submitted. In the combined database, the prevalence of malnutrition was 22.8%, with considerable differences between the settings (rehabilitation, 50.5%; hospital, 38.7%; nursing home, 13.8%; community, 5.8%). In the combined database, the “at risk” group had a prevalence of 46.2%. Consequently, approximately two‐thirds of study participants were at nutritional risk or malnourished.</p><p><hi rend="bold">CONCLUSION: </hi> The MNA has gained worldwide acceptance and shows a high prevalence of malnutrition in different settings, except for the community. Because of its specific geriatric focus, the MNA should be recommended as the basis for nutritional evaluation in older people.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">malnutrition</term><term xml:id="k2">undernutrition</term><term xml:id="k3">Mini Nutritional Assessment</term><term xml:id="k4">elderly</term><term xml:id="k5">nutritional screening</term></keywords><keywords rend="tocHeading1"><term>Brief Reports</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/DE9B55CF29DAE3508235F3877872BCB3C0BA567A/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Inc</publisherName><publisherLoc>Malden, USA</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1532-5415</doi><issn type="print">0002-8614</issn><issn type="electronic">1532-5415</issn><idGroup><id type="product" value="JGS"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF AMERICAN GERIATRICS SOCIETY">Journal of the American Geriatrics Society</title></titleGroup></publicationMeta><publicationMeta level="part" position="09109"><doi origin="wiley">10.1111/jgs.2010.58.issue-9</doi><numberingGroup><numbering type="journalVolume" number="58">58</numbering><numbering type="journalIssue" number="9">9</numbering></numberingGroup><coverDate startDate="2010-09">September 2010</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="16" status="forIssue"><doi origin="wiley">10.1111/j.1532-5415.2010.03016.x</doi><idGroup><id type="unit" value="JGS3016"></id><id type="supplier" value="3016"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="tocHeading1">Brief Reports</title></titleGroup><copyright>© 2010, Copyright the Authors. Journal compilation © 2010, The American Geriatrics Society</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.2.9 mode:FullText" date="2014-01-24"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.2.9 mode:FullText" date="2014-01-24"></event><event type="publishedOnlineFinalForm" date="2010-09-02"></event><event type="firstOnline" date="2010-09-02"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="1734">1734</numbering><numbering type="pageLast" number="1738">1738</numbering></numberingGroup><correspondenceTo>Address correspondence to Matthias J. Kaiser, Institute for Biomedicine of Aging, Friedrich‐Alexander University Erlangen‐Nürnberg, Heimerichstrasse 58, 90419 Nuremberg, Germany. E‐mail: <email normalForm="dr-kaiser@web.de">dr‐kaiser@web.de</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JGS.JGS3016.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="1"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="39"></count><count type="wordTotal" number="4205"></count><count type="linksCrossRef" number="51"></count></countGroup><titleGroup><title type="main">Frequency of Malnutrition in Older Adults: A Multinational Perspective Using the Mini Nutritional Assessment</title><title type="shortAuthors">KAISER ET AL.</title><title type="short">FREQUENCY OF MALNUTRITION IN THE ELDERLY</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Matthias J.</givenNames><familyName>Kaiser</familyName><degrees>MD</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>Jürgen M.</givenNames><familyName>Bauer</familyName><degrees>MD</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2"><personName><givenNames>Christiane</givenNames><familyName>Rämsch</familyName><degrees>Dipl.‐Biomath. (FH)</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a2"><personName><givenNames>Wolfgang</givenNames><familyName>Uter</familyName><degrees>MD</degrees></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a3"><personName><givenNames>Yves</givenNames><familyName>Guigoz</familyName><degrees>PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a4"><personName><givenNames>Tommy</givenNames><familyName>Cederholm</familyName><degrees>MD, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr7" affiliationRef="#a5"><personName><givenNames>David R.</givenNames><familyName>Thomas</familyName><degrees>MD</degrees></personName></creator><creator creatorRole="author" xml:id="cr8" affiliationRef="#a3"><personName><givenNames>Patricia S.</givenNames><familyName>Anthony</familyName><degrees>MS, RD</degrees></personName></creator><creator creatorRole="author" xml:id="cr9" affiliationRef="#a6"><personName><givenNames>Karen E.</givenNames><familyName>Charlton</familyName><degrees>PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr10" affiliationRef="#a7"><personName><givenNames>Marcello</givenNames><familyName>Maggio</familyName><degrees>MD, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr11" affiliationRef="#a8"><personName><givenNames>Alan C.</givenNames><familyName>Tsai</familyName><degrees>PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr12" affiliationRef="#a9"><personName><givenNames>Bruno</givenNames><familyName>Vellas</familyName><degrees>MD, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr13" affiliationRef="#a1"><personName><givenNames>Cornel C.</givenNames><familyName>Sieber</familyName><degrees>MD</degrees></personName></creator><creator creatorRole="author" xml:id="cr14"><groupName>for the Mini Nutritional Assessment International Group</groupName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>From the Institute for Biomedicine of Aging</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="DE"><unparsedAffiliation>Department of Medical Informatics, Biometry and Epidemiology, Friedrich‐Alexander University Erlangen‐Nürnberg, Erlangen, Germany</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="CH"><unparsedAffiliation>Nestlé Nutrition/HealthCare Nutrition, Gland, Switzerland</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="SE"><unparsedAffiliation>Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden</unparsedAffiliation></affiliation><affiliation xml:id="a5" countryCode="US"><unparsedAffiliation>Division of Geriatric Medicine, Saint Louis University Health Sciences Center, St. Louis, Missouri</unparsedAffiliation></affiliation><affiliation xml:id="a6" countryCode="AU"><unparsedAffiliation>School of Health Sciences, Faculty of Health and Behavioral Sciences, University of Wollongong, Wollongong, Australia</unparsedAffiliation></affiliation><affiliation xml:id="a7" countryCode="IT"><unparsedAffiliation>Department of Internal Medicine and Biomedical Sciences, Section of Geriatrics, University Hospital of Parma, Parma, Italy</unparsedAffiliation></affiliation><affiliation xml:id="a8"><unparsedAffiliation>Graduate Institute of Long‐Term Care, Department of Healthcare Administration, Asia University, Taiwan, ROC</unparsedAffiliation></affiliation><affiliation xml:id="a9" countryCode="FR"><unparsedAffiliation>CHU Toulouse, Inserm U558, Department of Geriatric Medicine, Toulouse, France.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">malnutrition</keyword><keyword xml:id="k2">undernutrition</keyword><keyword xml:id="k3">Mini Nutritional Assessment</keyword><keyword xml:id="k4">elderly</keyword><keyword xml:id="k5">nutritional screening</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>OBJECTIVES: </b> To provide pooled data on the prevalence of malnutrition in elderly people as evaluated using the Mini Nutritional Assessment (MNA).</p><p><b>DESIGN: </b> Retrospective pooled analysis of previously published datasets.</p><p><b>SETTING: </b> Hospital, rehabilitation, nursing home, community.</p><p><b>PARTICIPANTS: </b> Four thousand five hundred seven people (75.2% female) with a mean age of 82.3.</p><p><b>MEASUREMENTS: </b> The prevalence of malnutrition in the combined database and in the four settings was examined.</p><p><b>RESULTS: </b> Twenty‐four data sets with information on full MNA classification from researchers from 12 countries were submitted. In the combined database, the prevalence of malnutrition was 22.8%, with considerable differences between the settings (rehabilitation, 50.5%; hospital, 38.7%; nursing home, 13.8%; community, 5.8%). In the combined database, the “at risk” group had a prevalence of 46.2%. Consequently, approximately two‐thirds of study participants were at nutritional risk or malnourished.</p><p><b>CONCLUSION: </b> The MNA has gained worldwide acceptance and shows a high prevalence of malnutrition in different settings, except for the community. Because of its specific geriatric focus, the MNA should be recommended as the basis for nutritional evaluation in older people.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Frequency of Malnutrition in Older Adults: A Multinational Perspective Using the Mini Nutritional Assessment</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>FREQUENCY OF MALNUTRITION IN THE ELDERLY</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Frequency of Malnutrition in Older Adults: A Multinational Perspective Using the Mini Nutritional Assessment</title></titleInfo><name type="personal"><namePart type="given">Matthias J.</namePart><namePart type="family">Kaiser</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Institute for Biomedicine of Aging</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jürgen M.</namePart><namePart type="family">Bauer</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Institute for Biomedicine of Aging</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Christiane</namePart><namePart type="family">Rämsch</namePart><namePart type="termsOfAddress">Dipl.‐Biomath. (FH)</namePart><affiliation>Department of Medical Informatics, Biometry and Epidemiology, Friedrich‐Alexander University Erlangen‐Nürnberg, Erlangen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Wolfgang</namePart><namePart type="family">Uter</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Medical Informatics, Biometry and Epidemiology, Friedrich‐Alexander University Erlangen‐Nürnberg, Erlangen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Yves</namePart><namePart type="family">Guigoz</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Nestlé Nutrition/HealthCare Nutrition, Gland, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Tommy</namePart><namePart type="family">Cederholm</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">David R.</namePart><namePart type="family">Thomas</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Division of Geriatric Medicine, Saint Louis University Health Sciences Center, St. Louis, Missouri</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Patricia S.</namePart><namePart type="family">Anthony</namePart><namePart type="termsOfAddress">MS, RD</namePart><affiliation>Nestlé Nutrition/HealthCare Nutrition, Gland, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Karen E.</namePart><namePart type="family">Charlton</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>School of Health Sciences, Faculty of Health and Behavioral Sciences, University of Wollongong, Wollongong, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marcello</namePart><namePart type="family">Maggio</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Internal Medicine and Biomedical Sciences, Section of Geriatrics, University Hospital of Parma, Parma, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alan C.</namePart><namePart type="family">Tsai</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Graduate Institute of Long‐Term Care, Department of Healthcare Administration, Asia University, Taiwan, ROC</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Bruno</namePart><namePart type="family">Vellas</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>CHU Toulouse, Inserm U558, Department of Geriatric Medicine, Toulouse, France.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Cornel C.</namePart><namePart type="family">Sieber</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Institute for Biomedicine of Aging</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="corporate"><namePart>for the Mini Nutritional Assessment International Group</namePart><description>From the Institute for Biomedicine of AgingDepartment of Medical Informatics, Biometry and Epidemiology, Friedrich‐Alexander University Erlangen‐Nürnberg, Erlangen, GermanyNestlé Nutrition/HealthCare Nutrition, Gland, SwitzerlandClinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, SwedenDivision of Geriatric Medicine, Saint Louis University Health Sciences Center, St. Louis, MissouriSchool of Health Sciences, Faculty of Health and Behavioral Sciences, University of Wollongong, Wollongong, AustraliaDepartment of Internal Medicine and Biomedical Sciences, Section of Geriatrics, University Hospital of Parma, Parma, ItalyGraduate Institute of Long‐Term Care, Department of Healthcare Administration, Asia University, Taiwan, ROCCHU Toulouse, Inserm U558, Department of Geriatric Medicine, Toulouse, France.</description></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Inc</publisher><place><placeTerm type="text">Malden, USA</placeTerm></place><dateIssued encoding="w3cdtf">2010-09</dateIssued><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">1</extent><extent unit="tables">1</extent><extent unit="formulas">0</extent><extent unit="references">39</extent><extent unit="linksCrossRef">51</extent><extent unit="words">4205</extent></physicalDescription><abstract>OBJECTIVES: To provide pooled data on the prevalence of malnutrition in elderly people as evaluated using the Mini Nutritional Assessment (MNA).</abstract><abstract>DESIGN: Retrospective pooled analysis of previously published datasets.</abstract><abstract>SETTING: Hospital, rehabilitation, nursing home, community.</abstract><abstract>PARTICIPANTS: Four thousand five hundred seven people (75.2% female) with a mean age of 82.3.</abstract><abstract>MEASUREMENTS: The prevalence of malnutrition in the combined database and in the four settings was examined.</abstract><abstract>RESULTS: Twenty‐four data sets with information on full MNA classification from researchers from 12 countries were submitted. In the combined database, the prevalence of malnutrition was 22.8%, with considerable differences between the settings (rehabilitation, 50.5%; hospital, 38.7%; nursing home, 13.8%; community, 5.8%). In the combined database, the “at risk” group had a prevalence of 46.2%. Consequently, approximately two‐thirds of study participants were at nutritional risk or malnourished.</abstract><abstract>CONCLUSION: The MNA has gained worldwide acceptance and shows a high prevalence of malnutrition in different settings, except for the community. Because of its specific geriatric focus, the MNA should be recommended as the basis for nutritional evaluation in older people.</abstract><subject lang="en"><genre>keywords</genre><topic>malnutrition</topic><topic>undernutrition</topic><topic>Mini Nutritional Assessment</topic><topic>elderly</topic><topic>nutritional screening</topic></subject><relatedItem type="host"><titleInfo><title>Journal of the American Geriatrics Society</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0002-8614</identifier><identifier type="eISSN">1532-5415</identifier><identifier type="DOI">10.1111/(ISSN)1532-5415</identifier><identifier type="PublisherID">JGS</identifier><part><date>2010</date><detail type="volume"><caption>vol.</caption><number>58</number></detail><detail type="issue"><caption>no.</caption><number>9</number></detail><extent unit="pages"><start>1734</start><end>1738</end><total>5</total></extent></part></relatedItem><identifier type="istex">DE9B55CF29DAE3508235F3877872BCB3C0BA567A</identifier><identifier type="ark">ark:/67375/WNG-F6QC8PPX-L</identifier><identifier type="DOI">10.1111/j.1532-5415.2010.03016.x</identifier><identifier type="ArticleID">JGS3016</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2010, Copyright the Authors. 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