Author(s): Tsai, AC (Tsai, Alan C.); Chou, YT (Chou, Yuan-Ti); Chang, TL (Chang, Tsui-Lan);
Chang-Lee, SN (Chang-Lee, Shu-Nu); Tsay, SF (Tsay, Shwu-Feng)
Title: A modified Mini Nutritional Assessment without BMI can effectively assess the nutritional status of neuropsychiatric patients
Source: JOURNAL OF CLINICAL NURSING, 18 (13): 1916-1922 JUL 2009 Language: English
Document Type: Article
Author Keywords: assessment; mental health; nurses; nursing; nutrition; older people KeyWords Plus: ELDERLY TAIWANESE; MENTAL-HEALTH; PEOPLE; RISK;
SCHIZOPHRENIA; MALNUTRITION; DISORDERS
Abstract: To determine whether a modified version of the Mini Nutritional Assessment (MNA) without body mass index (BMI) can effectively identify individuals at risk of malnutrition among patients with neuropsychiatric disorders.
Neuropsychiatric patients have an additional risk of nutritional disorder due to functional impairments and drug effects. However, their nutritional status is generally neglected. It is important to find a tool that is simple, easy to use and non-invasive.
The study involved 105 patients in the acute phase of confirmed neuropsychiatric disorders in an area hospital. All subjects were cognitively able to have effective verbal communication.
The study included serum biochemical and anthropometric measurements and an on-site, in- person interview using a structured questionnaire to elicit personal data, health condition and answers to questions in the MNA. Subjects' nutritional statuses were graded with a MNA that adopted population-specific anthropometric cut-off points or one further with the BMI question removed and its assigned score redistributed to other anthropometric questions.
Both versions of the modified MNA effectively graded the nutritional status of neuropsychiatric patients and showed good correlations with the major nutritional indicators such as BMI, calf circumference and the length of hospital stay.
The MNA can effectively assess the nutritional status of neuropsychiatric patients and enhance timely detection and intervention of their nutritional disorders. A modified MNA without the BMI question can maintain the full functionality of the tool. The version does not require weight and height measurements and thus will enhance the usefulness of the instrument.
Neuropsychiatric patients are a high-risk group of nutritional disorders. The MNA, especially the one without BMI, has the potential to improve professional efficiency of the primary care workers.
Addresses: [Tsai, Alan C.] Univ Michigan, Sch Publ Hlth, Dept Environm Hlth Sci, Ann Arbor, MI 48109 USA; [Tsai, Alan C.; Chou, Yuan-Ti; Chang, Tsui-Lan; Chang-Lee, Shu-Nu] Asia Univ, Dept Healthcare Adm, Taichung, Taiwan; [Tsay, Shwu-Feng] China Med Univ, Dept Hlth
Serv Management, Taichung, Taiwan
Reprint Address: Tsai, AC, 3411 E Dobson Pl, Ann Arbor, MI 48105 USA.
E-mail Address: atsai@umich.edu Funding Acknowledgement:
Funding Agency Grant Number
Bureau of Nursing
Health Services Development of the Department of Health of Taiwan
This study was supported by a grant-in-aid provided by the Bureau of Nursing and Health Services Development of the Department of Health of Taiwan. The authors wish to thank the hospital for permitting the interviews, the care workers for assisting in the interview process and the participants for their cooperation during the course of this study.
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Publisher: WILEY-BLACKWELL PUBLISHING, INC
Publisher Address: COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA ISSN: 0962-1067
DOI: 10.1111/j.1365-2702.2008.02686.x 29-char Source Abbrev.: J CLIN NURS ISO Source Abbrev.: J. Clin. Nurs.
Source Item Page Count: 7 Subject Category: Nursing
ISI Document Delivery No.: 454UL
