Author(s): Tsai, AC (Tsai, Alan C.); Shih, CL (Shih, Chi-Ling)
Title: A population-specific Mini-Nutritional Assessment can effectively grade the nutritional status of stroke rehabilitation patients in Taiwan
Source: JOURNAL OF CLINICAL NURSING, 18 (1): 82-88 JAN 2009 Language: English
Document Type: Article
Author Keywords: malnutrition; nurses; nursing; nutritional assessment; stroke rehabilitation;
Taiwan
KeyWords Plus: MNA(R); SETTINGS
Abstract: To determine whether a modified version of the Mini-Nutritional Assessment without body mass index could effectively assess the nutritional risk status of stroke rehabilitation patients in Taiwan.
The Mini-Nutritional Assessment was developed on the basis of clinical data of Western populations. Although widely used, its application to assess stroke rehabilitation patients has been limited. Further, to get best results, population-specific modifications to address anthropometric and lifestyle differences have been suggested, especially for non-Caucasian populations.
The study assessed the nutritional status of stroke rehabilitation patients who enrolled in the Long-term Care Service of Taipei. Strokes who were > 40 years old, in the program for > 1 month and cognitively able to answer the questions were recruited to participate in the study.
An on-site in-person interview with structured questionnaire elicited information on personal data, disease history and healthcare use and answers to the Mini-Mental State Examination, the Activities of Daily Living and the Mini-Nutritional Assessment. Patient's nutritional status was assessed with the Mini-Nutritional Assessment in three versions: the original, population- specific (MNA-TI) and population-specific, without body mass index (MNA-TII).
The original Mini-Nutritional Assessment rated 24% of patients malnourished and 57% at risk of malnutrition. Similar results, 14 and 64%, respectively, for MNA-TI; and 19 and 57%, respectively, for MNA-TII were observed.
Both the original and the modified versions of the Mini-Nutritional Assessment can effectively rate the nutritional risk status of stroke rehabilitation patients in Taiwan. Version MNA-TII that adopted population-specific anthropometric cut-values but without body mass index can effectively predict the nutritional status of stroke patients.
The modified scale (MNA-TII) can enhance the application of the tool and timely detection and intervention of undernutrition among stroke rehabilitation patients. It can also help to improve job efficiency of the primary care professionals.
Addresses: Asia Univ, Grad Inst Long Term Care, Taichung 41354, Taiwan; [Shih, Chi-Ling]
Taipei City Hosp Heping Branch, Dept Phys Therapy, Taipei, Taiwan
Reprint Address: Tsai, AC, Asia Univ, Grad Inst Long Term Care, 500 Liufeng Rd, Taichung 41354, Taiwan.
E-mail Address: atsai@umich.edu
Cited References: *DEP HLTH, 2007, HLTH NAT HLTH INS AN.
BONNEFOY M, 2002, GERONTOLOGY, V48, P162.
BRYNNINGSEN PK, 2007, J NUTR HEALTH AGING, V11, P75.
CHUMLEA WC, 1999, NUTRITION, V15, P159.
CHUMLEA WC, 2006, J NUTR HEALTH AGING, V10, P524.
COMPAN B, 1999, J NUTR HEALTH AGING, V3, P146.
DENNIS M, 2000, BRIT MED BULL, V56, P466.
FINESTONE HM, 1995, ARCH PHYS MED REHAB, V76, P310.
GARIBALLA SE, 1998, AM J CLIN NUTR, V68, P275.
GUIGOZ Y, 1994, MINI NUTR ASSESSME S, V2, P15.
KENNEDY ET, 2006, AM J CLIN NUTR, V83, S410.
LANGKAMPHENKEN B, 2006, J NUTR HEALTH AGING, V10, P502.
LEE RD, 2003, NUTR ASSESSMENT, P216.
MAHONEY FI, 1965, MD STATE MED J, V14, P61.
NEWMARK SR, 1981, ARCH PHYS MED REHAB, V61, P279.
PERRY L, 2004, CLIN NUTR, V23, P1333, DOI 10.1016/j.clnu.2004.04.009.
TOMBAUGH TN, 1992, J AM GERIATR SOC, V40, P922.
TSAI AC, 2007, J NUTR HLTH IN PRESS.
TSAI ACH, 2007, ASIA PAC J CLIN NUTR, V16, P656.
VELLAS B, 2006, J NUTR HEALTH AGING, V10, P456.
VISVANATHAN R, 2003, J POSTGRAD MED, V49, P352.
WESTERGREN A, 2001, J CLIN NURS, V10, P257.
Cited Reference Count: 22 Times Cited: 1
Publisher: BLACKWELL PUBLISHING
Publisher Address: 9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLAND ISSN: 0962-1067
DOI: 10.1111/j.1365-2702.2008.02319.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.: 383OZ
