Prospective Validation of the Modified Mini Nutritional Assessment Short-Forms in the Community, Nursing Home, and Rehabilitation Setting.

Objectives To validate the modified Mini Nutritional Assessment ( MNA) short-forms ( MNA- SFs) with respect to agreement with full MNA classification in the target populations of the MNA. Design Prospective analysis. Setting Community, nursing home, rehabilitation. Participants Six hundred fifty-seven individuals aged 65 and older (75.3% female; mean age 82.3 ± 7.4). Measurements Classification agreement between full MNA score and MNA- SF scores. Results Agreement between the full MNA and classification using the MNA- SFs was 84.6% when the MNA- SF using body mass index ( BMI) was applied and 81.4% when the MNA- SF using calf circumference ( CC) was applied. The highest agreement of classification was found in the community setting (90.8% and 90.4%, respectively) and the lowest in the rehabilitation setting (72.4% and 71.4%, respectively). Both MNA- SFs tended to underestimate nutritional status, but that was significant only for the MNA- SF with CC. Conclusion The modified MNA- SFs represent a valuable tool for rapid and reliable nutritional screening. [ABSTRACT FROM AUTHOR]