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The SNAQ(RC), an easy traffic light system as a first step in the recognition of undernutrition in residential care
- Source :
- Journal of Nutrition Health & Aging, 14(2), 83-89. Springer, Journal of Nutrition, Health & Aging, 14, 83-9, Journal of Nutrition, Health & Aging, 14, 2, pp. 83-9, Journal of Nutrition Health and Aging, 14, 83-93. Springer Paris, Kruizenga, H M, van Marissing, C M E, Stassen, E E P M, Strijk, J E, de Vet, H C W, van Bokhorst-de van der Schueren, M A E, Horman, J C H, Schols, J M G A, van Binsbergen, J J, Eleins, A, Knol, D L & Visser, M 2010, ' The SNAQrc, an easy traffic light system as a first step in the recognition of undernutrition in residential care. ', Journal of Nutrition Health and Aging, vol. 14, pp. 83-93 . https://doi.org/10.1007/s12603-009-0147-1
- Publication Year :
- 2010
-
Abstract
- Contains fulltext : 88987.pdf (Publisher’s version ) (Closed access) OBJECTIVE: Development and validation of a quick and easy screening tool for the early detection of undernourished residents in nursing homes and residential homes. DESIGN: Multi-center, cross sectional observational study. SETTING: Nursing homes and residential homes. PARTICIPANTS: The screening tool was developed in a total of 308 residents (development sample; sample A) and cross validated in a new sample of 720 residents (validation sample) consisting of 476 nursing home residents (Sample B1) and 244 residential home residents (sample B2). MEASUREMENTS: Patients were defined severely undernourished when they met at least one of the following criteria: BMI or= 5% unintentional weight loss in the past month and/or >or= 10% unintentional weight loss in the past 6 months. Patients were defined as moderately undernourished if they met the following criteria: BMI 20.1-22 kg/m2 and/or 5-10% unintentional weight loss in the past six months. The most predictive questions (originally derived from previously developed screening instruments) of undernourishment were selected in sample A and cross validated in sample B. In a second stage BMI was added to the SNAQRC in sample B. The diagnostic accuracy of the screening tool in the development and validation samples was expressed in sensitivity, specificity, and the negative and positive predictive value. RESULTS: The four most predictive questions for undernutrition related to: unintentional weight loss more than 6 kg during the past 6 months and more than 3 kg in the past month, capability of eating and drinking with help, and decreased appetite during the past month. The diagnostic accuracy of these questions alone was insufficient (Se=45%, Sp=87%, PPV=50% and NPV=84%). However, combining the questions with measured BMI sufficiently improved the diagnostic accuracy (Se=87%, Sp=82%, PPV=59% and NPV=95%). CONCLUSION: Early detection of undernourished nursing- and residential home residents is possible using four screening questions and measured BMI. 01 februari 2010
- Subjects :
- Gerontology
Male
Aging
residential home
Medicine (miscellaneous)
Early detection
Nutritional Status
Sensitivity and Specificity
Residential Facilities
Body Mass Index
Traffic signal
Residential care
Predictive Value of Tests
Risk Factors
Surveys and Questionnaires
Weight Loss
Medicine
Homes for the Aged
Humans
Mass Screening
Screening tool
Geriatric Assessment
reproductive and urinary physiology
Mass screening
Aged
Netherlands
undernutrition screening tool
Aged, 80 and over
Nutrition and Dietetics
business.industry
Malnutrition
food and beverages
nutritional and metabolic diseases
Reproducibility of Results
Undernutrition
Effective primary care and public health [NCEBP 7]
medicine.disease
SNAQ
body regions
Long stay
nursing home
Nutrition Assessment
Female
Medical emergency
Geriatrics and Gerontology
Nursing homes
business
Subjects
Details
- ISSN :
- 12797707
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Journal of Nutrition, Health & Aging
- Accession number :
- edsair.doi.dedup.....ae64815512d08372a7e938d9e04c31ec