Using the Mini Nutritional Assessment to Evaluate the Profile of Elderly Patients in a Geriatric Outpatient Clinic and in Long-Term Institutions


INTRODUCTION: The Mini Nutritional Assessment (MNA) is a scale developed to evaluate the risk of malnutrition in senior citizens and to identify those who might benefit from early intervention. The objective of this study was to verify the nutritional profile of elderly individuals through the application of the MNA in three different locations: at the Geriatric outpatient clinic and two long-term institutions. METHODS: Through transversal observation study the MNA was applied to 90 elderly people of both genders over 60 years of age. The MNA version modified by Rubenstein et al. [4] and translated into Portuguese was used to evaluate the patients for this study. The descriptive analysis of variables is shown as the average ± one standard deviation (SD). RESULTS: At the AG, the risk of malnutrition was found to be 72.73% ± 3.77%, while 27.27% ± 3.77% of the patients were eutrophic; no malnourished elderly patients were found. At the ASVP, 15.38% ± 11.28% of elderly patients were found to be malnourished, 35.90% ± 15.10% were found to be at risk of malnutrition and 48.72% ± 15.72% were eutrophic. At the PMI, 42.50% ± 15.30% of the elderly patients were found to be malnourished, 25% ± 13.40% were at risk of malnutrition and 32.50% ± 14.50% were eutrophic. CONCLUSIONS: Due to the high prevalence of elderly patients that were malnourished or at risk of malnutrition, a more detailed evaluation of their nutritional states is required, as well as a regular follow up of those patients and a dietary intervention to reverse the situation.

Share and Cite:

V. Caselato-Sousa, M. Guariento, G. Crosta, M. Pinto and V. Sgarbieri, "Using the Mini Nutritional Assessment to Evaluate the Profile of Elderly Patients in a Geriatric Outpatient Clinic and in Long-Term Institutions," International Journal of Clinical Medicine, Vol. 2 No. 5, 2011, pp. 582-587. doi: 10.4236/ijcm.2011.25096.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Y. Guigoz, B. Vellas and P. J. Garry, “Assessing the Nutritional Status of the Elderly: the Mini Nutritional Assessment as Part of the Geriatric Evaluation,” Nutrition Review, Vol. 54, 1996, pp. S59-S65. doi:10.1111/j.1753-4887.1996.tb03793.x
[2] B. Vellas, Y. Guigoz, P. J. Garry, F. Nourhashemi, S. Lauque and J. L. Albadere, “The Mini-Nutritional Assessment (MNA) and Its Use in Grading the Nutritional State of Elderly Patients,” Nutrition, Vol. 15, 1999, pp. 116- 122. doi:10.1016/S0899-9007(98)00171-3
[3] P. J. Garry and B. Vellas, “Practical and Validate use of the Mini Nutritional Assessment in Geriatric Evaluation,” Nutrition Clinical Care, Vol.2, No. 30, 1999, pp. 146-154. doi:10.1046/j.1523-5408.1999.00108.x
[4] L. Z. Rubenstein, J. O. Harker, A. Salva, Y. Guigoz and B. Vellas, “Screening for Undernutrition in Geriatric Practice: Developing the Short-form Mini Nutritional Assessment (MNA-SF),” Journals of Gerontology Medical Sciences, Vol. 56, No. 6, 2001, pp. M366-M372. doi:10.1093/gerona/56.6.M366
[5] A. M. Beck and L. Ovesen, “At Which Body Index and Degree of Weight Loss should Hospitalized Elderly Patients be Considered at Nutritional Risk?” Clinical Nutrition, Vol. 17, 1998, pp.195-198. doi:10.1016/S0261-5614(98)80058-7
[6] G. S. Sacks, K. Dearman, W. H. Repoglie, V. L. Cora, M. Meeks and T. Canada, “Use of Subjective Global Assessment to Identify Nutrition-Associated Complications and Death in Geriatric Long-Term Care Facility Residents,” American College of Nutrition, Vol. 19, 2001, pp. 570-577.
[7] “A Guide to Completing the Mini Nutritional Assessment—MNA,” 2008. mna_guide.pdf
[8] L. Christensson, M. Unosson and A. C. Ek, “Evaluation of Nutritional Assessment Techniques in Elderly People Newly Admitted to Municipal Care,” European Journal of Clinical Nutrition, Vol. 56, 2002, pp. 810-818. doi:10.1038/sj.ejcn.1601394
[9] A. Saletti, E. Y. Lindgren, L. Johansson and T. Ceterholm, “Nutritional Status According to Mini Nutritional Assessment in an Institutionalized Elderly Population in Sweden,” Gerontology, Vol. 46, 2000, pp. 136-145. doi:10.1159/000022149
[10] W. C. Chumlea, A. F. Roche and M. L. Steinbaugh, “Estimating Stature from Knee Height for Persons 60 to 90 Year of Age,” Journal of American Geriatric Society, Vol. 33, No. 2, 1985, pp. 116-120.
[11] M. Ayres, M. Ayres Jr, D. M. Ayres and A. S. Santos “Bio-Estat 3.0: Aplicacoes Estatísticas nas Areas das Ciências Biológicas e Médicas,” Sociedade Civil Mamirauá, Belém, 2003.
[12] Y. Guigoz, B. Vellas and P. J. Garry, “Mini Nutritional Assessment: A Practical Assessment Tool for Grading Nutritional State of Elderly Patients,” Facts Research of Gerontology, Vol. 4, No. 2, 1994, pp. S15-S59.
[13] J. M. Bauer and C. C. Sieber, “Significance and Diagnosis of Malnutrition in the Elderly,” Zeitschrift Arztl Fortbild Qualitat, Vol. 101, No. 9, 2007, pp. 605-609.
[14] M. Cuyac Lantigua and S. Santana Porbán, “The Mini Nutritional Assessment of the Elderly in the Practice of a Hospital Geriatrics Service: Inception, Validation and Operational Characteristics,” Archivos Latinoamericanos de Nutricion, Vol. 54, No. 3, 2007, pp. 255-265.
[15] L. Ferreira, L. F. Nascimento and M. F. N. Marucci, “Use of the Mini Nutritional Assessment Tool in Elderly People from Long-Term Institutions of Southeast of Brazil,” Journal of Nutrition, Health and Aging, Vol. 12, No. 3, 2008, pp. 213-217. doi:10.1007/BF02982623
[16] Y. Guigoz, S. Lauque and B. J. Vellas, “Identifying the Elderly at Risk for Malnutrition the Mini Nutritional Assessment,” Clinocal Geriatric Medical, Vol. 18, 2002, pp. 737-757. doi:10.1016/S0749-0690(02)00059-9
[17] R. R. Dalacorte, J. C. Moriguti, F. D. Matos, J. S. Marchini and E. Ferriolli, “Mini-Nutritional Assessment Score and the Risk for Undernutrition in Free-Living Older Persons,” Journal of Nutrition, Health and Aging, Vol. 8, 2004, pp. 531-534.
[18] M. D. Persson, K. E. Brismar, K. S. Katzarski, J. Nordenstr?m and T. E. Cederholm, “Nutritional Status Using Mini Nutritional Assessment and Subjective Global Assessment Predict Mortality in Geriatric Patients,” Journal of American Geriatrics Society, Vol. 50, No. 12, 2002, pp. 1996-2002. doi:10.1046/j.1532-5415.2002.50611.x
[19] L. Barone, B. Milosavljevic and B. Gazibarich, “Assessing the Older People: Is the MNA a More Appropriate Nutritional Assessment Tool than the SGA?” Journal of Nutrition, Health and Aging, Vol. 7, No. 1, 2003, pp. 13- 27.
[20] M. C. Van Nes, F. R. Herrmann, G. Gold, J. P. Michel and R. Rizzoli, “Does the Mini Nutritional Assessment Predict Hospitalization Outcomes in Older People?” Age in Aging, Vol. 30, 2001, pp. 221-226. doi:10.1093/ageing/30.3.221
[21] B. Vellas, Y. Guigoz, M. Baumgartner, P. J. Garry, S. Lauque and J. L. Albadere, “Relationships between Nutritional Markers and the Mini-Nutritional Assessment in 155 Older Persons,” American Geriatric Society, Vol. 48, 2000, pp. 1300-1309.
[22] K. Scheirlinckx, B. Vellas and P. J. Garry, “The MNA Score in People Who have Aged Successfully,” In: B. Vellas, P. J. Garry and Y. Guigoz, Eds., Nestle Nutrition Wokshop Series Clinical & Performance Programme, Nestec Ltd., Basel, 1999. p. 65-66.
[23] L. C. P. G. M. De Groot, A. M. Beck, M. Schroll and W. Van Staveren, “Evaluating the DETERMINE Your Nutritional Health Checklist and the Mini Nutritional Assessment as Tools to Identify Nutritional Problems in Elderly Europeans,” European Journal of Clinical Nutrition, Vol. 52, 1998, pp. 877-883. doi:10.1038/sj.ejcn.1600658
[24] B. M. Margetts, R. L. Thompson, M. Elia and A. A. Jackson, “Prevalence of Risk of Undernutrition is Associated with Poor Health Status in Older People in the UK,” European Journal of Clinical Nutrition, Vol. 57, No. 1, 2003, pp. 69-74. doi:10.1038/sj.ejcn.1601499
[25] B. Vellas, S. Lauque, S. Andrieu, F. Nourhashemi, Y. Roland, R. Baumgartner and P. J. Garry, “Nutrition Assessment in the Elderly,” Current Opinion in Clinical Nutrition and Metabolic Care, Vol. 4, No. 1, 2001, pp. 5-8. doi:10.1097/00075197-200101000-00002
[26] H. Soini, P. Routasalo and H. Langstr?m, “Characteristics of the Mini-Nutritional Assessment in Elderly Home- Care patients,” European Journal of Clinical Nutrition, Vol. 58, 2004, pp. 64-70. doi:10.1038/sj.ejcn.1601748
[27] S. Gillette-Gyonnet, F. Nourhashémi, S. Andrieu, I. Glisezinski, P. J. Ousset, D. Rivière, J. L. Albarède and B. Vellas, “Weight Loss in Alzheimer Disease,” American Journal of Clinical Nutrition, Vol. 71, 2000, pp. 637S-642S.
[28] L. N. Felix and E. M. T. Souza, “Avalia??o Nutricional de Idosos em uma Institui??o por Diferentes Instrumentos,” Revista Nutri??o, Vol. 22, No. 4, 2009, pp. 571-580.

Copyright © 2022 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.