The Mini Nutritional Assessment (MNA) Used in Screening Nutritional Status of Elderly –A Case Study of Senior Apartment in The Kaohsiung County

• Main Authors: Yueh-Ping Wang, 王月萍
• Other Authors: Chi-Ching Yang Ph.D.
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/04994938731417378081

碩士 === 國立屏東科技大學 === 食品科學系所 === 98 === The elderly people are the group whom need the care necessarily, The annual spending on health care for the elderly people has become a heavy burden on government finances in the developed countries;The malnutrition is common in senior citizens, which is closely correlated with morbidity and mortality. There is no single nutritional index can predict malnutrition status. Therefore, nothing is more important than to collect various kinds of nutritional index. The aims of this study are to evaluate nutritional status using variable methods and to identify the risk factors associated with poor nutritional status of the elderly people living in a senior apartment in Kaohsiung county.We enrolled 128 elderly (63 males and 65 females,who average age 81.05 ± 6.21 years 65~97years) .We assessed with Mini Nutritional Assessment (MNA),Activities of Daily Living (ADL),Instrumental Activities of Daily Living (IADL),24-hour dietary recall,Mini- Mental State Examination (MMSE).Anthropometric measures and biochemical analysis. Using MNA assessment, well-nourished 63.3% ,At risk of malnutrition 31.3% , elderly showed malnutrition 5.5% . Moreover, significant difference also presented in body weight (BW) 60.63 ± 10.26 vs 56.58 ± 10.89 vs 43.69 ± 4.63kg、body mass index (BMI) 24.83 ± 5.46 vs 23.14 ± 4.76 vs 18.87 ± 2.33、ideal body weight percentage(IBW%) 112.40 ± 24.96 vs 105.21 ± 21.64% vs 85.81.21 ± 10.63%, mid-arm circumference (MAC) 25.85 ± 4.09 vs 23.89 ± 2.92 vs 21.53 ± 2.18cm of anthropometric measures and albumin (Alb) 4.44 ± 1.68 vs 4.97 ± 5.05 vs 3.93 ± 0.43 g/dL,Hemoglobin (Hb) 13.34 ± 1.67 vs 12.92 ± 1.60 vs 11.89 ± 0.89 mg/dL of biochemical analysis. In addition, both gender and age had significant effects on anthropometric measures and biochemical analysis. In addition, both gender and age had significant difference on anthropometric measures and biochemical analysis. In a word, our study demonstrated that MNA shows a significant role on nutritional assessment of elderly living in a senior apartment. Nutrition status measured by MNA and variable nutrition indexes can improve the sensitivity and specificity on the nutritional status evaluation of elderly people, and confirm malnutrition effectively and provide appropriate nutritional intervention to improve the elderly peoples malnutrition in order to promote their health.