CLINICAL IMPACT OF DIFFERENT SCORES OF THE MINI NUTRITIONAL ASSESSMENT (MNA) IN THE DIAGNOSIS OF MALNUTRITION IN PATIENTS WITH COGNITIVE IMPAIRMENT

IF 3.8 3区 医学 Q2 GERIATRICS & GERONTOLOGY Archives of gerontology and geriatrics Pub Date : 2004-01-01 DOI:10.1016/j.archger.2004.04.006
M. ARELLANO, M.P. GARCIA-CASELLES, M. PI-FIGUERAS, R. MIRALLES, R.M. TORRES, A. AGUILERA, A.M. CERVERA
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微营养评估(mna)不同评分对认知障碍患者营养不良诊断的临床影响
它的目的是评估微型营养评估(MNA)的临床用途,以确定在老年康复单位(中间护理机构)住院的老年认知障碍患者的营养不良。对63例认知障碍患者进行了研究。最小精神状态检查(MMSE)得分低于21分,认为存在认知障碍。入院时根据美国营养学会(AIN)的顺序模型进行MNA和营养评估。根据AIN标准,如果以下参数中至少有一项出现异常,即白蛋白、胆固醇、体重指数(BMI)和鳃围,则考虑为营养不良。根据这些标准,27例(42.8%)患者在入院时被证明营养不良,而如果采用原始MNA评分,39例(61.9%)患者营养不良,23例(36.5%)有营养不良风险,1例(1.5%)正常。被分析的人群按MNA得分分为四类(四分位数):非常低(13.5、16和18.5)。每个MNA四分位数的似然比是通过将特定MNA类别中营养不良(根据AIN)的患者百分比除以同一MNA类别中未营养不良的患者百分比获得的。在非常低的MNA四分位数中,该似然比为2.79,而在低MNA四分位数中,该似然比为0.49。对于中等和高MNA类别,似然比分别为1.0和0.07。在本研究中,MNA仅在非常低的评分(
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来源期刊
CiteScore
7.30
自引率
5.00%
发文量
198
审稿时长
16 days
期刊介绍: Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.
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