{"title":"[一般老年人营养不良筛查工具]。","authors":"D Vrdoljak","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Malnutrition of elderly is an unrecognized condition, which can be effectively treated. It is associated with increased morbidity,\nhospitalizations, lower quality of life, increased mortality and significant costs. Body mass index (BMI) is not a sufficient measure\nof nutritional status of the elderly as it does not take into account changes in body structure and composition caused by aging.\nVarious validated screening tools are recommended to use in elderly. General practitioner (GP) provides health care for all the\nelderly living in the community and therefore has an ideal opportunity to screen them for malnutrition. The objective of the article\nis to show malnutrition screening tools for elderly, with an emphasis on those with sufficient sensitivity and specificity, applicable\nin family medicine. We searched databases Medline, Library of Congress and the Web of Science using selected keywords. The\nsearch was limited to articles published in the last 20 years, with no language restrictions. We found 37 articles: in initial screening\nwe excluded 20 and 17 articles remained. After retrieving all 17 full texts, one more was excluded so that the final number\nof analyzed articles was 16. Among reviewed studies, following malnutrition screening tools were used for elderly: Geriatric\nNutritional Risk Index (GNRI), Malnutrition Screening Tool (MST), Mini Nutritional Assessment-Short Form (MNA-SF), Nutritional\nRisk Screening 2002 (NRS 2002), Malnutrition Universal Screening Tool (MUST), Short Nutritional Assessment Questionnaire 65+\n(SNAQ(65+)) and Australian Nutrition Screening Initiative (ANSI). The most frequently used tool (in nine articles) was MNA-SF, for its\nconvenience, simplicity, sufficient sensitivity and specificity. Screening for malnutrition is the first step in nutritional care for the elderly.\nFor the purpose of screening, GP has many tools available and should choose a simple one with sufficient sensitivity and specificity and easy to\nincorporate in the course of consultation with an elderly patient. It seems that such a tool for GP is MNA-SF.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[MALNUTRITION SCREENING TOOLS FOR ELDERLY IN GENERAL PRACTICE].\",\"authors\":\"D Vrdoljak\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Malnutrition of elderly is an unrecognized condition, which can be effectively treated. It is associated with increased morbidity,\\nhospitalizations, lower quality of life, increased mortality and significant costs. Body mass index (BMI) is not a sufficient measure\\nof nutritional status of the elderly as it does not take into account changes in body structure and composition caused by aging.\\nVarious validated screening tools are recommended to use in elderly. General practitioner (GP) provides health care for all the\\nelderly living in the community and therefore has an ideal opportunity to screen them for malnutrition. The objective of the article\\nis to show malnutrition screening tools for elderly, with an emphasis on those with sufficient sensitivity and specificity, applicable\\nin family medicine. We searched databases Medline, Library of Congress and the Web of Science using selected keywords. The\\nsearch was limited to articles published in the last 20 years, with no language restrictions. We found 37 articles: in initial screening\\nwe excluded 20 and 17 articles remained. After retrieving all 17 full texts, one more was excluded so that the final number\\nof analyzed articles was 16. Among reviewed studies, following malnutrition screening tools were used for elderly: Geriatric\\nNutritional Risk Index (GNRI), Malnutrition Screening Tool (MST), Mini Nutritional Assessment-Short Form (MNA-SF), Nutritional\\nRisk Screening 2002 (NRS 2002), Malnutrition Universal Screening Tool (MUST), Short Nutritional Assessment Questionnaire 65+\\n(SNAQ(65+)) and Australian Nutrition Screening Initiative (ANSI). The most frequently used tool (in nine articles) was MNA-SF, for its\\nconvenience, simplicity, sufficient sensitivity and specificity. Screening for malnutrition is the first step in nutritional care for the elderly.\\nFor the purpose of screening, GP has many tools available and should choose a simple one with sufficient sensitivity and specificity and easy to\\nincorporate in the course of consultation with an elderly patient. 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引用次数: 0
摘要
老年人营养不良是一种未被认识的疾病,是可以有效治疗的。它与发病率增加、住院治疗、生活质量下降、死亡率增加和巨大费用有关。身体质量指数(BMI)不能充分衡量老年人的营养状况,因为它没有考虑到衰老引起的身体结构和成分的变化。推荐在老年人中使用各种经过验证的筛查工具。全科医生(GP)为所有生活在社区中的老年人提供医疗保健,因此有一个理想的机会来筛查他们的营养不良。本文的目的是展示老年人营养不良筛查工具,重点是那些具有足够敏感性和特异性的工具,适用于家庭医学。我们使用选定的关键词搜索Medline、Library of Congress和Web of Science数据库。该研究仅限于近20年发表的文章,没有语言限制。我们发现了37篇文章:在最初的筛选中,我们排除了20篇,剩下17篇。在检索所有17篇全文后,又排除了一篇,因此分析文章的最终数量为16篇。在回顾的研究中,老年人使用了以下营养不良筛查工具:老年营养风险指数(GNRI)、营养不良筛查工具(MST)、迷你营养评估简表(MNA-SF)、营养风险筛查2002 (NRS 2002)、营养不良通用筛查工具(MUST)、营养评估简表问卷65+(SNAQ(65+))和澳大利亚营养筛查倡议(ANSI)。最常用的工具(在9篇文章中)是MNA-SF,因为它方便、简单、足够的灵敏度和特异性。营养不良筛查是老年人营养护理的第一步。全科医生有很多筛查工具,在与老年患者会诊时应选择一种具有足够敏感性和特异性的简单方法。对于GP来说,这样一个工具似乎就是MNA-SF。
[MALNUTRITION SCREENING TOOLS FOR ELDERLY IN GENERAL PRACTICE].
Malnutrition of elderly is an unrecognized condition, which can be effectively treated. It is associated with increased morbidity,
hospitalizations, lower quality of life, increased mortality and significant costs. Body mass index (BMI) is not a sufficient measure
of nutritional status of the elderly as it does not take into account changes in body structure and composition caused by aging.
Various validated screening tools are recommended to use in elderly. General practitioner (GP) provides health care for all the
elderly living in the community and therefore has an ideal opportunity to screen them for malnutrition. The objective of the article
is to show malnutrition screening tools for elderly, with an emphasis on those with sufficient sensitivity and specificity, applicable
in family medicine. We searched databases Medline, Library of Congress and the Web of Science using selected keywords. The
search was limited to articles published in the last 20 years, with no language restrictions. We found 37 articles: in initial screening
we excluded 20 and 17 articles remained. After retrieving all 17 full texts, one more was excluded so that the final number
of analyzed articles was 16. Among reviewed studies, following malnutrition screening tools were used for elderly: Geriatric
Nutritional Risk Index (GNRI), Malnutrition Screening Tool (MST), Mini Nutritional Assessment-Short Form (MNA-SF), Nutritional
Risk Screening 2002 (NRS 2002), Malnutrition Universal Screening Tool (MUST), Short Nutritional Assessment Questionnaire 65+
(SNAQ(65+)) and Australian Nutrition Screening Initiative (ANSI). The most frequently used tool (in nine articles) was MNA-SF, for its
convenience, simplicity, sufficient sensitivity and specificity. Screening for malnutrition is the first step in nutritional care for the elderly.
For the purpose of screening, GP has many tools available and should choose a simple one with sufficient sensitivity and specificity and easy to
incorporate in the course of consultation with an elderly patient. It seems that such a tool for GP is MNA-SF.
期刊介绍:
ACTA MEDICA CROATICA publishes original contributions to medical sciences, that have not been previously published. All manuscripts should be written in English.