Abstract

DIAZ MUNOZ, Gustavo Alfonso; CARDENAS ZULUAGA, Diana María  and  MESA JIMENEZ, Alfonso. Consistency of mini nutritional assessment to identify sarcopenia in older adults in nursing homes in Bogota, Colombia. Nutr. Hosp. [online]. 2015, vol.32, n.1, pp.270-274. ISSN 1699-5198.  https://dx.doi.org/10.3305/nh.2015.32.1.8816.

Introduction: malnutrition and sarcopenia, which have similar physiological mechanisms and are both responsible for adverse health outcomes, are highly prevalent in the elderly. Objectives: to measure the consistency of the MNA with the diagnosis of sarcopenia in older adults. Methods: cross-sectional study of consistency in four nursing homes in Bogotá. The nutritional screening and nutritional assessment were made with the Mini Nutritional Assessment in its long form; the diagnosis of sarcopenia was done with the algorithm and the breakpoints of the European Consensus (EWGSOP). Statistical analysis: Pearson Chi2, Mann-Whitney and consistency by Cohen's kappa coefficient. Results: we included 108 patients, 62% women, mean age 80.4 years (SD 7.7). The prevalence of sarcopenia, malnutrition and risk of malnutrition were 38.9%, 33.3% and 2.8% respectively. The concordance of the MNA with the diagnosis of sarcopenia was slight (kappa 0.1908 95% CI 0.0025 to 0.3791, p<0.05). Conclusion: MNA shows mild concordance to identify sarcopenia, suggesting that it is not an appropriate tool for the diagnosis of sarcopenia in older institutionalized adults.

Keywords : Sarcopenia; Malnutrition; Aged; Homes for the aged; Nutrition Assessment.

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