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首页> 外文期刊>Clinical nutrition >Mini nutritional assessment and short-form mini nutritional assessment can predict the future risk of falling in older adults - Results of a national cohort study
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Mini nutritional assessment and short-form mini nutritional assessment can predict the future risk of falling in older adults - Results of a national cohort study

机译：迷你营养评估和简短的迷你营养评估可以预测老年人跌倒的未来风险-一项国家队列研究的结果

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Background & aims: Falling is a major issue in geriatric health. Tools that identify individuals at risk of falling can help reduce the risk of falling. The study aimed to determine whether the full and short-form Mini Nutritional Assessment (MNAs) have the ability to predict the risk of falling in older adults. Methods: Subjects were 3118 ≥ 53-year old Taiwanese who completed both the 1999 and 2003 "Taiwan Longitudinal Study on Aging" surveys. We rated these subjects with normalized versions of the MNA and applied the standard cut-offs to define under-nutrition (≤23.5 and ≤11 points, respectively). We used multivariate logistic regression analysis and receiver operating characteristics to evaluate the ability of these tools in predicting the risk of falling three years later. Results: Older adults rated as at risk of malnutrition with the full MNA (OR = 1.87, 95% confidence interval = 1.33-2.63, p < 0.001) or the short-form (1.39, 1.07-1.80, p = 0.014) were associated with increased risk of falling three years later. Both versions significantly predicted the risk of falling and performed slightly better in ≥65-year old persons than in younger (53-64-year old) persons. The short-form performed relatively well compared to the full scale. Conclusions: Results suggest that the full and short-form MNAs, in addition to rating the risk of malnutrition, also predict the risk of falling in older adults. Although the short-form is slightly less effective than the full scale in predicting the future risk of falling, its simplicity, effectiveness and efficiency make it ideal as a multipurpose screening tool in clinical settings.
机译：背景与目的：跌倒是老年健康的主要问题。识别有跌倒危险的个人的工具可以帮助降低跌倒的风险。该研究旨在确定完整的和简短的迷你营养评估（MNA）是否具有预测老年人跌倒风险的能力。方法：受试者为3118岁≥53岁的台湾人，他们均完成了1999年和2003年的“台湾老龄化纵向研究”调查。我们用MNA的归一化版本对这些受试者进行评分，并应用标准临界值定义营养不足（分别≤23.5和≤11分）。我们使用多元逻辑回归分析和接收者操作特征来评估这些工具预测三年后跌落风险的能力。结果：被评估为营养不良风险的老年人与完整的MNA（OR = 1.87，95％置信区间= 1.33-2.63，p <0.001）或简短形式（1.39，1.07-1.80，p = 0.014）相关联三年后跌倒的风险增加。两种版本均显着预测了跌倒的风险，并且≥65岁的老年人的表现比年龄较小的（53-64岁）的老年人稍好。与完整比例相比，简短形式的效果相对较好。结论：结果表明，完整和简短的MNA除评估营养不良的风险外，还可以预测老年人跌倒的风险。尽管在预测未来跌倒风险方面，该短形式的有效性略低于全尺寸形式，但其简单性，有效性和效率使其成为临床环境中多功能筛选工具的理想之选。

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