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首页> 外文期刊>International journal of nursing studies >A comparison of the full Mini Nutritional Assessment, short-form Mini Nutritional Assessment, and Subjective Global Assessment to predict the risk of protein-energy malnutrition in patients on peritoneal dialysis: a cross-sectional study.
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A comparison of the full Mini Nutritional Assessment, short-form Mini Nutritional Assessment, and Subjective Global Assessment to predict the risk of protein-energy malnutrition in patients on peritoneal dialysis: a cross-sectional study.

机译：一项全面的微型营养评估，简短的微型营养评估和主观总体评估的比较，以预测腹膜透析患者蛋白质能量营养不良的风险：一项横断面研究。

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The full Mini Nutritional Assessment (full-MNA) and short-form MNA (MNA-SF) are simple and effective nutrition screening scales, but their usefulness for identifying patients with peritoneal dialysis (PD) at risk of protein-calorie malnutrition (PEM) has not been investigated.This study was aimed to investigate the convergent validity of the full-MNA and MNA-SF for identifying patients with PD at risk of PEM.A cross-sectional study.A hospital-managed dialysis center.80 adult ambulatory PD patients.Patients were interviewed for personal data and rated with the full-MNA, MNA-SF and the Subjective Global Assessment (SGA) for nutritional status. The consistency among the scales was assessed with kappa coefficients. The ability of each scale to differentiate undernutrition was evaluated with external standards including serum albumin and creatinine concentrations, mid-arm and calf circumferences, and dialysis-related indicators. Statistical significance was evaluated with Wilcoxon rank-sum test.The full-MNA and MNA-SF showed low agreements with the SGA (kappa=0.346 and 0.185, respectively). The full-MNA and MNA-SF performed better than the SGA in differentiating undernutrition according to the external standards. However, contrary to general expectation, MNA-SF rated a significantly smaller proportion of subjects at risk of undernutrition.The full-MNA and MNA-SF are more able than the SGA in identifying PD patients at risk of PEM. However, MNA-SF rates a smaller proportion of PD patients at risk of undernutrition than the full-MNA. The use of MNA-SF as a stand-alone unit requires further confirmation.
机译：完整的迷你营养评估（full-MNA）和简短的MNA（MNA-SF）是简单而有效的营养筛查量表，但它们对于识别有蛋白热量不足（PEM）风险的腹膜透析（PD）患者有用这项研究的目的是调查全MNA和MNA-SF在确定患有PEM风险的PD患者中的收敛效度。一项横断面研究。由医院管理的透析中心.80成人门诊PD对患者进行了访谈以获取个人数据，并通过完整的MNA，MNA-SF和主观全球评估（SGA）评估其营养状况。量表之间的一致性用卡伯系数评估。通过外部标准（包括血清白蛋白和肌酐浓度，中臂和小腿围以及与透析相关的指标）评估了每种量表区分营养不良的能力。用Wilcoxon秩和检验评估统计显着性。完整MNA和MNA-SF与SGA的一致性较低（kappa分别为0.346和0.185）。完整的MNA和MNA-SF在根据外部标准区分营养不良方面表现优于SGA。然而，与一般预期相反，MNA-SF对营养不良风险较高的受试者比例进行了评估.MNA和MNA-SF全面评估的能力比SGA更强，可以识别PD患者发生PEM风险。但是，MNA-SF对处于营养不良风险中的PD患者的比例要低于完整MNA。使用MNA-SF作为独立单元需要进一步确认。

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