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Abstract
Background: Accurate diagnosis is a key step in managing
protein-energy malnutrition. This review seeks to determine
the criterion (concurrent and predictive) validity and reliability
of nutrition assessment tools in making a diagnosis of proteinenergy
malnutrition in community-living older adults.
Methods: A systematic literature review was undertaken using
six electronic databases in September 2016. Studies in any
language were included which measured malnutrition via a
nutrition assessment tool in adults ≥65 years living in their
own homes. Data relating to the predictive validity of tools
were analysed via meta-analyses. GRADE was used to evaluate
the body of evidence.
Results: There were 6,412 records identified, of which eight
papers were included. Two studies evaluated the concurrent
validity of the Mini Nutritional Assessment (MNA) and
Subjective Global Assessment (SGA) and six evaluated the
predictive validity of the MNA. The quality of the body of
evidence for the concurrent validity of both the MNA and
SGA was very low. The quality of the body of evidence for the
predictive validity of the MNA in detecting risk of death was
moderate (RR: 1.92 [95%CI: 1.55-2.39]; P<0.00001; n=2,013
participants; n=4 studies; I2: 0%). The quality of the body of
evidence for the predictive validity of the MNA in detecting
risk of poor physical function was very low (SMD: 1.02 [95%CI:
0.24-1.80]; P=0.01; n=4,046 participants; n=3 studies; I2:89%).
Conclusions: Due to the small number of studies identified and
no evaluation of the predictive validity of tools other than the
MNA, there is insufficient evidence to recommend a particular
nutrition assessment tool for diagnosing protein-energy
malnutrition in older adults in the community setting. High
quality diagnostic accuracy studies are needed for all nutrition
assessment tools used in older community samples, including
measuring of health outcomes subsequent to nutrition
assessment by the SGA and PG-SGA.
Original language | English |
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Pages | 32 |
Number of pages | 1 |
Publication status | Published - Nov 2017 |
Event | 43rd Annual Scientific Meeting of the Australasian Society for Parenteral and Enteral Nutrition: Collaboration in Clinical Nutrition – Evidence Based Nutrition for Improving Patient Outcomes - Royal Pines Conference Centre, Gold Coast, Australia Duration: 16 Nov 2017 → 18 Nov 2017 Conference number: 43rd |
Conference
Conference | 43rd Annual Scientific Meeting of the Australasian Society for Parenteral and Enteral Nutrition |
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Abbreviated title | AuSPEN 2017 |
Country/Territory | Australia |
City | Gold Coast |
Period | 16/11/17 → 18/11/17 |
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Ageing Nutrition: Research Across the Care Continuum
Marshall, S., Isenring, E., Hugo, C., Agarwal, E., Teleni, L., Reidlinger, D., Campbell, K., Van der Meij, B. & Tang, X.
1/01/14 → …
Project: Research