Nutritional Assessment in Older Adults: MNA\xae 25 years of a Screening Tool & a Reference Standard for Care and Research; What Next?

Y Guigoz,B Vellas

doi:10.1007/s12603-021-1601-y

Y Guigoz, B Vellas

Open Access

https://doi.org/10.1007/s12603-021-1601-y

Copy DOI

Abstract

A tool to assess nutritional status in older persons was really needed. It took 5 years to design the MNA® (Mini Nutrition Assessment) tool, complete the first validations studies both in Europe and in the U.S. and to publish it. After the full MNA®, the MNA® short form and the self-MNA® have been validated. As well as Chinese and other national MNA® forms. Now more than 2000 clinical research have used the MNA® all over the world from community care to hospital. At least 22 Expert groups included the MNA® in new clinical practice guidelines, national or international registries. The MNA® is presently included in almost all geriatric and nutrition textbook and part of the teaching program for medicine and other health care professional worldwide. The urgent need is to target the frail older adults more likely to have weight loss and poor appetite and to prevent frailty and weight loss in the robust. We present in this paper the review of 30 years of clinical research and practice using the MNA® worldwide.

Highlights

Introduction and short history assessment including nutritional intake, anthropometric measurement, and biological biomarkers
A tool to assess nutritional status in older persons was really Threshold value ranges for risk of malnutrition and malnutrition needed
It is why in 1989 at my first IAGG conference in were 22-24 points and 16-18 points, respectively, on a Acapulco, I spoke about the MNA® idea with Yves Guigoz, maximum of 30 points

Summary

Introduction

Introduction and short history assessment including nutritional intake, anthropometric measurement, and biological biomarkers Consecutive patients aged ≥65 years admitted to and discharged from a 900-bed academic hospital Patients aged 65 + y admitted to two rehabilitation hospitals The cardiology unit of a tertiary care hospital aged patients consecutively 85.2 ± 6.2 middle-aged patients, geriatric outpatients, and healthy elderly and young individuals Cancer patients aged ≥65, in 44 hospitals in Brazil

Results

Conclusion