P322: Simplified Nutritional Appetite Questionnaire (SNAQ): an alternative test for geriatric nutritional assessment

Abstract

Introduction: Nutrition is affected negatively in the old age due to physiological changes, acute-chronic diseases, oral-dental health problems, polypharmacy, economical factors, difficulties in food supply, difficulties in preparing and eating food. In this study we aim to evaluate nutritional status of community-dwelling older people by using Simplified Nutritional Appetite Questionnaire (SNAQ) and Mini Nutritional Assessment – Short Form (MNA-SF). Methods: Patients over 75 years of age admitted to outpatient clinic between 3 January 2013 and 31 December 2013 were enrolled. According to comprehensive geriatric assessment; height-weight measurements, weight loss, special diets and difficulty swallowing asked. The participants were evaluated with Katz Activities of Daily Living (ADL) and Lawton-Brody Instrumental Activities of Daily Living scores (IADL), Simplified Nutritional Appetite Questionnaire, Mini Nutritional Assessment Short-Form. Results: A total of 203 elders were included in the study. 33% were male and 67% were female. Mean age was 80.9 years. As a result of MNA-SF scores 5.4% had malnutrition and 22.7% had malnutrition risk. In our study group mean SNAQ score 15.5±2.4. Due to SNAQ scores total 20.7% (women 25.7%, men 10.4%) were at risk of weight loss (Table 1). We observed that a positive advanced correlation between SNAQ and functionality by ADL, IADL, the hand grip, physical activity and ambulation status (Table 2). Conclusions: Nutrition and appetite status of the elderly is an important part of a comprehensive geriatric assessment. It should be performed routinely. SNAQ form can be preferred as a alternative and a quick method for screening nutrition.