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. 2021 Jun;24(9):2681-2688.
doi: 10.1017/S1368980020002438. Epub 2020 Sep 1.

Comparison of Seniors in the Community: Risk Evaluation for Eating and Nutrition, version II and Mini Nutritional Assessment - Short Form in detecting nutritional risk among community-dwelling seniors in Bosnia and Herzegovina

Jelena R Pavlović  1 , Miloš Ž Maksimović  2 , Olha V Klopanović  3 , Zoran S Vasilić  4 , Nedeljka M Ivković  5 , Maja N Račić  6
Affiliations

Comparison of Seniors in the Community: Risk Evaluation for Eating and Nutrition, version II and Mini Nutritional Assessment - Short Form in detecting nutritional risk among community-dwelling seniors in Bosnia and Herzegovina

Jelena R Pavlović et al. Public Health Nutr. 2021 Jun.

Abstract

Objective: The aim of the current study is to compare Seniors in the Community: Risk Evaluation for Eating and Nutrition, version II (SCREEN II) and Mini Nutritional Assessment - Short Form (MNA-SF), where each is used to identify nutritional risk prevalence among community-dwelling people aged 65 years and above in Bosnia and Herzegovina.

Design: A cross-sectional study. Nutritional risk assessed using the nutritionist's risk rating, anthropometric measurements, functional indicators, cognitive parameters, SCREEN II and MNA-SF.

Setting: The municipalities of Foca, East Sarajevo and Bijeljina, Bosnia and Herzegovina.

Participants: Eight hundred twenty-one community-dwelling individuals aged ≥65 years.

Results: The prevalence of high nutritional risk per nutritionist's risk rating, SCREEN II and MNA-SF was 26, 60, and 7 %, respectively. With the nutritionist's rating score ≥5 as the criterion, the MNA-SF cut-off point of ≤11 (indicating any possible risk) had poor sensitivity (55·7 %), specificity (46·6 %) and AUC (0·563; P = 0·024). When the criterion of >7 was applied, good sensitivity (95·3 %) and specificity (88·9 %) were obtained for the MNA-SF cut-off score of ≤7. AUC for this comparison was 0·742 (considered fair). Cut-off points of <54 (AUC = 0·816) and <50 (AUC = 0·881) for SCREEN II (indicating moderate to high risk) corresponded with good sensitivity (82·2 %; 80·9 %) and fair specificity (72·1 %; 75·0 %).

Conclusion: MNA-SF may have a limited role in nutritional risk screening among community-dwelling seniors in Bosnia and Herzegovina. SCREEN II has promising results in regard to validity, but further studies are warranted.

Keywords: Community-dwelling seniors; Malnutrition; Nutrition risk assessment; Screening.

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Figures

Fig. 1
Fig. 1
The receiver operating curves showing sensitivity and specificity of (a) MNA-SF ≤11 (any risk), (b) MNA-SF ≤7 (high risk), (c) SCREEN II <54 (any risk) and (d) SCREEN II <50 (high risk) in identifying nutritional risk compared to nutritionist’s risk rating. MNA-SF, Mini Nutritional Assessment – Short Form; SCREEN II, Seniors in the Community Risk Evaluation for Eating and Nutrition, version II; AUC, area under the curve
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