Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 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.

PubMed Disclaimer

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
See this image and copyright information in PMC

References

    1. Sobotka L (editor) (2012) Basics in Clinical Nutrition, 4th ed. Prague: Galen.
    1. Cederholm T, Barazzoni R & Austin P (2016) ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr 36, 49–64. - PubMed
    1. Guigoz Y (2006) The Mini nutritional assessment (MNA) review of the literature – what does it tell us? J Nutr Health Aging 10, 466–485. - PubMed
    1. Chang SF (2017) Frailty is a major related factor for at risk of malnutrition in community-dwelling older adults. J Nurs Scholarsh 49, 63–72. - PubMed
    1. Ehwerhemuepha L, Bendig D, Steele C et al. (2018) The effect of malnutrition on the risk of unplanned 7-day readmission in pediatrics. Hosp Pediatr 8, 7–13. - PubMed

Publication types