Journal of Shandong University (Health Sciences) ›› 2018, Vol. 56 ›› Issue (9): 77-82.doi: 10.6040/j.issn.1671-7554.0.2018.430

Previous Articles    

Reliability and validity of MNA scale used in community elderly

YUAN Huacai1, ZHANG Tiantian2, GUO Dongmei3, ZHANG Huanhuan2, SHEN Deqiang4, CHEN Liyong5, LIN Xinying1   

  1. 1. Department of Nutrition and Food hygiene, School of Public Health, Shandong University, Jinan 250012, Shandong, China;
    2. Department of Clinical Nutrition, Center for Reproductive Medicine, Shandong University, Jinan 250001, Shandong, China;
    3. Experimental Teaching Center of Preventive Medicine, School of Public Health, Shandong University, Jinan 250012, Shandong, China;
    4. Department of Clinical Nutrition, the First Hospital of Lianyungang, Lianyungang 222002, Jiangsu, China;
    5. Department of Clinical Nutrition, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China
  • Published:2022-09-27

PDF (PC)

49

Abstract: Objective To assess the reliability and validity of mini nutritional assessment(MNA)scale in community elderly, and to lay the foundation for the development of the new nutrition screening tool suitable for Chinese community elderly. Methods A total of 550 elderly in communities of Jinan were randomly selected and 544 were finally analyzed in our study. MNA scale was used to assess the nutrition status. Anthropometric parameters and laboratory indexes were also measured. The reliability, construct validity and criterion-related validity were calculated and assessed. Results Cronbachs α coefficient of MNA scale was 0.287. Factor analysis yields 9 common factors. Cumulative factor contribution rate was 60.94%. Factor analysis indicated that the factor loads of some items(MNA14 and MNA17)were less than 0.4. There were significant correlations between total MNA score and BMI, MAC and CC. Using BMI and serum 山 东 大 学 学 报 (医 学 版)56卷9期 -袁华财,等.微型营养评价量表在社区老年人群中的信效度评价 \=-albumin as objective criteria for assessing nutritional status, the sensitivity of malnutrition by MNA in older adults was 0.884 with a specificity of 0.683. Kappa value of two methods above for evaluating nutritional status was 0.215. Item analysis suggested that the scores of MNA6, MNA9, MNA10 and MNA12 were not related to total score. Conclusion Although the reliability and validity of MNA indicate this scale is not a reliable assessment tool for nutrition assessment of Chinese community elderly, it is still the cornerstone of the following revise process.

Key words: Mini-nutritional assessment, Community elderly, Reliability, Validity, Nutrition status

CLC Number: 

  • R153.3
[1] WHO. EN ageing: facts about ageing [EB/OL].(2014-9-30)[2018-6-15] http://www.portal.pmnch.org/ageing/about/facts/en.html.
[2] Shpata V, Ohri I, Nurka T, et al. The prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients[J]. Clin Interv Aging, 2015, 10: 481-486. doi: 10.2147/CIA.S77042.
[3] Ritt M, Schwarz C, Kronawitter V, et al. Analysis of Rockwood et als Clinical Frailty Scale and Fried et als frailty phenotype as predictors of mortality and other clinical outcomes in older patients who were admitted to a geriatric ward[J]. J Nutr Health Aging, 2015, 19(10): 1043-1048.
[4] Zhou JD, Wang M, Wang HK, et al. Comparison of two nutrition assessment tools in surgical elderly inpatients in Northern China[J]. Nutr J, 2015, 14(1): 68-76.
[5] 张琴. 重庆市社区老年人营养不良状况调查分析[J]. 保健医学研究与实践, 2014, 11(1): 17-19.
[6] Poulia KA, Yannakoulia M, Karageorgou D, et al. Evaluation of the efficacy of six nutritional screening tools to predict malnutrition in the elderly[J]. Clin Nutr, 2012, 31(3): 378-385
[7] Christner S, Ritt M, Volkert D, et al. Evaluation of the nutritional status of older hospitalised geriatric patients: a comparative analysis of a Mini Nutritional Assessment(MNA)version and the Nutritional Risk Screening(NRS 2002)[J]. J Hum Nutr Diet, 2016, 29(6): 704-713.
[8] Donini LM, Marrocco W, Marocco C, et al. Validity of the self- mini nutritional assessment(Self- MNA)for the evaluation of nutritional risk. A cross- sectional study conducted in general practice[J]. J Nutr Health Aging, 2018, 22(1): 44-52.
[9] Slee A, Birch D, Stokoe D. A comparison of the malnutrition screening tools, MUST, MNA and bioelectrical impedance assessment in frail older hospital patients[J]. Clin Nutr, 2015, 34(2): 296-301.
[10] 陈艳秋, 宗敏, 韩维嘉,等. 微型营养评定法(MNA)在老年住院患者中可靠性的探讨[C] // 中国营养学会. 中国营养学会第九次全国营养学术会议论文摘要汇编. 北京:中国营养学会, 2004: 141-142.
[11] Broen MP, Moonen AJ, Kuijf ML, et al. Factor analysis of the Hamilton Depression Rating Scale in Parkinsons disease[J]. Parkinsonism Relat Disord, 2015, 21(2): 142-146.
[12] Jones MC, Williams B, Rattray J, et al. Extending the assessment of patient-centredness in health care: development of the updated Valuing Patients as Individuals Scale using exploratory factor analysis[J]. J Clin Nurs, 2018, 27(1-2): 65-76.
[13] 吴庆菊. 基于微型营养评定法的护理干预对老年椎髋骨骨折患者营养状况的影响[D]. 郑州:郑州大学, 2016.
[14] 何芳, 王蕾蕾, 孟雪杉, 等. 肿瘤患者营养状况及对临床结局的影响[J]. 肿瘤代谢与营养电子杂志, 2016, 3(3): 166-169.
[15] 郭秀花. 实用医学调查分析技术[M]. 北京:人民军医出版社, 2014: 256-276.
[16] 赵斐然, 周天驰, 张俊颖, 等. 量表(问卷)信度、效度评价在我国医学领域的应用与展望[J]. 中华中医药杂志, 2014, 29(7): 2280-2283. ZHAO Feiran, ZHOU Tianchi, ZHANG Junying, et al. Prospect and application of evaluation about reliability and validity assessment on scale or questionnaire applied in the medical domain[J]. China Journal of Traditional Chinese Medicine & Pharmacy, 2014, 29(7): 2280-2283.
[17] 苏中华, 李四劝, 成义仁. 量表评估的内部一致性与克朗巴赫α系数的应用评价[J]. 临床心身疾病杂志, 2009, 15(1): 85-86.
[18] Guigoz Y, Vellas B, Garry PJ. Assessing the nutritional status of the elderly: the Mini Nutritional Assessment as part of the geriatric evaluation[J]. Nutr Rev, 1996, 54(1): S59-S65.
[19] Kuzuya M, Kanda S, Koike T, et al. Evaluation of Mini-Nutritional Assessment for Japanese frail elderly[J]. Nutrition, 2005, 21(4): 498-503.
[20] Ghazi L, Fereshtehnejad SM, Abbasi FS, et al. Mini Nutritional Assessment(MNA)is rather a reliable and valid instrument to assess nutritional status in Iranian healthy adults and elderly with a chronic disease[J]. Ecol Food Nutr, 2015, 54(4): 342-357.
[21] Marshall S, Young A, Bauer J, et al. Malnutrition in geriatric rehabilitation: prevalence, patient outcomes, and criterion validity of the scored patient-generated subjective global assessment and the Mini Nutritional Assessment[J]. J Acad Nutr Diet, 2016, 116(5): 785-794.
[22] Aparecida Leandro-Merhi V, Luiz Braga de Aquino J, Gonzaga Teixeira de Camargo J. Agreement between body mass index, calf circumference, arm circumference, habitual energy intake and the MNA in hospitalized elderly[J]. J Nutr Health Aging, 2012, 16(2): 128-132.
[23] 张欢欢, 王翠平, 赵敏, 等. 利用微型营养评价法和微型营养评价精法评价社区老年人的营养状况[J]. 山东大学学报(医学版), 2017, 55(11): 65-70. ZHANG Huanhuan, WANG Cuiping, ZHAO Min, et al. Mini-Nutritional Assessment and Short-Form Mini-Nutritional Assessment in evaluating nutritional status of the elderly in community[J]. Journal of Shandong University(Health Sciences), 2017, 55(11): 65-70.
[24] 何夏阳, 刘雪琴. 微型营养评估表和营养筛查表的信度和效度评价[J]. 解放军护理杂志, 2010, 27(12): 894-896. HE Xiayang, LIU Xueqin. Evaluation of reliability and validity of Mini-nutritional Assessment and Chinese nutrition screen[J]. Nursing Journal of Chinese Peoples Liberation Army, 2010, 27(12): 894-896.
[25] 闫茂华. 从西方饮食文化到东方传统膳食的思考[J]. 安徽农业科学, 2014(23): 7996-7999.
[1] YE Yi, ZHANG Jie, ZHAO Qiuge, FAN Xiuzhen. Revision, reliability and validity test of the Gerontological Service Career Motivation Scale among undergraduates in graduation year [J]. Journal of Shandong University (Health Sciences), 2022, 60(2): 75-80.
[2] ZHANG Yunxue, XIE Zihui, LYU Gaorong, SHEN Shiyu, LI Ping. Reliability and validity of Co-rumination Questionnaire in 1 354 college nursing students [J]. Journal of Shandong University (Health Sciences), 2021, 59(7): 85-90.
[3] LYU Yan, YU Xiao, LIN Xinying, ZHAO Qi, WANG Baozhen. Association between dietary patterns and depressive symptoms among Chinese elderly women [J]. Journal of Shandong University (Health Sciences), 2020, 58(11): 103-108.
[4] ZHANG Huanhuan, WANG Cuiping, ZHAO Min, GUO Dongmei, CHEN Liyong, LIN Xinying. Mini-Nutritional Assessment and Short-Form Mini-Nutritional Assessment in evaluating nutritional status of the elderly in community [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(11): 65-70.
[5] ZHANG Cancan, SU Yonggang, ZHANG Hongjing. Reliability and validity of Chinese version of Acculturative Stress Scale [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(11): 89-94.
[6] WANG Rui-rui, LIU Hong, LIU Dong-xu. Accuracy and reliability of craniofacial landmark identification based on three-dimensional images [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(9): 83-.
[7] WANG Hui1, WANG Ju-sheng2, SHI Yi-min1, YAO Zi-ming3, SUN Yun1, XIAO He-cun1, ZHAO Xiao-tian4， ZHAO Chang-feng4. Nutritional status in maintenance hemodialysis patients [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(9): 59-.
[8] WANG Xin-xin1， JIA Cun-xian1,2， ZHUANG Mao-qiang1， GAO Qi1， LIU Li-yuan1， LIU Hui1， HAN Mei1. Psychometric characteristics of the self-esteem scale and association between self-esteem and suicide in the rural population [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(7): 159-162.
[9] CHENG Yuan-yuan1, TANG Mao-qin2. Reliability and validity of the Q-LES-Q-SF in patients  with anxiety disorders [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(7): 147-150.
[10] HAN Mei1, JIA Cun-xian1,2, QIU Hui-min3, MA Ji-xiang4, LU Chang-fei1, LIU Hui1. Psychometric characteristics of the Simplified Coping Style Questionnaire and association between coping style and rural suicide [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(10): 160-164.
[11] WANG Dong-fang1, JIA Cun-xian1, XU Ai-qiang2, ZHANG Ji-yu2, LU Chang-fei1, WANG Xin-xin1. Evaluation of reliability and validity of Trait Anxiety Inventory in rural suicides and controls [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(1): 111-.
[12] LIU Baofeng 1， YUAN Changhai1， YU Jingmin2， QIN Jingzhu 1， GUO Li1，GENG Wenge3. Reliability and validity assessment of SF-36 in measuring quality of life of migrants from the Three Gorges Area [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(7): 129-132.
[13] CHEN Cui, ZHANG Hongjing, JIANG Hong, LI Wenjie, Lv Li. Assessing the general mental health of college students:psychometric properties of GHQ-28 [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(3): 159-162.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd