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The Mini Nutritional Assessment (MNA) after 20 years of research and clinical practice

Published online by Cambridge University Press:  01 November 2007

Marion Secher
Affiliation:
Gérontôpole Department of Geriatric Medicine, Toulouse University Hospital, France
Maria E. Soto
Affiliation:
Gérontôpole Department of Geriatric Medicine, Toulouse University Hospital, France
Hélène Villars
Affiliation:
Gérontôpole Department of Geriatric Medicine, Toulouse University Hospital, France
Gabor Abellan van Kan*
Affiliation:
Gérontôpole Department of Geriatric Medicine, Toulouse University Hospital, France
Bruno Vellas
Affiliation:
Gérontôpole Department of Geriatric Medicine, Toulouse University Hospital, France Inserm, U558, University Toulouse III, F-31073, Toulouse, France
*
Address for correspondence: Gabor Abellan van Kan, Gérontôpole Department of Geriatric Medicine, University Hospital Toulouse, 170 avenue de Casselardit, 31059 Toulouse cedex 9, France.

Extract

Nutritional assessment in older people to detect malnutrition or risk of malnutrition is essential to avoid adverse nutrition-related outcomes. Poor nutritional status appears to be a major contributing factor for poor prognosis in malnourished individuals. Nowadays, nutritional assessment is considered to be one of the domains which should be evaluated in comprehensive geriatric assessment (CGA). CGA is a comprehensive assessment tool with the capacity of detecting impairments in older people and, at the same time, suggest interventions. Although many assessment tools are proposed, those used in CGA are not widely agreed. After 20 years of clinical practice and research, the Mini Nutritional Assessment (MNA) seems to be the tool most widely accepted by health carers and patients for the assessment of nutritional impairment in CGA.

Type
Psychological and social gerontology
Copyright
Copyright © Cambridge University Press 2008

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References

1Eriksson, BG, Dey, DK, Hessler, RM, Steen, G, Steen, B. Relationship between MNA and SF-36 in a free-living elderly population aged 70 to 75. J Nutr Health Aging 2005; 9:212–20.Google Scholar
2Pearson, JM, Schlettwein-Gsell, D, Brzozowska, A, van Staveren, WA, Bjornsbo, K. Lifestyle characteristics associated with nutritional risk in elderly subjects aged 80–85 years. J Nutr Health Aging 2001; 5:278–83.Google ScholarPubMed
3Saletti, A, Johansson, L, Yifter-Lindgren, E, Wissing, U, Osterberg, K, Cederholm, T. Nutritional status and a 3-year follow-up in elderly receiving support at home. Gerontology 2005; 51:192–98.Google Scholar
4Thomas, DR, Zdrowski, CD, Wilson, MM et al. Malnutrition in subacute care. Am J Clin Nutr 2002; 75:308–13.CrossRefGoogle ScholarPubMed
5Gazzotti, C, Albert, A, Pepinster, A, Petermans, J. Clinical usefulness of the Mininutritional assessment (MNA) scale in geriatric medicine. J Nutr Health Aging 2000; 4:176–81.Google Scholar
6Kagansky, N, Berner, Y, Koren-Morag, N, Perelman, L, Knobler, H, Levy, S. Poor nutritional habits are predictors of poor outcome in very old hospitalized patients. Am J Clin Nutr 2005; 82:784–91.Google Scholar
7Van Nes, MC, Herrmann, FR, Gold, G, Michel, JP, Rizzoli, R. Does the mini nutritional assessment predict hospitalization outcomes in older people? Age Ageing 2001; 30:221–26.CrossRefGoogle ScholarPubMed
8Donini, LM, Savina, C, Rosano, A. MNA predictive value in the follow-up of geriatric patients. J Nutr Health Aging 2003; 7:282–93.Google Scholar
9Guerin, O, Andrieu, S, Schneider, SM et al. Different modes of weight loss in Alzheimer disease: a prospective study of 395 patients. Am J Clin Nutr 2005; 82:435–41.CrossRefGoogle ScholarPubMed
10Andrieu, S, Reynish, W, Nourhashemi, F et al. Nutritional risk factors for institutional placement in Alzheimer's disease after one-year follow-up. J Nutr Health Aging 2001; 5:113–17.Google ScholarPubMed
11Nourhashemi, F, Andrieu, S, Sastres, N et al. Descriptive analysis of emergency hospital admissions of patients with Alzheimer disease. Alzheimer Dis Assoc Disord 2001; 15:2125.Google Scholar
12Folstein, MF, Folstein, SE, Mc Hugh, PR. Mini-mental state: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12:189–98.CrossRefGoogle Scholar
13Vellas, B, Guigoz, Y, Baumgartner, M, Garry, PJ, Lauque, S, Albarede, JL. Relationships between nutritional markers and the mini-nutritional assessment in 155 older persons. J Am Geriatr Soc 2000; 48:1300–09.CrossRefGoogle ScholarPubMed
14Guigoz, Y, Vellas, B, Garry, PJ. Mini Nutritional Assessment: a practical assessment tool for grading the nutritional state of elderly patients. Facts Res Gerontol 1994: 12–13.Google Scholar
15Rubenstein, LZ, Harker, JO, Salvà, A, Guigoz, Y, Vellas, B. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). J Gerontol A Biol Sci Med Sci 2001; 56:366–72.CrossRefGoogle ScholarPubMed
16Guigoz, Y. The Mini Nutritional Assessment (MNA) review of the literature.What does it tell us? J Nutr Health Aging 2006; 10:466–85.Google ScholarPubMed
17Cohendy, R, Rubenstein, LZ, Eledjam, JJ. The Mini Nutritional Assessment-Short Form for preoperative nutritional evaluation of elderly patients. Aging (Milano). 2001; 13:293–97.Google ScholarPubMed
18Vellas, B, Guigoz, Y, Garry, PJ et al. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 1999; 116–22.CrossRefGoogle Scholar
19Deplas, A, Debiais, F, Alcalay, M, Bontoux, D, Thomas, P. Bone density, parathyroid hormone, calcium and vitamin D nutritional status of institutionalized elderly subjects. J Nutr Health Aging 2004; 8:400–04.Google Scholar
20Guigoz, Y, Lauque, S, Vellas, B. Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med 2002; 18:737–57.CrossRefGoogle ScholarPubMed
21Kelsheimer, HL, Hawkins, ST. Older adult women find food preparation easier with specialized kitchen tools. J Am Diet Assoc 2000; 100:950–52.Google Scholar
22Kretser, AJ, Voss, T, Kerr, WW, Cavadini, C, Friedmann, J. Effects of two models of nutritional intervention on homebound older adults at nutritional risk. J Am Diet Assoc 2003; 103:329–36.Google Scholar
23Remsburg, RE, Luking, A, Baran, P et al. Impact of a buffet-style dining program on weight and biochemical indicators of nutritional status in nursing-home residents: a pilot study. J Am Diet Assoc 2001; 101:1460–63.CrossRefGoogle ScholarPubMed
24Menecier-Ossia, L, Menecier, P, Debatty, D, Piroth, L, Bonnet, N, Lenoir, C. Suivi nutritionnel en hebergement medicalise pour personnes agées [Nutritional report in nursing homes]. Rev Gériatr 2000; 25:6570.Google Scholar
25Desai, J, Winter, A, Young, KW, Greenwood, CE. Changes in type of food service and dining-room environment preferentially benefit institutionalized seniors with low body mass indexes. J Am Diet Assoc 2007; 107:808–14.CrossRefGoogle ScholarPubMed
26Nijs, KA, de, GC, Siebelink, E et al. Effect of family-style meals on energy intake and risk of malnutrition in Dutch nursing home residents: a randomized controlled trial. J Gerontol A Biol Sci Med Sci 2006; 61:935–42.CrossRefGoogle ScholarPubMed
27Nijs, KA, de, GC, Kok, FJ, van Staveren, WA. Effect of family style mealtimes on quality of life, physical performance, and body weight of nursing home residents: a cluster randomised controlled trial. BMJ 2006; 332 (7551):1180–84.CrossRefGoogle ScholarPubMed
28Mathey, MF, Vanneste, VG, de, GC, de Groot, LC, van Staveren, WA. Health effect of improved meal ambiance in a Dutch nursing home: a 1-year intervention study. Prev Med 2001; 32:416–23.CrossRefGoogle Scholar
29Donini, LM, De Felice, MR, Tagliaccica, A, De Bernardini, L, Cannella, C. Nutritional status and evolution of pressure sores in geriatric patients. J Nutr Health Aging 2005; 9:446–45.Google Scholar
30Riviere, S, Gillette-Guyonnet, S, Voisin, T et al. A nutritional education program could prevent weight loss and slow cognitive decline in Alzheimer's disease. J Nutr Health Aging 2001; 5:295–99.Google ScholarPubMed
31Cicconetti, P, Fionda, A, Bauco, C, Migliori, M, Marigliano, V. Nutritional deficiency and Alzheimer's disease: how to identify and prevent. Recenti Prog Med 2000; 91:135–40.Google Scholar
32Gil, GP, Ramirez Diaz, SP, Ribera Casado, JM. Dementia and nutrition. Intervention Study in institutionalised patients with Alzheimer disease. J Nutr Health Aging 2003; 7:304–08.Google Scholar
33Vellas, B, Lauque, S, Gillette-Guyonnet, S et al. Impact of nutritional status on the evolution of Alzheimer's disease and on response to acetylcholinesterase inhibitor treatment. REAL FR Group. J Nutr Health Aging 2005; 9:7580.Google Scholar
34de Jong, N, Chin, A, Paw, M et al. Appraisal of 4 months' consumption of nutrient-dense foods within the daily feeding pattern of frail elderly. J Aging Health 2001; 13:200–16.Google Scholar
35Fiatarone, MA, Marks, EC, Ryan, ND, Meredith, CN, Lipsitz, LA, Ewans, WJ. High-intensity strength training in nonagenarians. Effects on skeletal muscle. JAMA 1990; 263:3029–34.CrossRefGoogle ScholarPubMed
36Odlund Olin, A, Armyr, I, Soop, M. Energy-dense meals improve energy intake in elderly residents in a nursing home. Clin Nutr 2003; 22:125–31.CrossRefGoogle ScholarPubMed
37Delmi, M, Raphin, CH, Bengoa, JM, Delmas, PD, Vasey, H, Bonjour, JD. Dietary supplementation in elderly patients with fractured neck of the femur. Lancet 1990; 335:1013–16.Google Scholar
38Rypkema, G, Adang, E, Dicke, H et al. Cost- effectiveness of an interdisciplinary intervention in geriatric inpatients to prevent malnutrition. J Nutr Health Aging 2003; 8:122–27.Google Scholar
39Arnaud-Battandier, F, Malvy, D et al. Use of oral supplements in malnourished elderly patients living in the community: a pharmaco-economic study. Clin Nutr 2004; 23:1096–103.Google Scholar
40Rubenstein, LZ, Stuck, AE, Siu, AL, Wieland, D. Impacts of geriatric evaluation and management programs on defined outcomes: overview of the evidence. J Am Geriatr Soc. 1991; 39:8S16S.Google Scholar
41Stuck, AE, Siu, AL, Wieland, GD, Adams, J, Rubenstein LZ. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet 1993; 342 (8878):1032–36.Google Scholar
42Bula, CJ, Berod, AC, Stuck, AE et al. Effectiveness of preventive in-home geriatric assessment in well-functioning community-dwelling older people: secondary analysis of a randomized trial. J Am Geriatr Soc 1999; 47:389–95.CrossRefGoogle ScholarPubMed
43Katz, S. Assessing self-maintenance: activities of daily living, mobility, and instrumental activities of daily living. J Am Geriatr Soc 1983; 31:721–27.CrossRefGoogle ScholarPubMed
44Lawton, MP, Brody, EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969; 9:179–86.Google Scholar
45Tinetti, M. Performance-oriented assessment of mobility problems in the elderly patients. J Am Geriatr Soc 1986; 34:119–26.CrossRefGoogle Scholar
46Sheikh, JI, Yesavage, JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. In: Brink, TL ed. Clinical gerontology. A guide to assessment and intervention. NewYork, NY: Haworth Press, 1986: 1213.Google Scholar
47Vellas, B, Guigoz, Y. Nutritional assessment as part of the geriatric evaluation. In Rubestein, LZ, Bernabei, R, Wieland, D eds. Geriatric assessment technology: state of the art. Milano, Italy: Kurtiz Publishing Company, 1995: 179515.Google Scholar
48Morley, JE. A brief history of geriatrics. J Gerontol A Biol Sci Med Sci 2004; 59:1132–52.Google Scholar
49Sieber, CC. Nutritional screening tools–how does the MNA compare? Proceedings of the session held in Chicago May 2–3, 2006 (15 Years of the Mini Nutritional Assessment). J Nutr Health Aging 2006; 10:488–92.Google Scholar
50Vellas, B, Villars, H, Abellan, G et al. Overview of the MNA– its history and challenges. J Nutr Health Aging 2006; 10:456–63.Google ScholarPubMed
51Guigoz, Y, Vellas, B.Malnutrition in the elderly: the Mini Nutritional Assessment (MNA) Ther Umsh. 1997; 54:345–60.Google Scholar
52Guigoz, Y, Vellas, B, Garry, PJ. Mini Nutritional Asessment: a practical assessment tool for grading the nutritional state of elderly patients. Facts Res Gerontol 1994; 15–59.Google Scholar
53Bleda, MJ, Bolibar, I, Pares, R, Salva, A. Reliability of the Mini Nutritional Assessment (MNA) in institutionalized elderly people. J Nutr Health Aging 2002; 6:134–37.Google Scholar
54Saletti, A, Lindgren, EY, Johansson, L, Cederholm, T. Nutritional status according to Mini Nutritional Assessment in an institutionalized elderly population in Sweden. Gerontology. 2000; 46:139–45.Google Scholar
55Siebens, H, Trupe, E, Oster, G. Correlates and consequences of eating dependency in institutionalized elderly. J Am Geriatr Soc 1986; 34:192–98.Google Scholar
56Pepersack, T, Rotsaert, P, Benoit, F et al. Prevalence of zinc deficiency and its clinical relevance among hospitalised elderly. Arch Gerontol Geriatr 2001; 33:243–53.Google Scholar
57Hudgens, J, Langkamp-Henken, B, Stechmiller, JK et al. Immune function is impaired with a Mini Nutritional Assessment score indicative of malnutrition in nursing-home elders with pressure ulcers. J Parenter Enteral Nutr 2004; 28:416–22.CrossRefGoogle ScholarPubMed
58Soini, H, Routasalo, P, Lagstrom, H. Nutritional status in cognitively intact older people receiving home-care services a pilot study. J Nutr Health Aging 2005; 9:249–53.Google ScholarPubMed
59Cairella, G, Baglio, G, Censi, L et al. Mini Nutritional Assessment (MNA) and nutritional risk in elderly. A proposal of a nutritional surveillance system for the Department of Public Health. Ann Ig 2005; 17:3546.Google Scholar
60Guerin, O, Soto, ME, Brocker, P, Robert, PH, Benoit, M, Vellas, B. Nutritional status assessment during Alzheimer's disease: results after one year (the REAL French Study Group); REAL FR Group. J Nutr Health Aging 2005; 9:8184.Google Scholar
61Pauly, L, Stehle, P, Volkert, D. Nutritional situation of elderly nursing home residents. Z Gerontol Geriatr 2007; 40:312.Google Scholar
62Harris, DG, Davies, C, Ward, H, Haboubi, NY. An observational study of screening for malnutrition in elderly people living in sheltered accommodation. J Hum Nutr Diet 2008; 21:39.Google Scholar
63Ferreira, LS, Nascimento, LF, Marucci, MF. Use of the mini nutritional assessment tool in elderly people from long-term institutions of southeast of Brazil. J Nutr Health Aging 2008; 12:213–17.CrossRefGoogle ScholarPubMed
64Elkan, AC, Engvall, IL, Tengstrand B, Cederholm T, Hafström I. Malnutrition in women with rheumatoid arthritis is not revealed by clinical anthropometrical measurements or nutritional evaluation tools. Eur J Clin Nutr 2007 Jul 18. doi:10.1038/sj.ejcn.1602848Google Scholar
65Kuzuya, M, Kanda, S, Koike, T, Suzuki, Y, Satake, S, Iguchi, A. Evaluation of Mini-Nutritional Assessment for Japanese frail elderly. Nutrition 2005; 21:498503.Google Scholar
66Delacorte, RR, Moriguti, JC, Matos, FD, Pfrimer, K, Marchinil, JS, Ferriolli, E. Mininutritional assessment score and the risk for undernutrition in free-living older persons. J Nutr Health Aging 2004; 8:531–34.Google Scholar
67Visvanathan, R, Penhall, R, Chapman, I. Nutritional screening of older people in a subacute care facility in Australia and its relation to discharge outcomes. Age Ageing 2004; 33:260–65.CrossRefGoogle Scholar
68Guigoz, Y, Vellas, B. Test d'évaluation de l'etat nutritionnel de la personne âgee: le Mini Nutritional Assessment (MNA) [Test to assess the nutritional status of the elderly: The Mini Nutritional Assessment (MNA]. Med Hyg 1995; 53:1965–69.Google Scholar
69Wikby, K, Ek, AC, Christensson, L. The two-step Mini Nutritional Assessment procedure in community resident homes. J Clin Nurs 2008; 17:12111218.CrossRefGoogle ScholarPubMed
70Charlton, KE, Kolbe-Alexander, TL, Nel, JH. The MNA, but not the DETERMINE, screening tool is a valid indicator of nutritional status in elderly Africans. Nutrition 2007; 23:533–42.CrossRefGoogle Scholar
71Hengstermann, S, Nieczaj, R, Steinhagen Thiessen, E, Schulz, RJ. Which are the most efficient items of Mini Nutritional Assessment in multimorbid patients? J Nutr Health Aging 2008; 12:117–22.Google Scholar
72Gil-Montoya, JA, Subirá, C, Ramón, JM, González-Moles, MA. Oral health-related quality of life and nutritional status. J Public Health Dent 2008 Jan 29.CrossRefGoogle Scholar
73Formiga, F, Ferrer, A, Duaso, E, Olmedo, C, Pujol, R. Falls in nonagenarians after 1-year of follow-up: the NonaSantfeliu study. Arch Gerontol Geriatr 2008; 46:1523.Google Scholar
74Cuyac Lantigua, M, Santana Porbén, S. The Mini Nutritional Assessment of the elderly in the practice of a hospital geriatrics service: inception, validation and operational characteristics. Arch Latinoam Nutr 2007; 57:255–65.Google Scholar
75Tsai, AC, Ku, PY. Population-specific Mini Nutritional Assessment effectively predicts the nutritional state and follow-up mortality of institutionalized elderly Taiwanese regardless of cognitive status. Br J Nutr 2007; 152–58.Google Scholar
76Tsai, AC, Ho, CS, Chang, MC. Population-specific anthropometric cut-points improve the functionality of the Mini Nutritional Assessment (MNA) in elderly Taiwanese. Asia Pac J Clin Nutr 2007; 16:656–62.Google ScholarPubMed
77Feldblum, I, German, L, Castel, H et al. Characteristics of undernourished older medical patients and the identification of predictors for undernutrition status. Nutr J 2007; 6: 37.CrossRefGoogle ScholarPubMed
78Suominen, MH, Sandelin, E, Soini, H, Pitkala, KH. How well do nurses recognize malnutrition in elderly patients? Eur J Clin Nutr 2007: Sep 19; doi:10.1038/sj.ejcn.1602948.Google Scholar
79Norman, K, Smoliner, C, Valentini, L, Lochs, H, Pirlich, M. Is bioelectrical impedance vector analysis of value in the elderly with malnutrition and impaired functionality? Nutrition 2007; 23:564–69.Google Scholar
80Kostka, T, Bogus, K. Independent contribution of overweight/obesity and physical inactivity to lower health-related quality of life in community-dwelling older subjects. Z Gerontol Geriatr 2007; 40:4351.Google Scholar
81Espaulella, J, Arnau, A, Cubí, D, Amblàs, J, Yánez, A. Time-dependent prognostic factors of 6-month mortality in frail elderly patients admitted to post-acute care. Age Ageing. 2007; 36:407–13.Google Scholar
82Venzin, RM, Kamber, N, Keller, WC, Suter, PM, Reinhart, WH. How important is malnutrition? A prospective study in internal medicine. Eur J Clin Nutr 2007 Nov 7.CrossRefGoogle Scholar
83Bauer, JM, Wirth, R, Troegner, J et al. Anthropometry and nutritional assessment in geriatric hospital patients. Z Gerontol Geriatr 2007; 40:3136.Google Scholar
84Formiga, F, Ferrer, A, Mascaró, J, Ruiz, D, Olmedo, C, Pujol, R. Predictive items of one-year mortality in nonagenarians. The NonaSantfeliu Study. Aging Clin Exp Res 2007; 19:265–68.Google Scholar
85Ghisla, MK, Cossi, S, Timpini, A, Baroni, F, Facchi, E, Marengoni, A. Predictors of successful rehabilitation in geriatric patients: subgroup analysis of patients with cognitive impairment. Aging Clin Exp Res 2007; 19:417–23.Google Scholar
86Nijs, KA, de Graaf, C, Siebelink, E et al. Effect of family-style meals on energy intake and risk of malnutrition in Dutch nursing home residents: a randomized controlled trial. J Gerontol A Biol Sci Med Sci 2006; 61:935–42.CrossRefGoogle ScholarPubMed
87Wojszel, ZB. Determinants of nutritional status of older people in long-term care settings on the example of the nursing home in Bialystok. Adv Med Sci 2006; 51:168–73.Google Scholar
88Kabir, ZN, Ferdous, T, Cederholm, T, Khanam, MA, Streatfied, K, Wahlin, A. Mini Nutritional Assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors. Public Health Nutr 2006; 9:968–74.CrossRefGoogle ScholarPubMed
89Wikby, K, Ek, AC, Christensson, L. Nutritional status in elderly people admitted to community residential homes: comparisons between two cohorts. J Nutr Health Aging 2006; 10:232–38.Google Scholar
90Soini, H, Routasalo, P, Lauri, S. Nutrition in patients receiving home care in Finland: tackling the multifactorial problem. J Gerontol Nurs 2006; 32:1217.Google Scholar
91Zekry, D, Herrmann, FR, Grandjean, R et al. . Demented versus non-demented very old inpatients: the same co-morbidities but poorer functional and nutritional status. Age Aging 2008; 37:8389.CrossRefGoogle Scholar
92Hengstermann, S, Fischer, A, Steinhagen-Thiessen, E, Schulz, RJ. Nutrition status and pressure ulcer: what we need for nutrition screening. J Parenter Enteral Nutr 2007; 31:288–94.Google Scholar
93Riccio, D, Solinas, A, Astara, G, Mantovani, G. Comprehensive geriatric assessment in female elderly patients with Alzheimer disease and other types of dementia. Arch Gerontol Geriatr 2007; 44 (suppl 1):343–53.CrossRefGoogle ScholarPubMed
94Schiffman, SS, Sattely-Miller, EA, Taylor, EL et al. Combination of flavor enhancement and chemosensory education improves nutritional status in older cancer patients. J Nutr Health Aging. 2007; 11:439–54.Google Scholar
95Hosia-Randell, H, Suominen, M, Muurinen, S, Pitkälä, KH. Use of laxatives among older nursing home residents in Helsinki, Finland. Drugs Aging 2007; 24:147–54.Google Scholar
96Olofsson, B, Stenvall, M, Lundström M, Svensson O, Gustafson Y. Malnutrition in hip fracture patients: an intervention study. J Clin Nurs 2007; 16:2007–38.Google Scholar
97Cabrera, MA, Mesas, AE, Garcia, AR, de Andrade, SM. Malnutrition and depression among community-dwelling elderly people. J Am Med Dir Assoc 2007; 8:582–84.Google Scholar
98Hassen, TA, Pearson, S, Cowled, PA, Fitridge, RA. Preoperative nutritional status predicts the severity of the systemic inflammatory response syndrome (SIRS) following major vascular surgery. Eur J Vasc Endovasc Surg 2007; 33:696702.Google Scholar
99Suominen, MH, Kivisto, SM, Pitkala, KH. The effects of nutrition education on professionals' practice and on the nutrition of aged residents in dementia wards. Eur J Clin Nutr 2007; 61:1226–32.Google Scholar
100Formiga, F, Chivite, D, Solé, A, Manito, N, Ramon, JM, Pujol, R. Functional outcomes of elderly patients after the first hospital admission for decompensated heart failure (HF). A prospective study. Arch Gerontol Geriatr 2006; 43:175–85.Google Scholar
101Soini, H, Muurinen, S, Routasalo, P. Oral and nutritional status–is the MNA a useful tool for dental clinics. J Nutr Health Aging 2006; 10:495–99.Google Scholar
102Salminen, H, Sääf, M, Johansson, SE, Ringertz, H, Strender, LE. Nutritional status, as determined by the Mini-Nutritional Assessment, and osteoporosis: a cross-sectional study of an elderly female population. Eur J Clin Nutr 2006; 60:486–93.Google Scholar
103Salva, A, Corman, B, Andrieu, S et al. IAG/IANA Task Force. Minimum data set for nutritional intervention studies in the elderly IAG/IANA task force consensus. J Nutr Health Aging 2004; 8:202–06.Google Scholar
104Abellan Van Kan, G, Sinclair, A, Andrieu, S, Olde Rikkert, M, Gambassi, G, Vellas, B. The Geriatric Minimum Data Set for Clinical Trials (GMDS). J Nutr Health Aging 2008; 12:197200.CrossRefGoogle ScholarPubMed