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|Title: ||Validation of a modified Mini Nutritional Assessment for assessing the nutritional status of stroke rehabilitation patients in Taiwan|
|Authors: ||shr tsai ling|
|Contributors: ||Department of Healthcare Administration/Healthcare Division|
|Keywords: ||Stroke;Nutritional status;Mini-Nutritional Assessment;Activities of Daily Living;Mid-arm circumference;Calf circumference|
|Issue Date: ||2009-11-06 13:36:35 (UTC+8)|
|Abstract: ||Objective: The objective of this study was to examine the functionality of a
modified Mini Nutritional Assessment for assessing the nutritional status of stroke
patients in Taiwan.
Design and sampling: The study employed a purposive sampling design by
involving the patient pool of Wen-Hua Stroke Patient Homecare Services of Taipei
Subject criteria : To be eligible to participate in the study, the subject must be: (a)
confirmed stroke patients, (b) 40 y or older, (c) cognitively functional and be able
to communicate, (d) being admitted to the Center for at least one month and (e)
willing to sign an informed study consent.
Measurements: An in-home in-person interview was conducted on each patient
with a structured questionnaire which included personal information, and the
MMSE, Barthel index and MNA scales. Each subject’s nutritional status was
assessed according to the original or two modified version of the MNA. The first
modification replaced population-specific BMI, Mid-arm circumference (MAC)
and Calf circumference (CC) cut-points for values specified in the original MNA.
The second modification eliminated the question of BMI and distributed its scores
to MAC and CC. Results were analkyzed by correlation analysis and linear
regression analysis to determine the association of the nutritional status with the
major functional indicators.
Results: The study showed that 24.3% of patients were malnourished, 56.8% were
at risk of malnutrition and18.9% were well nourished according to the original
MNA; 13.5% of patients were malnourished, 63.5% were at risk of malnutrition
and 23% were well nourished according to the modified MNA version I ; 18.9% of
patients were malnourished, 56.8% were at risk of malnutrition and 24.3% were
well nourished according to the modified MNA version II . MAC and CC showed
significant correlations with all three versions the MNA score, other
anthropometric parameters such as BMI, waist circumference and waist to hip ratio
showed no correlations with the MNA. The scores of MMSE and ADL showed
high correlations with the MNA-II scores. These results suggest that modified
MNA, especially MNA-II which does not involve BMI can be effectively used to
assess the nutritional risk status of stroke patients.
Conclusion: MNA-II, a modified version of the MNA without using BMI, can
effectively predict nutritional risk status of Taiwanese stroke patients. This
modified version can greatly improve the utility of the MNA since measuring
weight and height, especially for those living at home, is not an easy task for stroke
patients. The tool can be used to detect individuals at risk of malnutrition, enabling
timely intervention and healthcare cost.
|Appears in Collections:||[長期照護組] 博碩士論文|
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