Background: In Austria, reliable information about the nutritional situation of institutionalized, frail elderly is lacking. Methods: MNA (Mini Nutritional Assessment) and NuRAS (Nutritional Risk Assessment Scale), tools specifically developed to evaluate the nutritional status of the elderly, were used for the assessment of the general nutritional and health status of the residents. Individual intake of energy and nutrients was measured by using the weighed food intake method during 7 consecutive weekdays. Results: According to MNA results (n = 245), 13.9% had a satisfactory nutritional status, 48.3% were assessed as ‘at risk of malnutrition’, and 37.8% as being ‘malnourished’. There is evidence that the number of assessed nutritional risk factors has an impact on the nutritional status. Further, there is a link between the assessed nutritional status and the individual nutrient intake of the residents. Conclusion: There is evidence for nutritional problems in frail, institutionalized elderly nursing home residents. The MNA seems to be a reliable tool to identify individuals at risk for malnutrition. Strategies for effective nutritional intervention should be implemented in long-term care facilities for the elderly in order to prevent and treat malnutrition and to ensure high-quality care.
© 2008 S. Karger AG, Basel
- Elderly nutrition
- Nutritional status, elderly
- Mini Nutritional Assessment
- Dietary intake, elderly
- Weighed food intake method
- Nikolaus T, Bach M, Siezen S, Volkert D, Oster P, Schlierf G: Assessment of nutritional risk in the elderly. Ann Nutr Metab 1995;39:340–345.
- Guigoz Y: The mini nutritional assessment (MNA) review of the literature: What does it tell us? J Nutr Health Aging 2006;10:466–485.
- Sieber CC: Nutritional Screening tools: How does the MNA® compare? Proceedings of the Session Held in Chicago May 2–3, 2006 (15 Years of Mini Nutritional Assessment). J Nutr Health Aging 2006;10:488–492.
- Vellas B, Villars H, Abellan G, et al: Overview of the MNA: its history and challenges. J Nutr Health Aging 2006;10:456–463.
- Lauque S, Nourhashemi F, Vellas B: Nutritional evaluation tools in the elderly; in Seiler WO, Stähelin HB (eds): Malnutrition in the Elderly. Darmstadt, Steinkopf, 1999.
- German Nutrition Society, Austrian Nutrition Society, Swiss Society for Nutrition Research, Swiss Nutrition Association: Reference Values for Nutrient Intake (D-A-CH). Frankfurt am Main, Umschau/Braus, 2000.
- Schofield DA: Predicting basal metabolic rate: new standards and review of previous work. Hum Nutr Clin Nutr 1985;39:5–41.
- WHO: Energy and protein requirements: report of a joint FAO/WHO/UNU Expert Consultation. World Health Organ Tech Rep Ser 1985;724:1–206.
Universität Wien, Abteilung für Ernährungswissenschaften
AT–1090 Wien (Austria)
Tel. +43 1 4277 549, Fax +43 1 4277 95 49, E-Mail firstname.lastname@example.org
Published online: March 7, 2008
Number of Print Pages : 3
Number of Figures : 0, Number of Tables : 0, Number of References : 8
Annals of Nutrition and Metabolism (Journal of Nutrition, Metabolic Diseases and Dietetics)
Vol. 52, No. Suppl. 1, Year 2008 (Cover Date: March 2008)
Journal Editor: Elmadfa I. (Vienna)
ISSN: 0250–6807 (Print), eISSN: 1421–9697 (Online)
For additional information: http://www.karger.com/ANM
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.