Review article
SCREENING OF NUTRITIONAL STATUS AMONG ELDERLY PEOPLE AT FAMILY MEDICINE
MAJA RAČIĆ
; University of East Sarajevo, Foča Faculty of Medicine, Foča, Bosnia and Herzegovina
NEDELJKA IVKOVIĆ
; University of East Sarajevo, Foča Faculty of Medicine, Foča, Bosnia and Herzegovina
SREBRENKA KUSMUK
; University of East Sarajevo, Foča Faculty of Medicine, Foča, Bosnia and Herzegovina
Abstract
The prevalence of malnutrition in elderly is high. Malnutrition or risk of malnutrition can be detected by use of nutritional screening
or assessment tools. This systematic review aimed to identify tools that would be reliable, valid, sensitive and specifi c for nutritional
status screening in patients older than 65 at family medicine. The review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Studies were retrieved using MEDLINE (via Ovid), PubMed and Cochrane Library electronic databases and by manual searching of relevant articles listed in reference list of key publications. The electronic databases were searched using defi ned key words adapted to each database and using MESH terms. Manual revision of reviews and original articles was performed using Electronic Journals Library. Included studies involved development and validation of screening tools in the community-dwelling elderly population. The tools, subjected to validity and reliability testing for use in the community-dwelling elderly population were Mini Nutritional Assessment (MNA), Mini Nutritional Assessment-Short Form (MNA-SF), Nutrition Screening Initiative (NSI), which includes DETERMINE list, Level I and II Screen, Seniors in the Community: Risk Evaluation for Eating, and Nutrition (SCREEN I and SCREEN II), Subjective Global Assessment (SGA), Nutritional Risk Index (NRI), and Malaysian and South African tool. MNA and MNA-SF appear to have highest reliability and validity for screening of community-dwelling elderly, while the reliability and validity of SCREEN II are good. The authors conclude that whilst several tools have been developed, most have not undergone extensive testing to demonstrate their ability to identify nutritional risk. MNA and MNA-SF have the highest reliability and validity for screening of nutritional status in the community-dwelling elderly, and
the reliability and validity of SCREEN II are satisfactory. These instruments also contain all three nutritional status indicators and
are practical for use in family medicine. However, the gold standard for screening cannot be set because testing of reliability and
continuous validation in the study with a higher level of evidence need to be conducted in family medicine.
Keywords
nutritional status; malnutrition; screening; community-dwelling persons older than 6; family medicine
Hrčak ID:
154165
URI
Publication date:
12.3.2016.
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