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The Mini Nutritional Assessment-Short Form as a predictor of nursing home mortality in Japan: A 30-month longitudinal study

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Title: The Mini Nutritional Assessment-Short Form as a predictor of nursing home mortality in Japan: A 30-month longitudinal study
Authors: Motokawa, Keiko Browse this author
Yasuda, Jun Browse this author
Mikami, Yurie Browse this author
Edahiro, Ayako Browse this author →KAKEN DB
Morishita, Shiho Browse this author
Shirobe, Maki Browse this author
Ohara, Yuki Browse this author →KAKEN DB
Nohara, Kanji Browse this author →KAKEN DB
Hirano, Hirohiko Browse this author →KAKEN DB
Watanabe, Yutaka Browse this author →KAKEN DB
Keywords: Mini nutritional assessment
Nursing home
Long-term care
Elderly person
Issue Date: Jan-2020
Publisher: Elsevier
Journal Title: Archives of gerontology and geriatrics
Volume: 86
Start Page: UNSP 103954
Publisher DOI: 10.1016/j.archger.2019.103954
Abstract: Objectives: We examined whether the Mini Nutritional Assessment-Short Form (MNA (R)-SF) predicted mortality in 367 nursing home residents (82% women; mean age = 84.4 +/- 8.5 years) in Japan. Measurements: We examined participants' basic characteristics (sex, age, height, weight, and medical history), the Barthel index (BI), clinical dementia rating (CDR), and six items of the MNA (R)-SF. The association between the MNA (R)-SF and 30-month mortality was assessed using a Cox proportional regression analysis. Results: During the study, 157 (42.8%) participants died. MNA (R)-SF scores in the Survival group were significantly higher than in the Death group (9.4 +/- 2.1 vs. 8.4 +/- 2.3, respectively; p < .001). After adjusting for age, sex, history of aspiration pneumonia, BI, and CDR, MNA (R)-SF scores were significantly associated with 30-month mortality (hazard ratio: 0.89, 95% confidence interval: 0.82-0.97, p = .005). Conclusion: The MNA (R)-SF was an effective predictor of mortality among nursing home residents in Japan, even after adjusting for potential confounders. These results indicate that periodically evaluating nutritional status using the MNA (R)-SF, and nutritional interventions according to status, may result in maintenance and improvement of nutritional status, as well as lead to reduced mortality.
Rights: © 2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
http://creativecommons.org/licenses/by-nc-nd/4.0/
Type: article (author version)
URI: http://hdl.handle.net/2115/80117
Appears in Collections:歯学院・歯学研究院 (Graduate School of Dental Medicine / Faculty of Dental Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 渡邊 裕

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