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

Motokawa, Keiko; Yasuda, Jun; Mikami, Yurie; Edahiro, Ayako; Morishita, Shiho; Shirobe, Maki; Ohara, Yuki; Nohara, Kanji; Hirano, Hirohiko; Watanabe, Yutaka

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

Motokawa, Keiko; Yasuda, Jun; Mikami, Yurie et al.

Archives of gerontology and geriatrics, 2020, 86, UNSP 103954

Permalink : https://hdl.handle.net/2115/80117

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アクセス権	open access
URI	https://hdl.handle.net/2115/80117
タイトル	The Mini Nutritional Assessment-Short Form as a predictor of nursing home mortality in Japan: A 30-month longitudinal study
著者	Motokawa, Keiko ; Yasuda, Jun ; Mikami, Yurie ; Edahiro, Ayako ; Morishita, Shiho ; Shirobe, Maki ; Ohara, Yuki ; Nohara, Kanji ; Hirano, Hirohiko ; Watanabe, Yutaka
著者名 Motokawa, Keiko
著者名 Yasuda, Jun
著者名 Mikami, Yurie
e-Rad_Researcher 90433945 著者名 Edahiro, Ayako
著者名 Morishita, Shiho
著者名 Shirobe, Maki
e-Rad_Researcher 00599037 著者名 Ohara, Yuki
e-Rad_Researcher 20346167 著者名 Nohara, Kanji
e-Rad_Researcher 10271561 著者名 Hirano, Hirohiko
e-Rad_Researcher 30297361 著者名 Watanabe, Yutaka
言語	英語
キーワード	Mini nutritional assessment
	Nursing home
	Long-term care
	Elderly person
発行日	2020-01
出版者	Elsevier
収録物名	Archives of gerontology and geriatrics
巻(号)	86
ページ	UNSP 103954
抄録	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.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
権利情報	© 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/
PISSN	0167-4943
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1016/j.archger.2019.103954