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dc.contributor.authorYaxley, Alison
dc.contributor.authorCrotty, Maria
dc.contributor.authorMiller, Michelle Deanne
dc.date.accessioned2017-02-21T22:43:26Z
dc.date.available2017-02-21T22:43:26Z
dc.date.issued2015-09-11
dc.identifier.citationYaxley, A., Crotty, M., & Miller, M. (2015, September 11). Identifying Malnutrition in an Elderly Ambulatory Population: Agreement between Mini Nutritional Assessment and Validated Screening Tools. Healthcare. MDPI AG. https://doi.org/10.3390/healthcare3030822en
dc.identifier.issn2227-9032
dc.identifier.urihttp://hdl.handle.net/2328/36931
dc.description.abstractMalnutrition is common in older adults and often goes unrecognised and untreated. Australian evidence-based guidelines for the management of malnutrition indicate that only the Mini Nutritional Assessment short form (MNA-sf) and Rapid Screen are recommended for use as malnutrition screening tools in the rehabilitation setting. The aim of this secondary analysis was to assess the validity and reliability of two malnutrition screening tools, validated in other adult sub-groups, in a rehabilitation population aged ≥60 years. The Council on Nutrition Appetite Questionnaire (CNAQ) and the Simplified Nutritional Appetite Questionnaire (SNAQ), were completed by 185 ambulatory rehabilitation patients (48% male; median age 78 years) and results compared to the full MNA as a reference technique. Prevalence of risk of malnutrition was 63% according to the MNA. For identification of risk of malnutrition the CNAQ had sensitivity of 54%, specificity 81%, positive predictive value 83% and negative predictive value 51%, compared to 28%, 94%, 89% and 44%, respectively, using SNAQ. Assessment of reliability indicated significant slight to fair agreement between MNA with CNAQ (κ = 0.309, p < 0.001) and SNAQ (κ = 0.176, p < 0.001). Neither the CNAQ nor the SNAQ have a high level of validity or reliability in this elderly population and are therefore not recommended for use in the ambulatory rehabilitation setting. Further work is necessary to assess the validity and reliability of other malnutrition screening tools to establish their usefulness in this populationen
dc.language.isoen
dc.publisherMDPIen
dc.rightsCopyright 2015 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).en
dc.titleIdentifying Malnutrition in an Elderly Ambulatory Rehabilitation Population: Agreement between Mini Nutritional Assessment and Validated Screening Toolsen
dc.typeArticleen
dc.identifier.doihttps://doi.org/10.3390/healthcare3030822en
dc.rights.holderThe Authors; licensee MDPI, Basel, Switzerland.en
dc.rights.licenseCC-BY
local.contributor.authorOrcidLookupYaxley, Alison: https://orcid.org/0000-0001-9808-4748en_US


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