Predictive Power of Mini Nutritional Assessment (MNA) Score and Body Mass Index (BMI) for Frailty in the Elderly Community in Indonesia Using Kihon's Frailty Checklist.

Q3 Medicine

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2025-07-01 Epub Date: 2025-10-16 DOI:10.1080/21551197.2025.2568384

Istingadah Desiana, Irma Ruslina Defi, Astrid Feinisa Khairani, Agnes Rengga Indrati, Dimas Erlangga Luftimas, Mohammad Fauziyyanul Haq

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引用次数: 0

Abstract

Background: Frailty screening and nutritional assessment are essential for identifying and managing frailty in older adults. This study investigates the predictive power of the Mini Nutritional Assessment (MNA) score and Body Mass Index (BMI) in assessing frailty among the elderly in the community of Bandung, Indonesia, using Kihon's Frailty Checklist (KCL).

Methods: A cross-sectional study was conducted among 71 elderly individuals attending community health centers routinely in Bandung. The mean age of participants was 67.1 ± 5.13 years with 81.6% female. Frailty status was assessed using the KCL, while nutritional status was evaluated using the short-form MNA and BMI. Predictive accuracy was analyzed through Receiver Operating Characteristic (ROC) curves and Area Under the Curve (AUC) values. DeLong's test was used to compare the predictive capacities of MNA and BMI.

Results: Of the participants, 30.99% were frail, 39.44% prefrail, and 29.58% robust. Nutritional status categorized by MNA revealed 59.15% with normal nutrition, 33.80% at risk of malnutrition, and 7.04% malnourished. BMI indicated 47.89% healthy weight, 32.39% overweight, 11.27% obese, and 8.45% underweight. The AUC for MNA (0.73; 95% CI: 0.67-0.79) demonstrated good discriminatory power, significantly outperforming BMI (AUC: 0.52; 95% CI: 0.46-0.58) in predicting frailty (p < 0.05).

Conclusion: The MNA score showed superior predictive power compared to BMI for identifying frailty in this elderly community population. MNA's multidimensional approach, capturing factors such as nutrition, cognitive function, and mobility, provides a more comprehensive assessment of frailty. This study underscores the importance of adopting comprehensive tools like MNA for frailty screening and highlights its potential for early intervention and improving elderly care in community settings. Further research is recommended to explore long-term outcomes and integration into routine health practices.

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使用Kihon的衰弱检查表对印度尼西亚老年人社区衰弱的迷你营养评估（MNA）评分和身体质量指数（BMI）的预测能力

背景：虚弱筛查和营养评估对于识别和管理老年人虚弱是必不可少的。本研究采用Kihon的衰弱检查表（KCL），探讨了迷你营养评估（MNA）评分和身体质量指数（BMI）在评估印度尼西亚万隆社区老年人衰弱方面的预测能力。方法：对万隆市常规社区卫生中心的71名老年人进行横断面研究。参与者的平均年龄为67.1±5.13岁，其中81.6%为女性。使用KCL评估虚弱状态，而使用短格式MNA和BMI评估营养状况。通过受试者工作特征（ROC）曲线和曲线下面积（AUC）值分析预测精度。采用DeLong检验比较MNA和BMI的预测能力。结果：30.99%的参与者体弱，39.44%的参与者体弱，29.58%的参与者健壮。MNA分类的营养状况显示，59.15%营养正常，33.80%存在营养不良风险，7.04%营养不良。BMI指数为健康体重47.89%，超重32.39%，肥胖11.27%，体重不足8.45%。MNA评分的AUC （0.73; 95% CI: 0.67-0.79）显示出良好的区分能力，在预测虚弱方面明显优于BMI (AUC: 0.52; 95% CI: 0.46-0.58) (p结论：MNA评分在识别老年社区人群的虚弱方面比BMI评分具有更强的预测能力。MNA的多维方法，包括营养、认知功能和行动能力等因素，提供了更全面的虚弱评估。这项研究强调了采用MNA等综合工具进行虚弱筛查的重要性，并强调了其在早期干预和改善社区老年人护理方面的潜力。建议进一步研究探索长期结果并将其纳入日常保健做法。

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来源期刊

Journal of Nutrition in Gerontology and Geriatrics Nursing-Nutrition and Dietetics

CiteScore

2.20

自引率

0.00%

发文量

期刊介绍： The Journal of Nutrition in Gerontology and Geriatrics publishes original research studies that are directly relevant to clinical and community nutrition issues that affect older adults. Epidemiologic and community-based studies are suitable for JNE, as are well-controlled clinical trials of preventive and therapeutic nutritional interventions. The Journal of Nutrition in Gerontology and Geriatrics invites papers on a broad array of topics in the nutrition and aging field, including but not limited to studies of: preventive nutrition, nutritional interventions for chronic disease, aging effects on nutritional requirements, nutritional status and dietary intake behaviors, nutritional frailty and functional status, usefulness of supplements, programmatic interventions, transitions in care and long term care, and community nutrition issues.