Validation of a telephone-based administration of the simplified nutritional appetite questionnaire

IF 8.9 1区 医学
Binh Duong Thai, Jürgen M. Bauer, Annette Eidam, Jane Durga, Stefan Grund, Thomas Mross, Petra Benzinger
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引用次数: 0

Abstract

Background

Anorexia of aging is characterized by an age-associated reduction of appetite, whose aetiology in most cases is multifactorial and which often triggers malnutrition. The Simplified Nutritional Appetite Questionnaire (SNAQ) is an established screening tool. This study aimed to investigate reliability, validity, and feasibility of its telephone administration (T-SNAQ) in German community-dwelling older adults.

Methods

This cross-sectional single-centre study recruited participants from April 2021 to September 2021. First, the SNAQ was translated into German according to an established methodology. After translation, reliability, construct validity, and feasibility of the T-SNAQ were analysed. A convenience sample of community-dwelling older adults aged ≥70 years was recruited. The following measurements were applied to all participants: T-SNAQ, Mini Nutritional Assessment – Short Form (MNA-SF), six-item Katz index of independence in activities of daily living (ADL), eight-item Lawton instrumental activities of daily living (IADL), telephone Montreal Cognitive Assessment (T-MoCA); FRAIL scale, Geriatric Depression Scale (GDS-15) and Charlson co-morbidity index as well as daily caloric and protein intake.

Results

One hundred twenty participants (59.2% female) with a mean age of 78.0 ± 5.8 years were included in the present study. The percentage of participants identified with poor appetite based on T-SNAQ was 20.8% (n = 25). T-SNAQ showed a good internal reliability with a Cronbach's alpha coefficient of 0.64 and a good test–retest reliability [intraclass coefficient of 0.95 (P < 0.05)]. Regarding construct validity, T-SNAQ was significantly positively correlated with MNA-SF (r = 0.213), T-MoCA (r = 0.225), daily energy (r = 0.222) and protein intake (r = 0.252) (P < 0.05). It also demonstrated a significant negative association with GDS-15 (r = −0.361), FRAIL scale (r = −0.203) and Charlson co-morbidity index (r = −0.272). Regarding applicability, the mean time for T-SNAQ was 95 s and completion rate was 100%.

Conclusions

The T-SNAQ is a feasible screening instrument for anorexia of aging in community-dwelling older adults via telephone interviews.

简化营养食欲问卷电话管理的验证
背景:老年厌食症的特点是与年龄相关的食欲下降,其病因在大多数情况下是多因素的,并经常引发营养不良。简易营养食欲问卷(SNAQ)是一种成熟的筛查工具。本研究旨在探讨德国社区老年人电话管理(T-SNAQ)的信度、效度和可行性。方法本横断面单中心研究于2021年4月至2021年9月招募参与者。首先,按照既定的方法将SNAQ翻译成德语。翻译后,对T-SNAQ的信度、结构效度和可行性进行了分析。招募了≥70岁的社区居住老年人作为方便样本。所有被试均采用以下测量方法:T-SNAQ、Mini nutrition Assessment - Short Form (MNA-SF)、6项Katz日常生活活动独立性指数(ADL)、8项Lawton工具性日常生活活动(IADL)、电话蒙特利尔认知评估(T-MoCA);虚弱量表、老年抑郁量表(GDS-15)和Charlson共发病指数以及每日热量和蛋白质摄入量。结果共纳入120例患者,其中女性59.2%,平均年龄78.0±5.8岁。根据T-SNAQ被确定为胃口不好的参与者的百分比为20.8% (n = 25)。T-SNAQ具有良好的内部信度,Cronbach's alpha系数为0.64,重测信度为0.95 (P <0.05)]。在构效度方面,T-SNAQ与MNA-SF (r = 0.213)、T-MoCA (r = 0.225)、日能量(r = 0.222)和蛋白质摄入量(r = 0.252)呈显著正相关(P <0.05)。与GDS-15 (r = - 0.361)、虚弱量表(r = - 0.203)和Charlson共发病指数(r = - 0.272)呈显著负相关。在适用性方面,T-SNAQ的平均时间为95 s,完成率为100%。结论T-SNAQ是一种可行的电话访谈老年厌食症筛查工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Cachexia, Sarcopenia and Muscle
Journal of Cachexia, Sarcopenia and Muscle Medicine-Orthopedics and Sports Medicine
自引率
12.40%
发文量
0
期刊介绍: The Journal of Cachexia, Sarcopenia, and Muscle is a prestigious, peer-reviewed international publication committed to disseminating research and clinical insights pertaining to cachexia, sarcopenia, body composition, and the physiological and pathophysiological alterations occurring throughout the lifespan and in various illnesses across the spectrum of life sciences. This journal serves as a valuable resource for physicians, biochemists, biologists, dieticians, pharmacologists, and students alike.
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