Elderly people may have worn dental prostheses, or edentulous without any prostheses, or there may be faulty occluding (crushing/incising) units in their mouths. What could be impact of such condition in nutritional status of elderly?
The Mini Nutritional Assessment (MNA) is a short, valid nutritional screening tool for free-living and clinically relevant elderly populations.
Kaiser MJ, Bauer JM; Ramsch C, et al. Validation of the Mini Nutritional Assessment short-form (MNAA (R)-SF): A practical tool for identification of nutritional status. JOURNAL OF NUTRITION HEALTH & AGING, 13 (9): 782-788 SEP 2009
Very simple. Have the client bend their arm at the elbow at 90 degrees, while you hold on to their wrist. Move their arm from side to side and watch their underarm [Triceps brachii] does it flop around? The looser the lower arm muscle called "bat wings" moves around, the greater the amount of sarcopenia. This procedure is a 'digestion evaluation'. "bat wings" develop because the body is not digesting completely proteins and the amino acids are being pulled out of the body's amino acid reserve, muscles
The tool recommended is the The Mini Nutritional Assessment (MNA)
Thank you everyone who put their valuable comments, I found some doors to enter now. I am more interested in Carlos Viana's comment and want to know it more, if there are citable items on that matter.
Is it community-based or hospital-based?
For community-based, use Mean Upper Arm Circumference. With person sat down, ask them to rest arm with elbow at 90 degrees. Use non-dominant arm. With a tape calibrated in cm or mm, measure the distance midway between the lowest felt bone in the arm (olecranon process) to the tip of the shoulder (acromion). Not so loosely and not so tightly, measure the circumference at that point.
consider the use of MUAC for Mid Upper Arm circumference or skin fold measurement
In fact the state of oral conditions are essential to the nutritional status in this population.
I like the bioimpedance as a method for Evaluating body composition and anthropometry think to be interesting with circumference of the gastrocnemius muscle that determines a significant loss of muscle mass.
if you need an overall assessment, I consider the MNA
Maybe not cost-effective BUT... if you suspect malnutrition, a BMP is very helpful.
In Slovenia, last year we translated with the permission of BAPEN screening tool MUST, and we started to use it on national level
if nutrinatinal status better you can see dystolic blood pressure, skin fold thickness, bood sugar.
It is not just assess the nutritional status quantify the nutritional risk.
As you know, the method most used in Europe to detect malnutrition in the elderly is the MNA, but for me it has the disadvantage that the Nutritional Risk detected too late, when the damage from advanced malnutrition can be irreversible in the elderly, as with all nutritional screening systems based on anamnestic and anthropometric parameters.
For persons under medical surveillance with routine analytical tests or to assess the CLINICAL RISK of the elderly who consult us for any reason, I suggest the use of CONUT method, based on monitoring three analytical parameters commonly used in the clinic. It is as simple, efficient and reliable.
http://www.aulamedica.es/gdcr/index.php/nh/article/view/7272/pdf_129
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