Consistencia del mini nutritional assessment para identificar la sarcopenia en adultos mayores de hogares geriátricos de Bogotá, Colombia / Consistency of mini nutritional assessment to identify sarcopenia in older adults in nursing homes in Bogota, Colombia
Nutr. hosp
; 32(1): 270-274, jul. 2015. tab
Article
in Spanish
| IBECS
| ID: ibc-141370
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Introducción:
la desnutrición y la sarcopenia son de alta prevalencia en el adulto mayor, compartiendo mecanismos fisiológicos y desenlaces adversos para la salud.Objetivos:
cuantificar la consistencia del MNA con el diagnóstico de sarcopenia en el adulto mayor institucionalizado.Métodos:
estudio transversal de consistencia, en 4 residencias geriátricas de Bogotá. El tamizaje y la valoración nutricional se hicieron con la forma larga Mini Nutritional Assessment; el diagnóstico de sarcopenia se hizo con el algoritmo y puntos de corte del Consenso Europeo (EWGSOP). Análisis estadístico Ji2 de Pearson, U de Mann-Whitney y coeficiente kappa de Cohen. Resultados ydiscusión:
participaron 108 personas, 62% mujeres, con una edad promedio de 80,4 años (DE 7,7). La prevalencia de sarcopenia, riesgo de desnutrición y desnutrición fueron del 38,9%, 33,3% y 2,8%, respectivamente. La concordancia del MNA con el diagnóstico de sarcopenia fue leve (kappa 0,1908 IC95% 0,0025 a 0,3791; p<0.05)Conclusión:
la leve concordancia del MNA para identificar la sarcopenia sugiere que no es una herramienta adecuada para el diagnóstico de sarcopenia en los adultos mayores institucionalizados (AU)ABSTRACT
Introduction:
malnutrition and sarcopenia, which have similar physiological mechanisms and are both responsible for adverse health outcomes, are highly prevalent in the elderly.Objectives:
to measure the consistency of the MNA with the diagnosis of sarcopenia in older adults.Methods:
cross-sectional study of consistency in four nursing homes in Bogotá. The nutritional screening and nutritional assessment were made with the Mini Nutritional Assessment in its long form; the diagnosis of sarcopenia was done with the algorithm and the breakpoints of the European Consensus (EWGSOP). Statisticalanalysis:
Pearson Chi2, Mann-Whitney and consistency by Cohens kappa coefficient.Results:
we included 108 patients, 62% women, mean age 80.4 years (SD 7.7). The prevalence of sarcopenia, malnutrition and risk of malnutrition were 38.9%, 33.3% and 2.8% respectively. The concordance of the MNA with the diagnosis of sarcopenia was slight (kappa 0.1908 95% CI 0.0025 to 0.3791, p<0.05)Conclusion:
MNA shows mild concordance to identify sarcopenia, suggesting that it is not an appropriate tool for the diagnosis of sarcopenia in older institutionalized adults (AU)
Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Nutrition Assessment
/
Malnutrition
/
Sarcopenia
Type of study:
Diagnostic study
/
Observational study
/
Prevalence study
/
Risk factors
Aspects:
Social determinants of health
Limits:
Aged
/
Humans
Country/Region as subject:
South America
/
Colombia
Language:
Spanish
Journal:
Nutr. hosp
Year:
2015
Document type:
Article
Institution/Affiliation country:
Universidad El Bosque/Colombia