The Malnutrition Screening Tool is a useful tool for identifying malnutrition risk in residential aged care

Isenring, E. A., Bauer, J. D., Banks, M. and Gaskill, D. (2009) The Malnutrition Screening Tool is a useful tool for identifying malnutrition risk in residential aged care. Journal of Human Nutrition and Dietetics, 22 6: 545-550. doi:10.1111/j.1365-277X.2009.01008.x


Author Isenring, E. A.
Bauer, J. D.
Banks, M.
Gaskill, D.
Title The Malnutrition Screening Tool is a useful tool for identifying malnutrition risk in residential aged care
Journal name Journal of Human Nutrition and Dietetics   Check publisher's open access policy
ISSN 0952-3871
1365-277X
1465-8178
Publication date 2009-12-01
Sub-type Article (original research)
DOI 10.1111/j.1365-277X.2009.01008.x
Open Access Status Not Open Access
Volume 22
Issue 6
Start page 545
End page 550
Total pages 6
Place of publication Oxford, U.K.
Publisher John Wiley & Sons
Language eng
Formatted abstract
Background:  The Malnutrition Screening Tool (MST) is a valid nutrition screening tool in the acute hospital setting but has not been assessed in residential aged care facilities. The aim of this secondary analysis was to determine whether the MST could be a useful nutrition screening tool when compared with a full nutrition assessment by Subjective Global Assessment (SGA) in the residential aged care setting.
Methods:  Two hundred and eighty-five residents (29% male; mean age 84 ± 9 years) from eight residential aged care facilities in Australia participated in the study. A secondary analysis of data collected during a nutrition intervention study was conducted. The MST consists of two questions related to recent weight loss and appetite. Although the MST was not specifically applied, weight loss and appetite information was available and an estimated MST score (0–5) was calculated. Nutritional status was assessed by a research assistant trained in using the SGA.
Results:
  Malnutrition prevalence was 42.8% (122 malnourished out of 285 residents). Compared to the SGA, the MST was an effective predictor of nutritional risk (sensitivity = 83.6%, specificity = 65.6%, positive predictive value = 0.65, negative predictive value = 0.84).
Conclusions:
  The components of the MST have acceptable sensitivity and specificity, suggesting that it can play a valuable role in quickly identifying the risk of malnutrition in the residential aged care setting. Further prospective research using the MST tool against a broader array of objective and subjective nutritional parameters is required to confirm its validity as a screening tool in aged care settings.
Keyword Dietetics
Malnutrition
Nutrition
Nutrition screening
Residential aged care
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: ERA 2012 Admin Only
School of Human Movement and Nutrition Sciences Publications
 
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Created: Mon, 13 Sep 2010, 22:23:11 EST by Laura McTaggart on behalf of Faculty Of Health Sciences