MNA-SF as a screening tool for malnutrition diagnosed with the glim criteria in older persons with cancer

Eur Geriatr Med. 2021 Jun;12(3):653-656. doi: 10.1007/s41999-020-00442-8. Epub 2021 Jan 19.

Abstract

Purpose: We aimed to evaluate and compare the Short Form of the Mini Nutritional Assessment (MNA-SF) as a nutritional screening tool with the new Global Leadership Initiative on Malnutrition (GLIM) diagnostic criteria for malnutrition (the most current reference standard) among older patients with cancer.

Methods: Patients ≥ 70 years old, with a G8 screening tool ≤ 14, referred to an oncogeriatric clinic. MNA-SF and GLIM criteria were obtained.

Results: 40 patients were included (mean age 84.8 ± 5.5, 60% male). According to the GLIM diagnostic criteria, 57.5% were malnourished. The MNA-SF classified 80% as being malnourished or at risk of malnutrition. MNA-SF showed a high sensitivity (100%) and a low specificity (50%) to detect GLIM-defined malnutrition. The AUC of the ROC curve was 0.75.

Conclusion: The MNA-SF scale is useful as a screening tool to detect malnutrition in older cancer outpatients.

Keywords: Cancer; GLIM malnutrition diagnostic criteria; Mini nutritional assessment; Older.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Early Detection of Cancer
  • Female
  • Humans
  • Male
  • Malnutrition* / diagnosis
  • Neoplasms* / complications
  • Nutrition Assessment
  • Nutritional Status