Development and application of a scoring system to rate malnutrition screening tools used in older adults in community and healthcare settings – A MaNuEL study

on behalf of the MaNuEL consortium

doi:10.1016/j.clnu.2018.07.022

Development and application of a scoring system to rate malnutrition screening tools used in older adults in community and healthcare settings – A MaNuEL study

on behalf of the MaNuEL consortium

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Abstract

Rationale: Many malnutrition screening tools are used to screen for risk of malnutrition in older adults. An aim of the Joint Programming Initiative (JPI) ‘A Healthy Diet for a Healthy Life’ (HDHL) MalNutrition in the ELderly Knowledge hub (MaNuEL) is to devise recommendations on the best tools to screen for risk of malnutrition in older adults in community and healthcare settings across Europe. The aim of this paper was to develop and apply a scoring system to rate malnutrition screening tools. Methods: Using a targeted literature search strategy, 48 malnutrition screening tools used to screen for risk of malnutrition in older adults were identified across community, rehabilitation, residential care and hospital settings. Criteria to rate each tool were developed; these were based on published evidence and expert opinion. These criteria were translated into a scoring system. Results: The scoring system had three equally weighted sections; validation, parameters and practicability, and was applied to all 48 tools. Overall, the highest scoring tools per setting for screening for risk of malnutrition in older adults were i) DETERMINE your health checklist for the community setting; ii) the Nutritional Form for the Elderly (NUFFE) for the rehabilitation setting; iii) the Short Nutritional Assessment Questionnaire-Residential Care (SNAQ^RC) for residential care and iv) both the Malnutrition Screening Tool (MST) and the Mini Nutritional Assessment Short Form Version 1 (MNA-SF-V1) for the hospital setting. Conclusion: Setting-specific tools are more appropriate for use with older adults. These findings will inform recommendations for the optimal screening of geriatric malnutrition across Europe.

Original language	English
Pages (from-to)	1807-1819
Number of pages	13
Journal	Clinical Nutrition
Volume	38
Issue number	4
Early online date	26 Jul 2018
DOIs	https://doi.org/10.1016/j.clnu.2018.07.022
Publication status	Published - Aug 2019

Funding

This work was supported by the Joint Programming Initiative ‘A Healthy Diet for a Healthy Life’ MalNutrition in the ELderly (MaNuEL) knowledge hub . The funding agencies supporting this work are the Irish Department of Agriculture, Food and the Marine (DAFM) and the Health Research Board (HRB) . We would like to acknowledge the University College Dublin (UCD) MaNuEL consortium for their contribution to this work; Prof Lorraine Brennan (UCD), Dr Declan Byrne (TCD), Ms Amanda Courtney (UCD), Prof Giuseppe De Vito (UCD), Dr Brendan Egan (DCU), Ms Grainne Flanagan (INDI/HSE), Dr Laura Healy (INDI), Dr Ann Hever (TCD), Dr John Kearney (DIT), Dr Sharon Kennelly (HSE), Dr Eamon Laird (TCD), Dr Daniel McCartney (DIT), Dr Anne Molloy (TCD), Dr Caoileann Murphy (UCD), Dr Celine Murrin (UCD), Ms Deirdre O'Connor (TCD), Dr Eibhlis O'Connor (UL), Dr Niamh O'Donoghue (TCD), Dr Aifric O'Sullivan (UCD), Prof Maria O'Sullivan (TCD), Ms Niamh Rice (IrSPEN), Prof Helen Roche (UCD), Ms Karla Smuts (UCD), Ms Sheila Sugrue (DIT), Dr Jessica Sui (TCD), Prof Declan Walsh (TCD/UCD), Ms Aisling Harris (UCD) and Ms Shauna Kielthy (UCD).

Funders
Ms Karla Smuts
Ms Shauna Kielthy
Prof Helen Roche
Prof Lorraine Brennan
Health Research Board
Department of Agriculture, Food and the Marine, Ireland
University College Dublin

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 2 Zero Hunger

Keywords

Community
Hospital
Malnutrition screening
Older adults
Rehabilitation
Residential care

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10.1016/j.clnu.2018.07.022

Development and application of a scoring system to rate malnutrition screening tools used in older adults in community and healthcare settingsFinal published version, 2.1 MBLicence: Article 25fa Dutch Copyright Act

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@article{5b479c7a101d4c4694a238e082e393ac,

title = "Development and application of a scoring system to rate malnutrition screening tools used in older adults in community and healthcare settings – A MaNuEL study",

abstract = "Rationale: Many malnutrition screening tools are used to screen for risk of malnutrition in older adults. An aim of the Joint Programming Initiative (JPI) {\textquoteleft}A Healthy Diet for a Healthy Life{\textquoteright} (HDHL) MalNutrition in the ELderly Knowledge hub (MaNuEL) is to devise recommendations on the best tools to screen for risk of malnutrition in older adults in community and healthcare settings across Europe. The aim of this paper was to develop and apply a scoring system to rate malnutrition screening tools. Methods: Using a targeted literature search strategy, 48 malnutrition screening tools used to screen for risk of malnutrition in older adults were identified across community, rehabilitation, residential care and hospital settings. Criteria to rate each tool were developed; these were based on published evidence and expert opinion. These criteria were translated into a scoring system. Results: The scoring system had three equally weighted sections; validation, parameters and practicability, and was applied to all 48 tools. Overall, the highest scoring tools per setting for screening for risk of malnutrition in older adults were i) DETERMINE your health checklist for the community setting; ii) the Nutritional Form for the Elderly (NUFFE) for the rehabilitation setting; iii) the Short Nutritional Assessment Questionnaire-Residential Care (SNAQRC) for residential care and iv) both the Malnutrition Screening Tool (MST) and the Mini Nutritional Assessment Short Form Version 1 (MNA-SF-V1) for the hospital setting. Conclusion: Setting-specific tools are more appropriate for use with older adults. These findings will inform recommendations for the optimal screening of geriatric malnutrition across Europe.",

keywords = "Community, Hospital, Malnutrition screening, Older adults, Rehabilitation, Residential care",

author = "Lauren Power and \{de van der Schueren\}, \{Marian A.E.\} and Susanne Leij-Halfwerk and J{\"u}rgen Bauer and Michelle Clarke and Marjolein Visser and Dorothee Volkert and Laura Bardon and Eileen Gibney and Corish, \{Clare A.\} and \{on behalf of the MaNuEL consortium\}",

year = "2019",

month = aug,

doi = "10.1016/j.clnu.2018.07.022",

language = "English",

volume = "38",

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T1 - Development and application of a scoring system to rate malnutrition screening tools used in older adults in community and healthcare settings – A MaNuEL study

AU - Power, Lauren

AU - de van der Schueren, Marian A.E.

AU - Leij-Halfwerk, Susanne

AU - Bauer, Jürgen

AU - Clarke, Michelle

AU - Visser, Marjolein

AU - Volkert, Dorothee

AU - Bardon, Laura

AU - Gibney, Eileen

AU - Corish, Clare A.

AU - on behalf of the MaNuEL consortium

PY - 2019/8

Y1 - 2019/8

N2 - Rationale: Many malnutrition screening tools are used to screen for risk of malnutrition in older adults. An aim of the Joint Programming Initiative (JPI) ‘A Healthy Diet for a Healthy Life’ (HDHL) MalNutrition in the ELderly Knowledge hub (MaNuEL) is to devise recommendations on the best tools to screen for risk of malnutrition in older adults in community and healthcare settings across Europe. The aim of this paper was to develop and apply a scoring system to rate malnutrition screening tools. Methods: Using a targeted literature search strategy, 48 malnutrition screening tools used to screen for risk of malnutrition in older adults were identified across community, rehabilitation, residential care and hospital settings. Criteria to rate each tool were developed; these were based on published evidence and expert opinion. These criteria were translated into a scoring system. Results: The scoring system had three equally weighted sections; validation, parameters and practicability, and was applied to all 48 tools. Overall, the highest scoring tools per setting for screening for risk of malnutrition in older adults were i) DETERMINE your health checklist for the community setting; ii) the Nutritional Form for the Elderly (NUFFE) for the rehabilitation setting; iii) the Short Nutritional Assessment Questionnaire-Residential Care (SNAQRC) for residential care and iv) both the Malnutrition Screening Tool (MST) and the Mini Nutritional Assessment Short Form Version 1 (MNA-SF-V1) for the hospital setting. Conclusion: Setting-specific tools are more appropriate for use with older adults. These findings will inform recommendations for the optimal screening of geriatric malnutrition across Europe.

AB - Rationale: Many malnutrition screening tools are used to screen for risk of malnutrition in older adults. An aim of the Joint Programming Initiative (JPI) ‘A Healthy Diet for a Healthy Life’ (HDHL) MalNutrition in the ELderly Knowledge hub (MaNuEL) is to devise recommendations on the best tools to screen for risk of malnutrition in older adults in community and healthcare settings across Europe. The aim of this paper was to develop and apply a scoring system to rate malnutrition screening tools. Methods: Using a targeted literature search strategy, 48 malnutrition screening tools used to screen for risk of malnutrition in older adults were identified across community, rehabilitation, residential care and hospital settings. Criteria to rate each tool were developed; these were based on published evidence and expert opinion. These criteria were translated into a scoring system. Results: The scoring system had three equally weighted sections; validation, parameters and practicability, and was applied to all 48 tools. Overall, the highest scoring tools per setting for screening for risk of malnutrition in older adults were i) DETERMINE your health checklist for the community setting; ii) the Nutritional Form for the Elderly (NUFFE) for the rehabilitation setting; iii) the Short Nutritional Assessment Questionnaire-Residential Care (SNAQRC) for residential care and iv) both the Malnutrition Screening Tool (MST) and the Mini Nutritional Assessment Short Form Version 1 (MNA-SF-V1) for the hospital setting. Conclusion: Setting-specific tools are more appropriate for use with older adults. These findings will inform recommendations for the optimal screening of geriatric malnutrition across Europe.

KW - Community

KW - Hospital

KW - Malnutrition screening

KW - Older adults

KW - Rehabilitation

KW - Residential care

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DO - 10.1016/j.clnu.2018.07.022

M3 - Article

AN - SCOPUS:85051483502

SN - 0261-5614

VL - 38

SP - 1807

EP - 1819

JO - Clinical Nutrition

JF - Clinical Nutrition

IS - 4

ER -

Development and application of a scoring system to rate malnutrition screening tools used in older adults in community and healthcare settings – A MaNuEL study

Abstract

Funding

UN SDGs

Keywords

Access to Document

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