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Cut-off scores for ...
Cut-off scores for the Minimal Eating Observation and Nutrition Form – Version II (MEONF-II) among hospital inpatients
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- Westergren, Albert, 1967- (author)
- Högskolan Kristianstad,Avdelningen för Hälsovetenskap,Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education
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- Norberg, Erika (author)
- Departments of Nutrition and Health, Central Hospital, Kristianstad
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- Vallén, Christina (author)
- Departments of Nutrition and Health, Central Hospital, Kristianstad
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- Hagell, Peter (author)
- Högskolan Kristianstad,Avdelningen för Hälsovetenskap,Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education
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(creator_code:org_t)
- 2011
- 2011
- English.
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In: Journal of Food and Nutrition Research. - 1336-8672 .- 1338-4260. ; 55, s. 7289-
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http://hkr.diva-port... (primary) (Raw object)
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https://foodandnutri...
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Abstract
Subject headings
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- BACKGROUND AND OBJECTIVE:The newly developed Minimal Eating Observation and Nutrition Form - Version II (MEONF-II) has shown promising sensitivity and specificity in relation to the Mini Nutritional Assessment (MNA). However, the suggested MEONF-II cut-off scores for deciding low/moderate and high risk for undernutrition (UN) (>2 and >4, respectively) have not been decided based on statistical criteria but on clinical reasoning. The objective of this study was to identify the optimal cut-off scores for the MEONF-II in relation to the well-established MNA based on statistical criteria.DESIGN:Cross-sectional study.METHODS:The study included 187 patients (mean age, 77.5 years) assessed for nutritional status with the MNA (full version), and screened with the MEONF-II. The MEONF-II includes assessments of involuntary weight loss, Body Mass Index (BMI) (or calf circumference), eating difficulties, and presence of clinical signs ofUN. MEONF-II data were analysed by Receiver Operating Characteristics (ROC) curves and the area under the curve (AUC); optimal cut-offs were identified by the Youden index (J=sensitivity+specificity-1).RESULTS:According to the MEONF-II, 41% were at moderate or high UN risk and according to the MNA, 50% were at risk or already undernourished. The suggested cut-off scores were supported by the Youden indices. The lower cut-off for MEONF-II, used to identify any level of risk for UN (>2; J=0.52) gave an overall accuracy of 76% and the AUC was 80%. The higher cut-off for identifying those with high risk for UN (>4; J=0.33) had an accuracy of 63% and the AUC was 70%.CONCLUSIONS:The suggested MEONF-II cut-off scores were statistically supported. This improves the confidence of its clinical use.
Subject headings
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskaper -- Näringslära (hsv//swe)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Keyword
- Nutrition
- MEONF-II
- Eating
Publication and Content Type
- ref (subject category)
- art (subject category)