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-Högskolan Kristianstad,Avdelningen för Hälsovetenskap,Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education (author)

Cut-off scores for the Minimal Eating Observation and Nutrition Form – Version II (MEONF-II) among hospital inpatients

Article/chapterEnglish2011

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2011
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LIBRIS-ID:oai:DiVA.org:hkr-8862
urn:nbn:se:hkr:diva-8862urn
https://doi.org/10.3402/fnr.v55i0.7289DOI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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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 and genre

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
Nutrition
MEONF-II
Eating

Added entries (persons, corporate bodies, meetings, titles ...)

Norberg, ErikaDepartments of Nutrition and Health, Central Hospital, Kristianstad (author)
Vallén, ChristinaDepartments of Nutrition and Health, Central Hospital, Kristianstad (author)
Hagell, PeterHögskolan Kristianstad,Avdelningen för Hälsovetenskap,Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education(Swepub:hkr)hape (author)
Högskolan KristianstadAvdelningen för Hälsovetenskap (creator_code:org_t)

Related titles

In:Journal of Food and Nutrition Research55, s. 7289-1336-86721338-4260

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https://doi.org/10.3402/fnr.v55i0.7289Fulltext
http://hkr.diva-portal.org/smash/get/diva2:475292/FULLTEXT01.pdffulltext:print
https://foodandnutritionresearch.net/index.php/fnr/article/download/586/1157
http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-8862Till lärosätets (hkr) databas
https://doi.org/10.3402/fnr.v55i0.7289

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