id:"swepub:oai:DiVA.org:hkr-8862"
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- Westergren, Albert,1967-Högskolan Kristianstad,Avdelningen för Hälsovetenskap,Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education (författare)
Cut-off scores for the Minimal Eating Observation and Nutrition Form – Version II (MEONF-II) among hospital inpatients
- Artikel/kapitelEngelska2011
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- 2011
- electronicrdacarrier
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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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- Språk:engelska
- Sammanfattning på:engelska
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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.
Ämnesord och genrebeteckningar
- 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
Biuppslag (personer, institutioner, konferenser, titlar ...)
- Norberg, ErikaDepartments of Nutrition and Health, Central Hospital, Kristianstad (författare)
- Vallén, ChristinaDepartments of Nutrition and Health, Central Hospital, Kristianstad (författare)
- Hagell, PeterHögskolan Kristianstad,Avdelningen för Hälsovetenskap,Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education(Swepub:hkr)hape (författare)
- Högskolan KristianstadAvdelningen för Hälsovetenskap (creator_code:org_t)
Sammanhörande titlar
- Ingår i:Journal of Food and Nutrition Research55, s. 7289-1336-86721338-4260
Internetlänk
- 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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