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Validated Nutrition Screening Tools

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Validated Nutrition Screening Tools
Part of a presentation given at the
Canadian Nutrition Society
Conference
Manon Laporte PDt, MSc
June 2013
Validated Nutrition Screening Tools
(for hospital use)
 Simple Screening Tools (# 1 & # 2)
 Malnutrition Screening Tool (MST)
 Mini Nutritional Assessment – Short Form (MNA-SF)
 Nutritional Risk Screening 2002 (NRS 2002)
 Malnutrition Universal Screening Tool (MUST)
 Short Nutritional Assessment Questionnaire (SNAQ)
Parameters
Screening
Tools
Simple
Screening
tools 1998
#1
#2
MST 1999
Weight
loss

BMI
Appetite/
Food
intake



Criterion Validity
Others
Albumin



In-depth
assessment
by dietitians
(2 studies)
SGA
(4 studies)

Psycho. stress
MNA-SF©
2001
Gold
Standard
Acute disease
Neuropsycho.
problems
Mobility
- Dietitian
assessment
- SGA
- Full MNA
(4 studies)
Sensitivity
Specificity
75%
92%
75%
69%
74%-93%
76%-93%
93%
38%
100%
52.8%
64%-96%
89%-100%
NRS 2002



Severity of
disease
SGA
(5 studies)
62% - 90%
83.3%-93%
MUST 2003



Acutely ill
SGA
(4 studies)
61%-87.1%
78.6%-93%
SNAQ ©
2005


Use of :
Supplemental
drinks or
% Weight
loss & BMI
SGA (2012)
79%
83%
79%
90.3%
Screening
Tools
Screening
Tools 1998 # 1
#2
MST 1999
MNA-SF©
2001
NRS 2002
Reliability
(inter-rater)
Kappa Score
0.60
0.76
0.84 – 0.93
Not reported
0.67
Simple /
Easy to use?
±
Yes
Limits
•
•
Calculation of % weight loss
Laboratory parameter
•
Eating poorly: only because  appetite
& No time frame of eating poorly
Validity 93% - developmental
study
•
No
•
•
•
No
• Low sensitivity
• Too detailed
(% of food intake and weight loss)
•
MUST 2003
Not reported
±
•
•
SNAQ
©
2005
0.69 – 0.91
± Yes
•
Low specificity
For elderly population only
Too comprehensive
Calculation of % weight loss in specific
time frames
Same BMI range for adult and elderly
populations
No acceptable reference standard
(EAL-ADA 2011)
Decrease appetite over the last
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