Cavalcante, Lilian de Souza1; Coutinho, Paloma Travassos de QueirÃ³z1; Burgos, Maria Goretti Pessoa de AraÃºjo2
Introduction: The best current assessment tool for older adults is the Mini Nutritional Assessment (MNA), which is used to identify nutritional risk and malnutrition. The detection of any such risk is an important measure for adequate nutritional counseling for older adults.
Purpose: The aim of the present study was to evaluate nutritional risk and malnutrition among older adults with type 2 diabetes using the MNA.
Methods: An observational study was conducted with individuals aged 60 years or older with diabetes in treatment at three out-patient services in the city of Recife (Brazil). The MNA was used with cutoff points of ≥ 24 for ideal nutritional status, 17 to 23.5 points for nutritional risk and < 17 for malnutrition.
Results and discussion: A total of 158 individuals were evaluated, 88% of whom were women and 12% were men. Most were between 60 and 79 years of age (91.1%) and 8.9% were ≥ 80 years. Mean weight was 68.94 ± 13.22 Kg. Mean height was 1.57 m and mean body mass index was28.09 ± 4.95 Kg/m2 (range: 27.31 to 28.87 Kg/m2), indicating overweight. Based on the MNA, 91.8% were classified in the ideal range and 8.2% were classified as being at nutritional risk.
Conclusion: Nutritional risk using the MNA on the present sample of older adults with diabetes was minimal, with no evidence of malnutrition. Based on the body mass index, the majority was overweight, independently of sex, age group or the institution evaluated. MAN was sensitive to assess nutritional risk nestle elderly with diabetes.