NUTRITIONAL STATUS ACCORDING TO THE MINI NUTRITIONAL ASSESSMENT (MNA) AND ITS ASSOCIATION WITH SOME CLINICAL AND SUBCLINICAL INDICATORS IN ELDERLY INPATIENTS AT HANOI MEDICAL UNIVERSITY HOSPITAL, 2023-2024
Main Article Content
Abstract
Objective: To assess the nutritional status using the Mini Nutritional Assessment (MNA) tool and its associations with anthropometric indices, body composition, and some subclinical parameters among elderly inpatients at Hanoi Medical University Hospital in 2023-2024.
Methods: A cross-sectional study was conducted on 200 inpatients aged 65 years and older within 48 hours of admission. Nutritional status was evaluated using the full MNA questionnaire, combined with anthropometric measurements, body composition analysis by bioelectrical impedance analysis (BIA), and blood biochemical tests.
Results: The prevalence of normal nutritional status was 42.5%, risk of malnutrition 48.5%, and malnutrition 9.0%. BMI, mid-upper arm circumference, calf circumference, triceps skinfold thickness, muscle mass, and bone mass decreased progressively according to the severity of malnutrition (p < 0.05). Hemoglobin concentration and lymphocyte count were significantly lower in the malnourished group. Anemic patients had a 3.53 times higher risk of malnutrition or risk of malnutrition compared to non-anemic patients (OR = 3.53; 95% CI: 1.87–6.67; p < 0.001). No significant associations were found between albumin, prealbumin, total protein, or CRP levels and nutritional status according to MNA (p > 0.05).
Conclusion: Malnutrition and risk of malnutrition are common among hospitalized elderly patients. The combination of MNA, BIA for body composition assessment, and hemoglobin measurement is a useful approach for early nutritional risk screening.
Keywords
Elderly, malnutrition, MNA, BIA
Article Details
References
2. Tổng cục Thống kê. Kết quả toàn bộ Tổng điều tra dân số và nhà ở năm 2019. Nhà xuất bản Thống kê, Hà Nội, 2020.
3. Hickson M. Malnutrition and ageing. Postgrad Med J. 2006;82(963):2-8. doi:10.1136/pgmj.2005.037564
4. Tân ĐD, Kim NTB, Tuấn PN, Hoàng PM, Thanh PTP, Dũng NTT. 23. TỶ LỆ SUY DINH DƯỠNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở NGƯỜI BỆNH CAO TUỔI TẠI BỆNH VIỆN NHÂN DÂN GIA ĐỊNH THÀNH PHỐ HỒ CHÍ MINH. YHCĐ. 2024;65(4):4. doi:10.52163/yhc.v65i4.1211
5. Hạnh PT, Phượng ĐT, Loan BT. KHẢO SÁT TÌNH TRẠNG SUY DINH DƯỠNG Ở NGƯỜI BỆNH CAO TUỔI ĐIỀU TRỊ TẠI KHOA BỆNH NHIỆT ĐỚI- BỆNH VIỆN E NĂM 2023. VMJ. 2024;539(2):2. doi:10.51298/vmj.v539i2.9839
6. P O, C V, N JP, et al. Malnutrition upon Hospital Admission in Geriatric Patients: Why Assess It? Frontiers in nutrition. 2017;4. doi:10.3389/fnut.2017.00050
7. K N, U H, M P. Malnutrition in Older Adults-Recent Advances and Remaining Challenges. Nutrients. 2021;13(8). doi:10.3390/nu13082764
8. L S, A R, E TA, L B. Malnutrition is associated with increased mortality in older adults regardless of the cause of death. The British journal of nutrition. 2017;117(4). doi:10.1017/S0007114517000435
9. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN Guidelines for Nutrition Screening 2002. Clinical Nutrition. 2003;22(4):415-421. doi:10.1016/S0261-5614(03)00098-0
10. Keller U. Nutritional Laboratory Markers in Malnutrition. J Clin Med. 2019;8(6). doi:10.3390/jcm8060775
11. A S, G C, M E, B I. Laboratory assessment of protein energy status. Journal of the International Federation of Clinical Chemistry. 1996;8(2). Accessed June 18, 2026. https://pubmed.ncbi.nlm.nih.gov/10163515/
12. Beck FK, Rosenthal TC. Prealbumin: a marker for nutritional evaluation. Am Fam Physician. 2002;65(8):1575-1578.
13. T C, Gl J, Mitd C, et al. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community. Clinical nutrition (Edinburgh, Scotland). 2019;38(1). doi:10.1016/j.clnu.2018.08.002
14. Nutritional anaemias: tools for effective prevention and control. Accessed May 8, 2026. https://www.who.int/publications/i/item/9789241513067
15. Nas AA, Nimf T, Mr AH, Nh I. Assessing the nutritional status of hospitalized elderly. Clinical interventions in aging. 2017;12. doi:10.2147/CIA.S140859
16. Use of Mini Nutritional Assessment (MNA®) as a Nutritional Screening Tool among Urban Older Adults in Pasay City, Philippines | Request PDF. ResearchGate. doi:10.47895/amp.v52i3.403
17. S T, Cf R, As T. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi journal of anaesthesia. 2017;11(Suppl 1). doi:10.4103/sja.SJA_203_17
18. E W, J N, P J, A ZL. Anemia and Its Connections to Inflammation in Older Adults: A Review. Journal of clinical medicine. 2024;13(7). doi:10.3390/jcm13072049
19. Mądra-Gackowska K, Szewczyk-Golec K, Gackowski M, et al. Selected Biochemical, Hematological, and Immunological Blood Parameters for the Identification of Malnutrition in Polish Senile Inpatients: A Cross-Sectional Study. Journal of Clinical Medicine. 2025;14(5):1494. doi:10.3390/jcm14051494
20. Jp M, Xq Q, Ct Z, et al. Comparison of two malnutrition risk screening tools with nutritional biochemical parameters, BMI and length of stay in Chinese geriatric inpatients: a multicenter, cross-sectional study. BMJ open. 2019;9(2). doi:10.1136/bmjopen-2018-022993
21. Lymphopenia in sepsis: a narrative review | Critical Care | Springer Nature Link. Accessed June 9, 2026. https://link.springer.com/article/10.1186/s13054-024-05099-4
22. Evans DC, Corkins MR, Malone A, et al. The Use of Visceral Proteins as Nutrition Markers: An ASPEN Position Paper. Nutrition in Clinical Practice. 2021;36(1):22-28. doi:10.1002/ncp.10588