Comparison of the efficacy of nutritional risk screening 2002 and mini nutritional assessment short form in recognizing sarcopenia and predicting its mortality

ABSTRACT OBJECTIVE This study aimed to examine the efficacy of Nutritional Risk Screening 2002 (NRS2002) and Mini Nutritional Assessment Short Form (MNA-SF) in recognizing sarcopenia and

predicting its mortality in Chinese geriatric hospitalized patients. METHODS A prospective analysis was performed in 430 hospitalized geriatric patients. Nutrition status was assessed using

the NRS2002 and MNA-SF scales. Anthropometric measures and biochemical parameters were carried out for each patient. Sarcopenia was defined according to the revised consensus definition of

the European Working Group on Sarcopenia in Older People (EWGSOP2). Patients were follow-up for up to 26 months. RESULTS The overall prevalence of sarcopenia was 35.3% in this population. In

the sarcopenic patients, 53 (34.9%) were malnutrition/nutritional risk according to NRS2002 assessment and 101 (66.4%) patients were malnutrition/nutritional risk according to MNA-SF

assessment. NRS2002 vs MNA-SF showed moderate agreement (_κ_ = 0.460, _P_ < 0.001). Receiver operating characteristic analysis showed that the area under the curve of MNA-SF was larger

than NRS2002 in recognizing sarcopenia (0.763 vs 0.649, _P_ = 0.001). During a median follow-up time of 20.22 months, 48 (31.6%) sarcopenic patients died. The Kaplan–Meier curve demonstrated

that malnutrition/nutritional risk patients according to whether NRS2002 or MNA-SF assessment had a higher risk of death than the normal nutrition patients (_χ_2 = 15.728, _P_ < 0.001;

_χ_2 = 7.039, _P_ = 0.008, respectively). Age, serum albumin levels, and NRS2002 score were independent factors influencing the mortality. CONCLUSION MNA-SF score may be better than the

NRS2002 score to recognize sarcopenia in Chinese geriatric population. Both NRS2002 and MNA-SF scores could predict mortality, but NRS2002 score was the independent predict factor. Access

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SIMILAR CONTENT BEING VIEWED BY OTHERS GERIATRIC NUTRITION RISK INDEX IS CLOSELY ASSOCIATED WITH SARCOPENIA AND QUALITY OF LIFE IN GASTRIC CANCER PATIENTS: A CROSS-SECTIONAL STUDY Article

Open access 28 December 2024 THE GERIATRIC NUTRITIONAL RISK INDEX PREDICTS SARCOPENIA IN PATIENTS WITH CIRRHOSIS Article Open access 08 March 2023 PERFORMANCE OF SARC-F AND SARC-CALF SCORES

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ACKNOWLEDGEMENTS We thank all the team involved in the development and implementation of the study: Jin Wang, Caihua Zhang, Xuelian Chen, Xiaokang Sun, and Ji Li. AUTHOR INFORMATION Author

notes * These author contributed equally: Xing-liang Zhang, Zhen Zhang AUTHORS AND AFFILIATIONS * Department of Geriatrics, Shanghai Jiaotong University Affiliated Sixth People’s Hospital,

No. 600, Yi Shan road, Shanghai, 200233, China Xing-liang Zhang, Zhen Zhang, Yun-xia Zhu, Jun Tao, Yue Zhang, Yan-yan Wang, Ying-ying Ke, Chen-xi Ren, Jun Xu & Xiao-yan Zhang Authors *

Xing-liang Zhang View author publications You can also search for this author inPubMed Google Scholar * Zhen Zhang View author publications You can also search for this author inPubMed 

Google Scholar * Yun-xia Zhu View author publications You can also search for this author inPubMed Google Scholar * Jun Tao View author publications You can also search for this author

inPubMed Google Scholar * Yue Zhang View author publications You can also search for this author inPubMed Google Scholar * Yan-yan Wang View author publications You can also search for this

author inPubMed Google Scholar * Ying-ying Ke View author publications You can also search for this author inPubMed Google Scholar * Chen-xi Ren View author publications You can also search

for this author inPubMed Google Scholar * Jun Xu View author publications You can also search for this author inPubMed Google Scholar * Xiao-yan Zhang View author publications You can also

search for this author inPubMed Google Scholar CONTRIBUTIONS The paper was conceived by author XLZ. XLZ, ZZ, YXZ, YYW, YYK, CXR and JX contributed to the implementation of the program and

acquisition of the data. YXZ and JT performed the statistical analysis. XLZ and ZZ wrote the paper. XLZ finalized the paper. All authors contributed to the interpretation of data analysis,

drafted or reviewed the paper and approved this version for publication. CORRESPONDING AUTHOR Correspondence to Xiao-yan Zhang. ETHICS DECLARATIONS CONFLICT OF INTEREST The authors declare

that they have no conflict of interest. ADDITIONAL INFORMATION PUBLISHER’S NOTE Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional

affiliations. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Zhang, Xl., Zhang, Z., Zhu, Yx. _et al._ Comparison of the efficacy of Nutritional Risk

Screening 2002 and Mini Nutritional Assessment Short Form in recognizing sarcopenia and predicting its mortality. _Eur J Clin Nutr_ 74, 1029–1037 (2020).

https://doi.org/10.1038/s41430-020-0621-8 Download citation * Received: 18 December 2019 * Revised: 18 March 2020 * Accepted: 20 March 2020 * Published: 09 April 2020 * Issue Date: July 2020

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