Part of a presentation given at the Canadian Nutrition Society Conference

Manon Laporte PDt, MScJune 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)

Screening Tools

Parameters Criterion Validity

Weight loss BMI

Appetite/Food intake

Others Gold Standard Sensitivity Specificity

Simple Screeningtools 1998#1#2

Albumin

In-depth assessment by dietitians(2 studies) 75%

92%75%69%

MST 1999 SGA (4 studies) 74%-93% 76%-93%

MNA-SF© 2001

Psycho. stress

Acute diseaseNeuropsycho. problems

Mobility

- Dietitian assessment

- SGA- Full MNA (4 studies)

93%

100%

64%-96%

38%

52.8%

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 orTube feeding

% Weight loss & BMISGA (2012)

79%

79%

83%

90.3%

Screening Tools

Reliability(inter-rater) Kappa Score

Simple / Easy to use? Limits

Screening Tools 1998 # 1

#2

0.600.76 ±

• Calculation of % weight loss• Laboratory parameter

MST 1999 0.84 – 0.93 Yes

• Eating poorly: only because appetite & No time frame of eating poorly

• Validity 93% - developmental study

MNA-SF© 2001 Not reported No

• Low specificity • For elderly population only• Too comprehensive

NRS 2002 0.67 No• Low sensitivity• Too detailed(% of food intake and weight loss)

MUST 2003 Not reported ±

• Calculation of % weight loss in specific time frames

• Same BMI range for adult and elderly populations

SNAQ © 2005 0.69 – 0.91 ± Yes

• No acceptable reference standard (EAL-ADA 2011)

• Decrease appetite over the last month…