International Journal of Preventive Medicine (Int J Prev Med)2008-780210102020020921592159ENShefa Neuroscience Research Center, Khatam Alanbia Hospital, TehranDepartment of Gerontology and Geriatric, Medical School, Tehran University of Medical Sciences, Tehran & Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, TehranShefa Neuroscience Research Center, Khatam Alanbia Hospital, Tehran & Medical School, Shahed University, TehranElderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, TehranElderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, TehranDepartment of Internal Medicine, Faculty of Medicine, Sina Hospital, Tehran University of Medical Sciences, TehranShefa Neuroscience Research Center, Khatam Alanbia Hospital, TehranEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, TehranShefa Neuroscience Research Center, Khatam Alanbia Hospital, TehranElderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran20200119<p><span class="fontstyle0"><strong>Background</strong>: </span><span class="fontstyle2">The aim was to determine validity, reliability, and cutoff of full‑mini nutritional assessment (MNA) and MNA‑short form (SF) also which one was better for the screening of malnutrition in the Iranian hospitalized elderly. </span></p><p><strong></strong><span class="fontstyle0"><strong>Methods</strong>: </span><span class="fontstyle2">In this cross‑sectional validation study, 96 hospitalized elderly ≥60 years selected from two hospitals in Tehran. Anthropometric measures (body<br />mass index [BMI], mid‑arm circumference [MAC], calf circumference [CC], abdomen, and waist skinfold thickness) and laboratory tests (albumin and hemoglobin levels, and red blood cell count were performed. Nutrition tools (full‑MNA and MNA‑SF), cognition tool (mini‑mental state examination, depression scale (Geriatric Depression Scale15 and activities of daily living (ADL) index (Modified Barthel‑ADL) were administered. </span></p><p><span class="fontstyle0"><strong>Results</strong>: </span><span class="fontstyle2">The full‑MNA scores were significantly correlated to measures of MAC, BMI, waist, and CC. The MNS‑SF scores were significantly related to measures<br />of MAC, waist, and CC. Serum albumin showed a poor correlation with both tools. At cutoff 24 in full‑MNA had a sensitivity 75% and specificity 77.8% and the MNA‑SF considered 62.5% sensitivity and 65.3% specificity at cutoff 10.50 to detect well‑nourished from malnourished subjects. The internal consistencies of both tools were &gt;90%. In exploratory factor analysis, six components found for full‑MNA and two components for MNA‑SF. Known group validity of full‑MNA was reflected significant differences between geriatric patients with expected higher full‑MNA scores and patients with expected lower scores (BMI ≥24 vs. BMI &lt;24 or bed ulcer or assisted food intake).<br /></span></p><p><span class="fontstyle0"><strong>Conclusions</strong>: </span><span class="fontstyle2">It seems the Persian version of full‑MNA is more appropriate in comparison to MNA‑SF for screening malnutrition in the Iranian hospitalized elderly patients.<br /></span></p><p><span class="fontstyle0" style="color: #00652e;"><strong>Keywords</strong>: </span><span class="fontstyle3">Aged, nutrition assessment, psychometrics</span></p>http://ijpm.mui.ac.ir/index.php/ijpm/article/view/2159http://ijpm.mui.ac.ir/index.php/ijpm/article/download/2159/717717955