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Submitted: 28 May 2008 Modified: 07 June 2018
HERDIN Record #: PCHRD052808030503

Correlation of the mini-nutritional assessment and the tinetti gait and balance scores among older patients.

1Eliza Mei P. Francisco,
2Eduardo Rommel S. Poblete,
3Miguel A. Ramos Jr,
4Rosary M. Amane
Iloilo Mission Hospital


BACKGROUND: Malnutrition is a frequent finding and problem in the elderly. It remains a largely unrecognized problem in the hospital. Hence multidimensional screening tools for nutritional assessment has been studied and developed. Among these, the Mini-Nutritional Assessment (MNA) was proven to be simple, non invasive, well validated screening tool for malnutrition in the elderly persons in Europe, United States and Japan. A large validation study is currently being conducted in China to look at its applicability to Asian Elderly population in general.

OBJECTIVES: To determine the correlation between the Mini-Nutritional Assessment (MNA) and Tinetti Gait and Balance scores among patients admitted at the St. Luke's Medical Center (Geriatric Center)

SETTING AND DESIGN: This is a retrospective, cross-sectional study conducted from May 1, 2005 to February 28, 2006 using the Mini-Nutritional Assessment (MNA) and Tinetti Gait and Balance Scores from the Comprehensive Geriatric Assessment (CGA) questionnaires.

MATERIALS AND METHODS: A total of 103 patients were admitted at the Acute Geriatric Ward. A Comprehensive Geriatric Assessment was conducted on each patient by the Geriatric Medicine Fellows assigned in the unit. The MNA and Tinetti Gait and Balance Scores of 72 patients included in the study were retrieved and recorded. Results were entered and analyzed using MINITAB. Selected characteristics of the geriatric patients were described using mean, standard deviation frequency and percentage. Inferential statistics included 2-sample t-test, oneway analysis of variance (ANOVA) and Pearson's correlation coefficient. Significance was determined by a p-value < 0.05.

RESULTS: The correlation coefficient was only 0.32. Although the strength of the positive relationship is not high, the correlation between the MNA and Tinetti Gait and Balance Scores is significant (p = 0.006).This suggests that a higher MNA score is associated with a higher Tinetti Gait and Balance score.

CONCLUSION: The Mini-Nutritional Assessment tool remains an important validated clinical tool to assess the nutritional status of the elderly. The study shows a tendency towards MNA's positive correlation with functionality and frailty. A larger population study in the future is needed . (Author)

Publication Type:
Publication Sub Type:
Journal Article, Original
Philippine Journal of Internal Medicine
Six times a year (6x/year)
Publication Date:
March-April 2007
Philippine College of Physicians

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1. Luk, JKH , Or, K H, Woo, J . "Using the comprehensive geriatric assessment technique to assess elderly patients" Hong Kong Medical Journal 6, 93, 2000
2. McWhirter, J P. "Pennington CR: Incidence and recognition of malnutrition in hospital" British Medical Journal 308, 945, 1994
3. Beatie, B L, Louie, V Y. Nutrition and aging. Reichel 1999. 316.
4. Lipschitz, D A. Geriatric Medicine. An Evidence Based Approach: 68 , 1009, 2003
5. Kuzuya, M , Kanda, S , Koike, T , Suzuki, Y , Satake, S . "Evaluation of mini-nutritional assessment for Japanese frail elderly" Nutrition (In press), 2005
6. Koretz, B , Reuben, D B. Geriatric Medicine. An Evidence Based Approach: 17: 185 , 2003
7. Kuzuya, M , Kanda, S , Koike, T , Suzuki, Y , Iguchi, A . "A Lack of correlation between total lymphocyte count and nutritional status in the elderly" Clinical Nutrition , 2005
8. Tinetti, M E. "Performance oriented assessment of mobility problems in elderly patients" Journal of American Geriatric Society 34, 119, 1986
9. Guigoz, Y , Lauque, S , Vellas, B J. "Identifying the elderly at risk for malnutrition. The Mini - nutritional assessment" Clinical Geriatric Medicine 18(4): 737, November 2002
10. Mau-Roung, Liu , Hei-Fen Hwang, M S, et al, . "Psychometric comparisons of timed up and go. One leg stand. Functional reach and tinetti balance measures in community dwelling older people" Journal American Geriatric Society 52, 1343, 2004
11. Vellas, B , Guigoz, Y , Baumgarther, M , Garry, P J, Lauque, S , Albaberde, J L. "Relationships between nutritional markers and the mini-nutritional assessment in 155 older persons" Journal American Geriatric Society 48(10): 1300, October 2000
12. Soini, H , Routasalo, P , Lagstrom, H . "Characteristics of the mini-nutritional assessment in elderly home-care patients" European Journal of Clinical Nutrition 58(1): 64, January 2004
13. Van Nes Marie-Claire, , Hermann, F R, Gold, G . "Does mini-nutritional assessment predict hospitalization outcomes on older people?" Age and Ageing 30, 221, 0201
14. Discigil, G , Gemalmaz, A , Tekin, N . "Comprehensive geriatric assessment of nursing home and community dwelling elderly" Middle Eastern Journal Age Ageing 4, February 2007
15. Rantenen, T , Guralnik, J M, Ferrucci, L , et al, . "Co-impairments as predictors of severe walking disability in older women" Journal American Geriatric Society 49, 21, 2001
16. Kose, N , Cuvalci, S , Ekici, G , Otman, A S, Karakaya, M G. "The risk factors of fall and their correlation with balance, depression, cogniitive impairment and mobility skills in elderly nursing home residents" Saudi Medical Journal 26(6): 978, June 2005
17. Donini, L M, Savina, C , Rosano, A , De Felice, M R, Tassi, L , De Bernardini, L . "MNA predictive value in the follow-up of geriatric patients" Journal Nutrition Health Aging 7(5): 282, 2003
18. Lewis, C . "Balance, gait test proves simple yet usefull. Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients" JAGS 34, 119, 1986
19. Kopke, S , Meyer, G . "The Tinetti test: Babylon in geriatric assessment" Z Gerontology Geriatric 39(4): 288, August 2006