Nutritional screening carried out by nurses in retriement homes.

Authors: I. Juhásová;  A. Pokorná;  PharmDr. Irma Miklášová;  L. Cetlová
Published in: Geriatrie a Gerontologie 2016, 5, č. 3: 122-127


The nutritional state of the elderly plays a crucial role not only for the quality of life in old age, but especially for the treatment of acute and chronic diseases. Nutrition is an important part of quality care for the elderly in the facilities providing such care. The aim of the research was to study the nutritional state of the elderly in two social care homes in Nitra region. The survey sample consisted of 97 elderly patients (61 women, 36 men, and the average age was 79.64 (± 4.01). The average length of stay in the social care home for older persons was 4 years.

Following assessment tools were used to determine nutritional state and thus detect malnutrition and risk of malnutrition: Mini Nutritional Assessment (MNA) and Malnutrition Universal Screening Tool (MUST). Statistical analysis was performed by the SPSS software, version 15.0.

According to the Body Mass Index (BMI) the 48.7 % of seniors were in within the normal nutritional status. Using MNA scale 37.1 % of elderly was detected at risk of malnutrition and 20.6 % of elderly were undernourished. Statistically significant relationships (p <0.05) were found between the length of stay, age and nutritional score of the elderly.

We support the idea that nurses as part of a multidisciplinary team in retirement homes should assess and evaluate the nutritional state of the elderly in regular intervals. The best tool seems to be Mini Nutritional Assessment as simple, valid and useful screening tool for valuation of elderly people living in the retirement homes. We verified usefulness of this tool for malnutrition detection in elderly living in long term social care institution and also the fact that measuring weight, respectively BMI, is important but not sufficient.

elderly – nutrition – nutritional screening – Mini Nutritional Assessment (MNA) –Malnutrition Universal Screening Tool (MUST) – Body Mass Index (BMI) –malnutrition


1. Pokorná A, Chudobová L. Effectiveness of the Standardised Nutritional Support of Senior Citizens in the institutional Care. J of US-China Medical Science 2011; 8(9, serial 89): 567–570.

2. Starnovská T. Kvalifikovaná nutriční péče musí být součástí komplexní léčby. Florence 2011; 7(1):41–43.

3. Pavlov P. Výživa v starobe a jej poruchy, Vysokošpecializovaný odborný ústav geriatrický sv. Lukáša v Košiciach, n.o., Košice. Via practica 2007; 4(12): 556–558. Dostupné na: 2823&magazine_id=1.

4. Salva A, Pera G. Nutrition and ageing. Screening for malnutrition in dwelling elderly. Public Health Nutrition 2001; 6A(4): 1375–1387.

5. Topinková E. Geriatrie pro praxi. Praha: Galén 2005.

6. Kohout P. Výživa seniorů. Zdravotnické noviny 2010; 59(26): 28–29.

7. Adams NE, et al. Recognition by medical and nursing professional of malnutrition in eldery hospitalised patients. Nutirtion & Dietetics 2008; 68(2): 144–150.

8. Green SM, Watson R. Nutritional screening and assessment tools for older adults: literature review. J Adv Nurs 2006; 54(4): 477–490.

9. Kozáková R, Kroulíková L, Jarošová D. Hodnocení stavu výživy pacientů v zařízení dlouhodobé péče. Ošetřovatelství a porodní asistence 2011; 2(1): 179–183.

10. Guigoz Y, Lauque S, Vellas B. Identifying the elderly at risk for malnutrition: the Mini Nutritional Assessment. Clin Geriatr Med 2002; (18): 737–757.

11. Mayer R. Nutritional support Recommendations. An evidence based approach and the application in Europe. ESPEN-FELANPE. Symposium Istanbul 2006. National Guidelines for Ideal Weight may be too Restrictive for the Elderly. Yale Researchers Find 2012 (cited 2013 March 8). Dostupné na:

12. Inschlag C, Anthony P, Unger-Manhart N. Nutritional assessment in elderly institutionalized people: Comparison between Body Mass Index (BMI) and Mini Nutritional Assessment Short-form (MNA(registered trademark)-SF) Eur Geriatr Med 2011; 2(Suppl 1): S157 (Poster presentation clinical area PC-394, 7th Congress of the European Union Geriatric Medicine Society (EUGMS), Màlaga, Andalusia, Spain, Sept 28-30, 2011).

13. Mahan LK, Escott-Stump S. Krause‘s Food & Nutrition Therapy. 13th ed. St. Louis: Elsevier – Health Sciences Division 2007.

14. Cook Z, et al. Use of BMI in the assessment of undernutrition in older subjects: reflecting on practice. Proceedings of the Nutrition Society 2005; 6: 313–317.

15. Dey D, et al. Body mass index, weight change and mortality in the elderly. A 15 year longitudinal population study of 70 year olds. Eur J Clin Nutr 2010; (55): 482–492.

16. Rambousková J. Nutriční stav seniorů v institucionalizované péči. Teplice: Česká lékařská společnost 2011.

17. Christensson L, Unosson M. Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care. Eur J Clin Nutr 2002; 56: 810–818.

18. Visvanatan R, Macintosh C, Callary M, et al. The nutritional status of 250 older Australian recipients of domiciliary care services and its association with outcomes at 12 months. J Am Geriatr Soc 2003; 5: 1007–1011.

19. Persson MD, Brismar KE, Katzarski KS, et al. Nutritional status using mini nutritional assessment and subjective global assessment predict mortality in geriatric patients. J Am Geriatr Soc 2002; 50: 1996–2002.

20. Bauer JM, Vogl T, Wicklein S, et al. Comparison of the Mini Nutritional Assessment, Subjective Global Assessment, and Nutritional Risk Screening (NRS 2002) for nutritional screening and assessment in geriatric hospital patients. Z Gerontol Geriatr 2005; 38: 322–327.

21. Topinková E. Využití standardizovaných škál pro hodnocení stavu výživy u starších nemocných. Česká geriatrická revue 2003; 1(1): 6–11.

22. Vellas B, Guigoz Y, Garry PJ, et al. The Mini Nutritional Assessment (MNA) and its Use in Grading the Nutritional State of Elderly Patients. Nutrition 1999; 15: 116–122.

23. Woo J, Chumlea WC, Sun SS, et al. Development of the Chinese nutrition screen (CNS) for use in institutional settings. Journal of Nutrition Health Aging 2005; 9: 203–210.

24. De Luis D, et al. Evaluación del test corto de valoración nutricional (mna-sf) en ancianos institucionalizados en españa. Nutricion Hospitalari 2011; 26(6): 1351–1358.

25. Caccialanza R, et al. Nutritional parameters associated with prolonged hospital stay among ambulatory adult patients. Canadian Medical Association 2010; 182(17): 1831–1832.

26. Stratton RJ, Hackston A, Longmore D, et al. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the ‘malnutrition universal screening tool (‘MUST’) for adults. British Journal of Nutrition 2004; 92(5): 799–708.

27. Ozturk E, Can M, Dag B. Comparison of Nutritional risk screening tool (NRS 2002) and Subjective Global Assessment (SGA) for nutritional screening and assessment at hospital admision. Clinical Nutrition Supplements 2009; 4(2): 88.

28. Raslan M, Gonzalez M, Waitzberg D. Complementarity between subjective global assessment (SGA) and Nutritional risk screening (NRS 2002) to predict clinical outcomes. Clinical Nutrition Supplements 2009; 4(2): 97–97.

29. Pokorná A, Maixnerová L. Sledování nutričního stavu seniorů za hospitalizace. Praktický lékař, Praha: Česká lékařská společnost Jana Evangelisty Purkyně 2013; 93(5): 221–225.

30. Kuzuya M, Kanda S, Koike T, et al. Evaluation of Mini-Nutritional Assessment for Japanese frail elderly. Nutrition 2005; 21: 498–503.

31. Cairelle G, Baglio G, Censi L, et al. Mini Nutritional Assessment (MNA) and nutritional risk in elderly. A proposal of nutritional surveillance system for the department of public health 2005; 17: 35–46.

Geriatrics General practitioner for adults Orthopaedic prosthetics

Article was published in

Geriatrics and Gerontology

Issue 3

2016 Issue 3

Most read in this issue

This topic is also in:

Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account