Nutritional risk screening tools for older adults with COVID-19: a systematic review

Abstract: Coronavirus disease 2019 (COVID-19) is associated with high risk of malnutrition, primarily in older people; assessing nutritional risk using appropriate screening tools is critical. This systematic review identified applicable tools and assessed their measurement properties. Literature wa...

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Autores: Evangelista, Karine Cavalcanti Maurício de Sena; Silva, David Franciole Oliveira; Lima, Severina Carla Vieira Cunha; Marchioni, Dirce Maria; Cobucci, Ricardo Ney; Andrade, Fábia Barbosa de
Tipo de documento: Artículo
Estado:Published version
Fecha de publicación:2020
País:Brasil
Institución:UFRN
Repositorio:Repositório Institucional da UFRN
Lenguaje:Inglés
OAI Identifier:oai:repositorio.ufrn.br:123456789/59850
Acceso en línea:https://repositorio.ufrn.br/handle/123456789/59850
http://dx.doi.org/10.3390/nu12102956
Nivel de acceso:Acceso abierto
Palabra clave:Nutritional screening
Nutritional risk
Nutritional assessment
Malnutrition
Elderly
COVID-19
Coronavirus
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author Evangelista, Karine Cavalcanti Maurício de Sena
author2 Silva, David Franciole Oliveira
Lima, Severina Carla Vieira Cunha
Marchioni, Dirce Maria
Cobucci, Ricardo Ney
Andrade, Fábia Barbosa de
author2_role author
author
author
author
author
author_browse Andrade, Fábia Barbosa de
Cobucci, Ricardo Ney
Evangelista, Karine Cavalcanti Maurício de Sena
Lima, Severina Carla Vieira Cunha
Marchioni, Dirce Maria
Silva, David Franciole Oliveira
author_facet Evangelista, Karine Cavalcanti Maurício de Sena
Silva, David Franciole Oliveira
Lima, Severina Carla Vieira Cunha
Marchioni, Dirce Maria
Cobucci, Ricardo Ney
Andrade, Fábia Barbosa de
author_role author
collection Repositório Institucional da UFRN
description Abstract: Coronavirus disease 2019 (COVID-19) is associated with high risk of malnutrition, primarily in older people; assessing nutritional risk using appropriate screening tools is critical. This systematic review identified applicable tools and assessed their measurement properties. Literature was searched in the MEDLINE, Embase, and LILACS databases. Four studies conducted in China met the eligibility criteria. Sample sizes ranged from six to 182, and participants’ ages from 65 to 87 years. Seven nutritional screening and assessment tools were used: the Nutritional Risk Screening 2002 (NRS-2002), the Mini Nutritional Assessment (MNA), the MNA-short form (MNA-sf), the Malnutrition Universal Screening Tool (MUST), the Nutritional Risk Index (NRI), the Geriatric NRI (GNRI), and modified Nutrition Risk in the Critically ill (mNUTRIC) score. Nutritional risk was identified in 27.5% to 100% of participants. The NRS-2002, MNA, MNA-sf, NRI, and MUST demonstrated high sensitivity; the MUST had better specificity. The MNA and MUST demonstrated better criterion validity. The MNA-sf demonstrated better predictive validity for poor appetite and weight loss; the NRS-2002 demonstrated better predictive validity for prolonged hospitalization. mNUTRIC score demonstrated good predictive validity for hospital mortality. Most instruments demonstrate high sensitivity for identifying nutritional risk, but none are acknowledged as the best for nutritional screening in older adults with COVID-19
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instname_str Universidade Federal do Rio Grande do Norte (UFRN)
language eng
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publishDate 2020
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reponame_str Repositório Institucional da UFRN
spelling Nutritional risk screening tools for older adults with COVID-19: a systematic review Evangelista, Karine Cavalcanti Maurício de Sena Silva, David Franciole Oliveira Lima, Severina Carla Vieira Cunha Marchioni, Dirce Maria Cobucci, Ricardo Ney Andrade, Fábia Barbosa de Nutritional screening Nutritional risk Nutritional assessment Malnutrition Elderly COVID-19 Coronavirus Abstract: Coronavirus disease 2019 (COVID-19) is associated with high risk of malnutrition, primarily in older people; assessing nutritional risk using appropriate screening tools is critical. This systematic review identified applicable tools and assessed their measurement properties. Literature was searched in the MEDLINE, Embase, and LILACS databases. Four studies conducted in China met the eligibility criteria. Sample sizes ranged from six to 182, and participants’ ages from 65 to 87 years. Seven nutritional screening and assessment tools were used: the Nutritional Risk Screening 2002 (NRS-2002), the Mini Nutritional Assessment (MNA), the MNA-short form (MNA-sf), the Malnutrition Universal Screening Tool (MUST), the Nutritional Risk Index (NRI), the Geriatric NRI (GNRI), and modified Nutrition Risk in the Critically ill (mNUTRIC) score. Nutritional risk was identified in 27.5% to 100% of participants. The NRS-2002, MNA, MNA-sf, NRI, and MUST demonstrated high sensitivity; the MUST had better specificity. The MNA and MUST demonstrated better criterion validity. The MNA-sf demonstrated better predictive validity for poor appetite and weight loss; the NRS-2002 demonstrated better predictive validity for prolonged hospitalization. mNUTRIC score demonstrated good predictive validity for hospital mortality. Most instruments demonstrate high sensitivity for identifying nutritional risk, but none are acknowledged as the best for nutritional screening in older adults with COVID-19 Nutrients SILVA, David Franciole Oliveira; LIMA, Severina Carla Vieira Cunha; EVANGELISTA, Karine Cavalcanti Mauricio de Sena; MARCHIONI, Dirce Maria; COBUCCI, Ricardo Ney; ANDRADE, Fábia Barbosa de. Nutritional risk screening tools for older adults with COVID-19: a systematic review. Nutrients, [S.l.], v. 12, n. 10, p. 2956-2980, 27 set. 2020. DOI: 10.3390/nu12102956. Disponível em: https://www.mdpi.com/2072-6643/12/10/2956. Acesso em: 25 jul. 2024. https://repositorio.ufrn.br/handle/123456789/59850 http://dx.doi.org/10.3390/nu12102956 ark:/41046/0013000008p60
spellingShingle Nutritional risk screening tools for older adults with COVID-19: a systematic review
Evangelista, Karine Cavalcanti Maurício de Sena
Nutritional screening
Nutritional risk
Nutritional assessment
Malnutrition
Elderly
COVID-19
Coronavirus
status_str publishedVersion
title Nutritional risk screening tools for older adults with COVID-19: a systematic review
title_full Nutritional risk screening tools for older adults with COVID-19: a systematic review
title_fullStr Nutritional risk screening tools for older adults with COVID-19: a systematic review
title_full_unstemmed Nutritional risk screening tools for older adults with COVID-19: a systematic review
title_short Nutritional risk screening tools for older adults with COVID-19: a systematic review
title_sort Nutritional risk screening tools for older adults with COVID-19: a systematic review
topic Nutritional screening
Nutritional risk
Nutritional assessment
Malnutrition
Elderly
COVID-19
Coronavirus
topic_facet Nutritional screening
Nutritional risk
Nutritional assessment
Malnutrition
Elderly
COVID-19
Coronavirus
url https://repositorio.ufrn.br/handle/123456789/59850
http://dx.doi.org/10.3390/nu12102956