Accuracy of the Simplified Nutritional Appetite Questionnaire for Malnutrition and Sarcopenia Screening among Older Patients Requiring Rehabilitation
This cross-sectional study aimed to examine the accuracy of the Simplified Nutritional Appetite Questionnaire (SNAQ) and the SNAQ for Japanese Elderly (SNAQ-JE) for the Global Leadership Initiative on Malnutrition (GLIM)-defined malnutrition and sarcopenia screening in older persons. We included 380...
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doaj-67a7968d8df34f61854ab066ffc11fa32021-08-26T14:10:45ZengMDPI AGNutrients2072-66432021-08-01132738273810.3390/nu13082738Accuracy of the Simplified Nutritional Appetite Questionnaire for Malnutrition and Sarcopenia Screening among Older Patients Requiring RehabilitationAkio Shimizu0Ichiro Fujishima1Keisuke Maeda2Kenta Murotani3Tatsuro Inoue4Tomohisa Ohno5Akiko Nomoto6Junko Ueshima7Yuria Ishida8Ayano Nagano9Jun Kayashita10Naoharu Mori11Department of Nutrition, Hamamatsu City Rehabilitation Hospital, Hamamatsu 433-8127, JapanDepartment of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Hamamatsu 433-8127, JapanDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute 480-1195, JapanBiostatistics Center, Kurume University, Kurume 830-0011, JapanDepartment of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, Obu 474-8511, JapanDepartment of Dentistry, Hamamatsu City Rehabilitation Hospital, Hamamatsu 433-8127, JapanDepartment of Dentistry, Hamamatsu City Rehabilitation Hospital, Hamamatsu 433-8127, JapanDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute 480-1195, JapanDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute 480-1195, JapanDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute 480-1195, JapanDepartment of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima 734-8558, JapanDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute 480-1195, JapanThis cross-sectional study aimed to examine the accuracy of the Simplified Nutritional Appetite Questionnaire (SNAQ) and the SNAQ for Japanese Elderly (SNAQ-JE) for the Global Leadership Initiative on Malnutrition (GLIM)-defined malnutrition and sarcopenia screening in older persons. We included 380 inpatients aged ≥65 years (mean age, 79.3 ± 7.9; 60.0% women) and admitted to rehabilitation units. Undernutrition and sarcopenia were diagnosed based on GLIM criteria and the Asian Working Group for Sarcopenia, respectively, using bioimpedance analysis. Poor appetite was defined as an SNAQ score of <14 points and an SNAQ-JE score of ≤14 points. The sensitivity, specificity, and accuracy of these tools for detecting poor appetite for GLIM-defined malnutrition and sarcopenia were assessed. The rates of GLIM-defined malnutrition and sarcopenia were 56.8% and 59.2%, respectively. The number of patients with poor appetite was 94 (24.7%) for the SNAQ and 234 (61.6%) for the SNAQ-JE. The sensitivity and specificity of the SNAQ measured against GLIM-defined malnutrition were 32.9% and 73.1%, respectively, and against sarcopenia were 29.8% and 70.2%, respectively. The sensitivity and specificity of the SNAQ-JE measured against GLIM-defined malnutrition were 82.6% and 51.0%, respectively, and against sarcopenia were 86.0% and 53.7%, respectively. The SNAQ-JE showed fair accuracy for GLIM-defined malnutrition and sarcopenia in older patients admitted to rehabilitation units.https://www.mdpi.com/2072-6643/13/8/2738older adultssarcopeniamalnutritionpoor appetite |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Akio Shimizu Ichiro Fujishima Keisuke Maeda Kenta Murotani Tatsuro Inoue Tomohisa Ohno Akiko Nomoto Junko Ueshima Yuria Ishida Ayano Nagano Jun Kayashita Naoharu Mori |
spellingShingle |
Akio Shimizu Ichiro Fujishima Keisuke Maeda Kenta Murotani Tatsuro Inoue Tomohisa Ohno Akiko Nomoto Junko Ueshima Yuria Ishida Ayano Nagano Jun Kayashita Naoharu Mori Accuracy of the Simplified Nutritional Appetite Questionnaire for Malnutrition and Sarcopenia Screening among Older Patients Requiring Rehabilitation Nutrients older adults sarcopenia malnutrition poor appetite |
author_facet |
Akio Shimizu Ichiro Fujishima Keisuke Maeda Kenta Murotani Tatsuro Inoue Tomohisa Ohno Akiko Nomoto Junko Ueshima Yuria Ishida Ayano Nagano Jun Kayashita Naoharu Mori |
author_sort |
Akio Shimizu |
title |
Accuracy of the Simplified Nutritional Appetite Questionnaire for Malnutrition and Sarcopenia Screening among Older Patients Requiring Rehabilitation |
title_short |
Accuracy of the Simplified Nutritional Appetite Questionnaire for Malnutrition and Sarcopenia Screening among Older Patients Requiring Rehabilitation |
title_full |
Accuracy of the Simplified Nutritional Appetite Questionnaire for Malnutrition and Sarcopenia Screening among Older Patients Requiring Rehabilitation |
title_fullStr |
Accuracy of the Simplified Nutritional Appetite Questionnaire for Malnutrition and Sarcopenia Screening among Older Patients Requiring Rehabilitation |
title_full_unstemmed |
Accuracy of the Simplified Nutritional Appetite Questionnaire for Malnutrition and Sarcopenia Screening among Older Patients Requiring Rehabilitation |
title_sort |
accuracy of the simplified nutritional appetite questionnaire for malnutrition and sarcopenia screening among older patients requiring rehabilitation |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2021-08-01 |
description |
This cross-sectional study aimed to examine the accuracy of the Simplified Nutritional Appetite Questionnaire (SNAQ) and the SNAQ for Japanese Elderly (SNAQ-JE) for the Global Leadership Initiative on Malnutrition (GLIM)-defined malnutrition and sarcopenia screening in older persons. We included 380 inpatients aged ≥65 years (mean age, 79.3 ± 7.9; 60.0% women) and admitted to rehabilitation units. Undernutrition and sarcopenia were diagnosed based on GLIM criteria and the Asian Working Group for Sarcopenia, respectively, using bioimpedance analysis. Poor appetite was defined as an SNAQ score of <14 points and an SNAQ-JE score of ≤14 points. The sensitivity, specificity, and accuracy of these tools for detecting poor appetite for GLIM-defined malnutrition and sarcopenia were assessed. The rates of GLIM-defined malnutrition and sarcopenia were 56.8% and 59.2%, respectively. The number of patients with poor appetite was 94 (24.7%) for the SNAQ and 234 (61.6%) for the SNAQ-JE. The sensitivity and specificity of the SNAQ measured against GLIM-defined malnutrition were 32.9% and 73.1%, respectively, and against sarcopenia were 29.8% and 70.2%, respectively. The sensitivity and specificity of the SNAQ-JE measured against GLIM-defined malnutrition were 82.6% and 51.0%, respectively, and against sarcopenia were 86.0% and 53.7%, respectively. The SNAQ-JE showed fair accuracy for GLIM-defined malnutrition and sarcopenia in older patients admitted to rehabilitation units. |
topic |
older adults sarcopenia malnutrition poor appetite |
url |
https://www.mdpi.com/2072-6643/13/8/2738 |
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