Effectiveness of the Mini Nutritional Assessment (MNA) in Evaluating Malnutrition in Patients with Chronic Obstructive Pulmonary Disease (COPD): A Systematic Review
Abstract
Patients with Chronic Obstructive Pulmonary Disease (COPD) are at high risk of weight loss. This weight loss can exacerbate malnutrition, which is closely associated with worsened lung function, increased hospitalization rates, decreased physical activity tolerance, reduced quality of life, and higher mortality. The Mini Nutritional Assessment (MNA) is a widely used questionnaire that provides clear information regarding nutritional status and helps assess malnutrition in patients. Objective to evaluate the effectiveness of the Mini Nutritional Assessment (MNA) in assessing nutritional status and predicting malnutrition in COPD patients. This article is written using a systematic review method, with a search strategy conducted across four databases, yielding a total of 871 articles. These articles were then screened based on inclusion and exclusion criteria, resulting in 7 articles from 2014-2024. The 7 selected articles were subjected to critical appraisal using the JBI Critical Appraisal Checklist. The review of the articles generally indicates that the MNA intervention is effective in assessing malnutrition in COPD patients. The MNA can be optimally used to predict malnutrition in COPD patients, particularly among the elderly.
References
Chung, E., Park, Y., Lee, H. J., & Kang, Y. A. (2024). Usefulness of the mini nutritional assessment short-form for evaluating nutritional status in patients with nontuberculous mycobacterial pulmonary disease: a prospective cross-sectional study. BMC Infectious Diseases, 24(1), 1–10. https://doi.org/10.1186/s12879-024-09499-3
Collins, P. F., Nathan, A., Roberts, S., & Wilkinson, T. (2021). Effective nutrition support for patients with chronic obstructive pulmonary disease: Managing malnutrition in primary care. British Journal of General Practice, 71(710), 427–428. https://doi.org/10.3399/bjgp21X717053
Di Raimondo, D., Pirera, E., Pintus, C., De Rosa, R., Profita, M., Musiari, G., Siscaro, G., & Tuttolomondo, A. (2024). The Impact of Malnutrition on Chronic Obstructive Pulmonary Disease (COPD) Outcomes: The Predictive Value of the Mini Nutritional Assessment (MNA) versus Acute Exacerbations in Patients with Highly Complex COPD and Its Clinical and Prognostic Implications. Nutrients, 16(14), 1–13. https://doi.org/10.3390/nu16142303
Fujita, Y., Yoshikawa, M., Yamauchi, M., Yamamoto, Y., Osa, T., Sakaguchi, K., Fujioka, N., Ibaraki, T., & Muro, S. (2023). Mini Nutritional Assessment Short-Form as screening tool for osteoporosis in patients with chronic obstructive pulmonary disease. Asia Pacific Journal of Clinical Nutrition, 32(1), 13–18. https://doi.org/10.6133/apjcn.202303_32(1).0003
Griffin, A., McGarry, S., Moloney, C., & Galvin, R. (2021). Diagnostic accuracy of the Mini Nutritional Assessment – Short Form to identify malnutrition among older adults: protocol for a systematic review and meta-analysis. HRB Open Research, 4(July), 83. https://doi.org/10.12688/hrbopenres.13358.1
Hsu, M. F., Ho, S. C., Kuo, H. P., Wang, J. Y., & Tsai, A. C. (2014). Mini-nutritional assessment (MNA) is useful for assessing the nutritional status of patients with chronic obstructive pulmonary disease: A cross-sectional study. COPD: Journal of Chronic Obstructive Pulmonary Disease, 11(3), 325–332. https://doi.org/10.3109/15412555.2013.863274
Jaglarz-Biały, K., Stanisław, K., & Konturek, A. (2024). Screening of nutritional status – characteristics of Nutritional Screening Tools in everyday medical practice. Index Coperincus International. https://doi.org/10.5604/01.3001.0054.8164
Kaluźniak-Szymanowska, A., Krzymińska-Siemaszko, R., Deskur-śmielecka, E., & Wieczorowska-Tobis, K. (2022). Optimal Assessment of Nutritional Status in Older Subjects with the Chronic Obstructive Pulmonary Disease—A Comparison of Three Screening Tools Used in the GLIM Diagnostic Algorithm. International Journal of Environmental Research and Public Health, 19(3). https://doi.org/10.3390/ijerph19031025
Kawai, T., Asai, K., Miyamoto, A., Yamada, K., Furukawa, Y., Toyokura, E., Nishimura, M., Sato, K., Watanabe, T., & Kawaguchi, T. (2023). Distinct contributions of muscle mass and strength stratified by nutritional status to physical activity in patients with chronic obstructive pulmonary disease. Respiratory Investigation, 61(4), 389–397. https://doi.org/10.1016/j.resinv.2023.03.001
Kemenkes. (2022, Agustus 31). Deteksi Dini Penyakit Paru Obstruktif Kronis. Retrieved September 30, 2024, from https://p2ptm.kemkes.go.id/kegiatan-p2ptm/dki-jakarta/workshop-deteksi-dini-penyakit-paru-obstruktif-kronik-4-regional-dilaksanakan-30-agustus-sd-2-september-2022-ikutilah-jangan terlewat#:~:text=Saat%20ini%2C%20lebih%20dari%2065%20juta%20penduduk%20Indon
Kemenkes. (2021, November 23). Merokok, Penyebab Utama Penyakit Paru Obstruktif Kronik. Retrieved September 30, 2024, from Penyakit Paru Obstruktif Kronik: https://kemkes.go.id/id/rilis-kesehatan/merokok-penyebab-utama-penyakit-paru-obstruktif-kronis
Meneses, A., Silva, C., Pinho-Reis, C., & Guerra, R. S. (2023). Mini nutritional assessment-short form test: criterion and predictive validity in older adults from a long-term care unity. Nutricion Hospitalaria, 40(4), 763–770. https://doi.org/10.20960/nh.04356
Momtazmanesh, S., Moghaddam, S. S., Ghamari, S. H., Rad, E. M., Rezaei, N., Shobeiri, P., Aali, A., Abbasi-Kangevari, M., Abbasi-Kangevari, Z., Abdelmasseh, M., Abdoun, M., Abdulah, D. M., Md Abdullah, A. Y., Abedi, A., Abolhassani, H., Abrehdari-Tafreshi, Z., Achappa, B., Adane, D. E. A., Adane, T. D., … Farzadfar, F. (2023). Global burden of chronic respiratory diseases and risk factors, 1990–2019: an update from the Global Burden of Disease Study 2019. EClinicalMedicine, 59(10). https://doi.org/10.1016/j.eclinm.2023.101936
Montesanto, A., D’Aquila, P., Rossano, V., Passarino, G., & Bellizzi, D. (2019). Mini Nutritional Assessment Scores Indicate Higher Risk for Prospective Mortality and Contrasting Correlation With Age-Related Epigenetic Biomarkers. Frontiers in Endocrinology, 10(October), 1–7. https://doi.org/10.3389/fendo.2019.00672
Nasir, K., Sultan, S., Qureshi, R., Dhrolia, M., & Ahmad, A. (2022). Mini Nutritional Assessment (MNA) as a Reliable Tool for Nutritional Assessment of Hemodialysis Patients: A Single-Center Observation. Cureus, 14(1), 4–11. https://doi.org/10.7759/cureus.21024
Nozawa, Y., Nishitani-Yokoyama, M., Shimada, K., Kasuya, H., Kunimoto, M., Fujiwara, K., Doi, M., Sato, Y., Nishimura, J., Xu, J., Abulimiti, A., Tabata, M., & Minamino, T. (2023). Nutritional Status in Patients Undergoing Phase II Cardiac Rehabilitation by Mini Nutritional Assessment. Cardiology Research, 14(2), 133–141. https://doi.org/10.14740/cr1479
Panel, multi-professional consensus. (2023). 3rd EDITION Managing Malnutrition in COPD. 2016(June 2016), 1–12. www.bapen.org.uk/pdfs/must/must_full.pdf
Ruvuna, L., & Sood, A. (2020). Epidemiology of Chronic Obstructive Pulmonary Disease. Clinics in Chest Medicine, 41(3), 315–327. https://doi.org/10.1016/j.ccm.2020.05.002
Serón-Arbeloa, C., Labarta-Monzón, L., Puzo-Foncillas, J., Mallor-Bonet, T., Lafita-López, A., Bueno-Vidales, N., & Montoro-Huguet, M. (2022). Malnutrition Screening and Assessment. Nutrients, 14(12), 1–30. https://doi.org/10.3390/nu14122392
Stephenson, H., Roberts, M., Klimkeit, E., & Smith, T. (2022). Uncovering undernutrition in chronic obstructive pulmonary disease: Beyond body mass index. Respiratory Medicine, 205(July), 107026. https://doi.org/10.1016/j.rmed.2022.107026
Torbahn, G., Strauss, T., Sieber, C. C., Kiesswetter, E., & Volkert, D. (2020). Nutritional status according to the mini nutritional assessment (MNA)® as potential prognostic factor for health and treatment outcomes in patients with cancer - a systematic review. BMC Cancer, 20(1), 594. https://doi.org/10.1186/s12885-020-07052-4
Yuceege, M., SO Salman, Duru, S., YM Saygıdeğer, Sonmez, Z., & Ardıç, S. (2014). 【Pubmed非掲載?】The Evaluation of Nutrition in Male COPD Patients Using Subjective Global Assessment and Mini Nutritional Assesment. International Journal of Internal M Edicine, 1, 1–5. https://doi.org/10.5923/j.ijim.20130201.01
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