Evaluarea starii nutritionale – Mini Nutritional Assessment (MNA)

Evaluarea starii nutritionale – Mini Nutritional Assessment (MNA)

(Guigoz Y, Vellas B and Garry PJ, 1994)

 

 

  1. I.                     Indici antropometrici
  2. Indici ai mesei corporale (IMC = Greutate / (Inaltime)2 in kg/m2

0 = IMC <19           1 = 19 ≤ IMC < 21                  2 = 21 ≤ imc < 23                   3 = IMC ≥ 23                                          Scor ____

  1. Circumferinta brachiala (CM in cm)

0,0 = CB < 21         0,5 = 21 ≤ CB ≤ 22 1,0 = CB > 22                                                                                                         Scor ____

 

  1. Circumferinta gambei (CM in cm)

0 = CM < 31                           1 = CM ≥ 31                                                                                                                            Scor ____

  1. Pierderea recenta in greutate (<3 luni)

0 = scadere in greutate > 3 kg   1 = nu stie   2 = scadere in greutate intre 1 si 3 kg   3 = nu a pierdut in greutate                                                                                                                                                                                                                                                                                                                                                                                                                                                        Scor____

 

  1. II.                   Evaluare gobala
  2. Pacientul traieste independent la domiciliu?

0 = nu                     1 = da                                                                                                                                                      Scor____

 

  1. Ia mai mult de 3 medicamente?

0 = da                     1 = nu                                                                                                                                                     Scor____

 

  1. Boli acute sau stress psihic in ultimele 3 luni?

0 = da                     1 = nu                                                                                                                                                     Scor____

 

  1. Motricitate

0 = din pat la fotoliu      1 = autonomie la interior      2 = iese din domiciliu                                                             Scor____

 

  1. Probleme neuropsihologice

0 = dementa sau depresie severa                    1 = dementa sau depresie moderata    2 = nu are probleme psihologice

Scor____

  1. Escara sau plagi cutanate

0 = da                     1 = nu                                                                                                                                                     Scor____

 

  1. Indici dietetici

Cate mese adevarate serveste pacientul pe zi?

(dejun, pranz, cina cu mai mult de 2 feluri de mancare)

0 = 1 masa             1 = 2 mese             2 = 3 mese                                                                                                             Scor____

 

12. Consuma?

Cel putin o data pe zi produse lactate                                                                                                                            Da – Nu

Cel putin o data pe saptamana oua sau legume                                                                                                           Da – Nu

In fiecare zi peste, carne de vita sau de pasare                                                                                                            Da – Nu

0,0 = daca 0 sau 1 0,6 = daca 2                           1,0 = daca 3                                                                           Scor____

 

 

 

  1. Consuma de cel putin 2 ori pe zi fructe sau legume?

0 = nu                     1 – da                                                                                                                                                      Scor____

 

14. Prezinta o scadere a apetitului? A mancat mai putin in ultimele luni din cauza scaderii poftei de mancare, problemelor digestive, dificultatilor de masticatie sau deglutitie?

0 = anorexie         1 = anorexie moderata           2 = nu are anorexie                                                                         Scor____

 

15. Cate pahare de lichide consuma zilnic? (apa, sucuri, cafea, ceai, vin, bere…)

0,0 = mai putin de 3 pahare     0,6 = intre 3 si 5 pahare      1,0 = mai mult de 5 pahare                                         Scor____

16. Mod de a se hrani

0 = necesita asistenta   1 = se hraneste singur,dar cu dificultate   2 = se hraneste singur fara dificultate       Scor____

  1. III.                 Evaluare subiectiva
    1. Pacientul se considera bine hranit ? (probleme nutritionale)

0 = malnutritie severa   1 = nu stie sau malnutritie moderata   2 = fara probleme de nutritie                           Scor____

 

18. Pacientul considera starea sanatatii sale mai buna sau mai proasta decat a majoritatii persoanelor de aceeasi varsta?

0,0 = mai proasta   0,5 = nu stie   1,0 = la fel   2,0 = mai buna                                                                                     Scor____

 

 

TOTAL  Scor____/30     17 puncte = stare nutritionala proasta;                                 17 – 23,5 puncte = risc de malnutritie