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Nutrition Screening

Has food consumption decreased over the last 3
months due to decline of appetite, digestive system
ıssues, chewing or ingesting problems?
Score 0 = Significant declination in food consumption
1 = Medium decrease in food intake
2 = No decrease in food intake
Ask affected individual or caregiver or examine the
health care documentation
• “Have you eaten significantly less than typical over the past
3 months?”
• If so, “is this mainly because of absence of desire for food,
chewing, or swallowing issues?”
• If yes, “have you consumed much less than before or
just a little bit less?”

Involuntary weight loss in the course of the last
Three months?
Score 0 = Weight loss larger than 3 kg
(6.6 pounds)
1 = Does not really know
2 = Weight loss between 1 and 3 kg
(2.2 and 6.6 pounds)
3 = No weight loss
Ask affected person / Evaluate medical report
• “Have you shed any weight without trying within
the past Three months?”
• “Has your waistband become loose-fitting?”
• “How much bodyweight do you believe you have shed?
More or less than 3 kg (or 6 lbs)?”
Although weight loss in the obese aging population
may be acceptable, it may additionally be credited to
malnutrition. When the weight loss issue is
eliminated, the MNA® loses its sensitivity, so it is
critical to inquire about weight loss even in the
obese.

Mobility?
Score 0 = Bed or chair restricted
1 = Able to get out of bed/chair, but
does not go out
2 = Goes out
Ask affected person / Evaluate patient’s healthcare record /
Ask caregiver
• “How would you express your present ability to move?”
• “Are you able to get out of a bed, a chair, or a
wheelchair without the support of another
individual?” – if not, should mark Zero
• “Are you able to get out of a bed or a chair, but
not able to go out of your house?” – if yes, would
score One
• “Are you able to leave your residence?” – if yes,
would score Two

Has the individual experienced emotional anxiety or
severe illness in the past 3 months?
Score 0 = Yes
2 = No
Ask affected person / Evaluate patient health record /
Use qualified judgment
• “Have you been distressed lately?”
• “Have you been seriously sick lately?”

Neuropsychological issues?
Score 0 = Serious dementia or depressive disorders
1 = Minor dementia
2 = No mental health issues
Evaluate patient health record / Use
professional opinion / Ask affected person, medical
staff members or caregiver
• “Do you have dementia?”
• “Have you had continuous or intense hopelessness?”
The patient’s caregiver, caregiving personnel or medical
report can supply details about the
severeness of the patient’s neuropsychological
troubles (dementia).

Body mass index (BMI)?
(bodyweight in kg / height in m2)
Score 0 = BMI less than 19
1 = BMI 19 to less than 21
2 = BMI 21 to less than 23
3 = BMI 23 or greater
Identifying BMI
BMI is utilized as an indication of proper weight
for height (Appendix 1)
BMI Formula – US units
• BMI = ( Weight in Lbs /
[Height in inches x Height in inches] ) x 703
BMI Formulation – Metric units
• BMI = ( Weight in Kgs /
[Height in Meters x Height in Meters] )
1 Pound = 0.45 Kilograms
1 Inch = 2.54 Centimeters
Before figuring out BMI, document the patient’s
weight and height on the MNA® form.
1. If height has not been calculated, please
calculate using a stadiometer or height gauge
2. If the affected person is not able to stand up, determine
height employing indirect techniques such as
calculating demi-span, arm span, or knee
height.
3. Utilizing the BMI chart,
find the patient’s height and weight and
establish the BMI.
4. Fill in the proper box on the MNA® form to
signify the BMI of the affected person.

Calf circumference (CC) in centimeters
0 = CC less than 31
3 = CC 31 or greater
Calculating Calf Circumference
1. The subject should be seated with the left leg
dangling freely or standing up with their weight
uniformly allocated on both feet.
2. Ask the individual to roll up their trouser leg to
reveal the calf.
3. Wrap the tape all around the calf at the broadest
section and take note of the dimension.
4. Take extra calculations above and
below the position to make sure that the initial
measurement was the biggest.
5. An exact measurement can only be
attained if the tape is at a right angle to the
length of the calf.

Screening Rating
(Max. 14 points)
12-14 points: Typical dietary condition
8-11 points: At potential risk of malnutrition
0-7 points: Malnourished