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Open AccessReview

Nutritional Risk Screening Tools for Older Adults with COVID-19: A Systematic Review

1
Postgraduate Program in Collective Health, Federal University of Rio Grande do Norte—UFRN, Natal 59056-000, Brazil
2
Department of Nutrition, Federal University of Rio Grande do Norte—UFRN, Natal 59078-970, Brazil
3
Department of Nutrition, School of Public Health, University of São Paulo—USP, São Paulo 05410-020, Brazil
4
Postgraduate Program in Biotechnology, Potiguar University—UnP, Natal 59056-000, Brazil
*
Authors to whom correspondence should be addressed.
Nutrients 2020, 12(10), 2956; https://doi.org/10.3390/nu12102956
Received: 16 August 2020 / Revised: 23 September 2020 / Accepted: 24 September 2020 / Published: 27 September 2020
(This article belongs to the Special Issue Malnutrition in Older Adults and COVID-19)
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. View Full-Text
Keywords: nutritional screening; nutritional risk; nutritional assessment; malnutrition; elderly; COVID-19; coronavirus nutritional screening; nutritional risk; nutritional assessment; malnutrition; elderly; COVID-19; coronavirus
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Silva, D.F.O.; Lima, S.C.V.C.; Sena-Evangelista, K.C.M.; Marchioni, D.M.; Cobucci, R.N.; Andrade, F.B. Nutritional Risk Screening Tools for Older Adults with COVID-19: A Systematic Review. Nutrients 2020, 12, 2956.

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