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Article

Malnutrition Risk among Older Mexican Adults in the Mexican Health and Aging Study

1
Center for Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI 02903, USA
2
Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX 77555, USA
3
Department of Internal Medicine, Division of Geriatrics, University of Texas Medical Branch, Galveston, TX 77555, USA
4
Department of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, TX 77555, USA
*
Author to whom correspondence should be addressed.
Academic Editors: Emiliana Giacomello and Luana Toniolo
Nutrients 2021, 13(5), 1615; https://doi.org/10.3390/nu13051615
Received: 18 March 2021 / Revised: 30 April 2021 / Accepted: 6 May 2021 / Published: 12 May 2021
(This article belongs to the Special Issue Nutrition, Diet and Healthy Aging)
Few studies assess the malnutrition risk of older Mexican adults because most studies do not assess nutritional status. This study proposes a modified version of the Mini Nutritional Assessment (MNA) to assess the risk of malnutrition among older Mexicans adults in the Mexican Health and Aging Study (MHAS). Data comes from the 2012, 2015, and 2018 waves of the MHAS, a nationally representative study of Mexicans aged 50 and older. The sample included 13,338 participants and a subsample of 1911 with biomarker values. ROC analysis was used to calculate the cut point for malnutrition risk. This cut point was compared to the definition of malnutrition from the ESPEN criteria, BMI, low hemoglobin, or low cholesterol. Logistic regression was used to assess predictors of malnutrition risk. A score of 10 was the optimal cut point for malnutrition risk in the modified MNA. This cut point had high concordance to identify malnutrition risk compared to the ESPEN criteria (97.7%) and had moderate concordance compared to BMI only (78.6%), and the biomarkers of low hemoglobin (56.1%) and low cholesterol (54.1%). Women, those older than 70, those with Seguro Popular health insurance, and those with fair/poor health were more likely to be malnourished. The modified MNA is an important tool to assess malnutrition risk in future studies using MHAS data. View Full-Text
Keywords: malnutrition; older adults; Mexico; MNA; MHAS malnutrition; older adults; Mexico; MNA; MHAS
MDPI and ACS Style

Avila, J.C.; Samper-Ternent, R.; Wong, R. Malnutrition Risk among Older Mexican Adults in the Mexican Health and Aging Study. Nutrients 2021, 13, 1615. https://doi.org/10.3390/nu13051615

AMA Style

Avila JC, Samper-Ternent R, Wong R. Malnutrition Risk among Older Mexican Adults in the Mexican Health and Aging Study. Nutrients. 2021; 13(5):1615. https://doi.org/10.3390/nu13051615

Chicago/Turabian Style

Avila, Jaqueline C., Rafael Samper-Ternent, and Rebeca Wong. 2021. "Malnutrition Risk among Older Mexican Adults in the Mexican Health and Aging Study" Nutrients 13, no. 5: 1615. https://doi.org/10.3390/nu13051615

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