Malnutrition self-screening by using MUST in hospital outpatients: Validity, reliability, and ease of use

American Journal of Clinical Nutrition

Volumn 96, Issue 5, 2012, Pages 1000-1007

  Cawood, Abbie L ^a,b   Elia, Marinos ^a   Sharp, Sarah K E ^c   Stratton, Rebecca J ^a  

^a SOUTHAMPTON GENERAL HOSPITAL   (United Kingdom)

^b Nutricia Ltd   (United Kingdom)

^c UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; FEMALE; HEALTH CARE PERSONNEL; HUMAN; MALE; MALNUTRITION; MALNUTRITION UNIVERSAL SCREENING TOOL; OUTPATIENT DEPARTMENT; QUESTIONNAIRE; SCORING SYSTEM; SELF EVALUATION; TEST RETEST RELIABILITY;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; FEMALE; HUMANS; MALE; MALNUTRITION; MIDDLE AGED; NUTRITION ASSESSMENT; OUTPATIENTS; QUESTIONNAIRES; REPRODUCIBILITY OF RESULTS; YOUNG ADULT;

EID: 84867808428     PISSN: 00029165     EISSN: 19383207     Source Type: Journal    
DOI: 10.3945/ajcn.112.037853     Document Type: Article

References (48)

1. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN guidelines for nutrition screening 2002. Clin Nutr 2003;22:415-21. (Pubitemid 37063304)
2. Mueller C, Compher C, Ellen DM, ASPEN Board of Directors. ASPEN clinical guidelines. Nutrition screening, assessment and intervention in adults. JPEN J Parenter Enteral Nutr 2011;35:16-24.
3. NHS, NICE. Nutrition support in adults: oral nutrition support, enteral tube feeding and parental nutrition (clinical guideline 32). London, United Kingdom: National Collaborating Centre for Acute Care at The Royal College of Surgeons, 2006.
4. Council of Europe, Committee of Ministers. Resolution ReAP (2003) 3 on food and nutritional care in hospitals. Strasbourg, France: Council of Europe, 2003.
5. Elia M. The MUST report. Nutritional screening for adults: a multidisciplinary responsibility. Redditch, United Kingdom: BAPEN, 2003.
6. Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: an analysis of the evidence. JPEN J Parenter Enteral Nutr 2012;36:292-8.
7. Elia M, Stratton RJ. An analytic appraisal of nutrition screening tools supported by original data with particular reference to age. Nutrition 2012;28:477-94.
8. Elia M, Stratton RJ. Considerations for screening tool selection and role of predictive and concurrent validity. Curr Opin Clin Nutr Metab Care 2011;14:425-33.
9. Department of Health. Equity and excellence: liberating the NHS, White Paper. London, United Kingdom: Department of Health, 2010.
10. Mitchell RE, Ash SL, McClelland JW. Nutrition education among low-income older adults: A randomized intervention trial in congregate nutrition sites. Health Educ Behav 2006;33:374-92. (Pubitemid 43725867)
11. Ellis J, Johnson MA, Fischer JG, Hargrove JL. Nutrition and health education intervention for whole grain foods in the Georgia older Americans nutrition programs. J Nutr Elder 2005;24:67-83. (Pubitemid 44284048)
12. Moynihan PJ, Mulvaney CE, Adamson AJ, Seal C, Steen N, Mathers JC, Zohouri FV. The nutrition knowledge of older adults living in sheltered housing accommodation. J Hum Nutr Diet 2007;20:446-58. (Pubitemid 47382302)
13. Spangler AA, Eigenbrod JS. Field trials affirms value of DETERMINE-Ing nutrition related problems in free living elderly. J Am Diet Assoc 1995;95:489-90.
14. Keller HH, Goy R, Kane SL. Validity and reliability of SCREEN II (Seniors in the Community: risk evaluation for eating and nutrition, version II). Eur J Clin Nutr 2005;59:1149-57. (Pubitemid 41508662)
15. Posner BM, Jette AM, Smith KW, Miller DR. Nutrition and health risks in the elderly: the nutrition screening initiative. Am J Public Health 1993;83:972-8. (Pubitemid 23211984)
16. Brownie S, Myers SP, Stevens J. The value of the Australian nutrition screening initiative for older Australians - results from a national survey. J Nutr Health Aging 2007;11:20-5. (Pubitemid 46424265)
17. Nestle Nutrition Institute. Self MNA. Mini nutritional assessment. For adults 65 years of age and over. 2012. Available from: http://mna-elderly.com (cited 15 May 2012).
18. Rush D. Evaluating the screening initiative. Am J Public Health 1993;83:944-5.
19. Sahyoun NR, Jaques PF, Dallal GE, Russell RR. Nutrition screening initiative checklist may be a better awareness/educational tool than a screening one. J Am Diet Assoc 1997;97:760-4.
20. White JV. The nutrition screening initiative: a 5-year perspective. Nutr Clin Pract 1996;11:89-93.
21. Sinnett S, Bengle R, Brown A, Glass AP, Johnson MA, Lee JS. The validity of nutrition screening initiative DETERMINE checklist responses in older Georgians. J Nutr Elder 2010;29:393-409.
22. Russell CA, Oldale C, Elia M. BAPEN. Choice of nutrition screening tool and continuity of care. Clin Nutr Suppl 2011;6(S1):74.
23. Russell CA, Elia M. Nutrition screening survey in the UK and Republic of Ireland in 2011. A report by the British Association for Parenteral and Enteral Nutrition. Redditch, United Kingdom: BAPEN, 2012.
24. Office of National Statistics. Standard occupational classification 2000 (SOC2000). Office of National Statistics, 2000. Available from: http://www.ons.gov.uk/ons/index.html.
25. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159-74. (Pubitemid 8054849)
26. Cantor AB. Sample size calculations for Cohen's kappa. Psychol Methods 1996;1:150-3. (Pubitemid 126672842)
27. Russell CA, Elia M. Nutrition screening survey in the UK in 2008: a report by the British Association for Parenteral and Enteral Nutrition. Redditch, United Kingdom: BAPEN, 2009.
28. Russell CA, Elia M. Nutrition screening survey in the UK and Republic of Ireland in 2010. A report by the British Association for Parenteral and Enteral Nutrition. Redditch, United Kingdom: BAPEN, 2011.
29. Cawood AL, Stratton RJ, Rust S, Walters E, Elia M. Malnutrition 'self screening' with an electronic version of MUST in hospital outpatients: concurrent validity and ease of use. Clin Nutr Suppl 2011;6(suppl):68.
30. Keller HH, Hedley MR. Nutritional risk needs assessment of community-living seniors: prevalence of nutrition problems and priorities for action. J Community Health 2002;27:121-32. (Pubitemid 38481352)
31. Beath H, Keller HH. Nutrition screen showed good agreement when self- and interviewer administered. J Clin Epidemiol 2007;60:1085-9. (Pubitemid 47404811)
32. de Groot LC, Beck AM, Schroll M, van Staveren WA. Evaluating the DETERMINE Your Nutritional Health Checklist and the Mini Nutritional Assessment as tools to identify nutritional problems in elderly Europeans. Eur J Clin Nutr 1998;52:877-83. (Pubitemid 29008368)
33. Rust S, Cawood AL, Walters E, Stratton RJ, Elia M. Prevalence of malnutrition in hospital outpatients. Proc Nutr Soc 2010;69(OCE2):E150.
34. Collins PF, Stratton RJ, Kurukulaaratchy R, Warwick H, Cawood AL, Elia M. Prevalence of malnutrition in outpatients with chronic obstructive pulmonary disease. Proc Nutr Soc 2010;69(OCE2):E148.
35. Stratton RJ, Hackston A, Longmore D, Dixon R, Price S, Stroud M, King C, Elia M. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the 'Malnutrition Universal Screening Tool' ('MUST') for adults. Br J Nutr 2004;92:799-808. (Pubitemid 39562159)
36. Elia M, Stratton RJ. Geographical inequalities in nutrient status and risk of malnutrition among English people aged 65 y and older. Nutrition 2005;21:1100-6. (Pubitemid 41674588)
37. Elia M, Russell CA. Screening for malnutrition in sheltered housing. A report from BAPEN. With the Group on Nutrition in Sheltered Housing. Redditch, United Kingdom: GNASH, 2009.
38. Ralph AF, Cawood AL, Hubbard GP, Stratton RJ. Prevalence of malnutrition in sheltered housing schemes in Wiltshire and Somerset. Proc Nutr Soc 2010;69:E206.
39. Elia M, Russell C, Stratton RJ. Malnutrition in the UK: policies to address the problem. Proc Nutr Soc 2010;69:470-6.
40. Russell CA, Elia M. Malnutrition in the UK: where does it begin? Proc Nutr Soc 2010;69:465-9.
41. Locher JL, Wellman NS. "Never the twain shall meet:" dual systems exacerbate malnutrition in older adults recently discharged from hospital. J Nutr Gerontol Geriatr 2011;30:24-8.
42. Stratton RJ, Green CJ, Elia M. Disease-related malnutrition: an evidence-based approach to treatment. Oxford, United Kingdom: CABI Publishing, 2003.
43. Milne AC, Potter J, Vivanti A, Avenell A. Protein and energy supplementation in elderly people at risk from malnutrition. Cochrane Database Syst Rev 2009;Apr 15;(2):CD003288.
44. Cawood AL, Elia M, Stratton RJ. Systematic review and meta-analysis of the effects if high protein oral nutritional supplements. Ageing Res Rev 2012;11:278-96.
45. Stratton RJ, Elia M. A review of reviews: a new look at the evidence for oral nutritional supplements in clinical practice. Clin Nutr Suppl 2007;2:5-23. (Pubitemid 351980420)
46. Baldwin C, Weekes CE. Dietary advice for illness-related malnutrition in adults. Cochrane Database Syst Rev 2008;Jan 23(1):CD002008.
47. Elia M, Russell CA. Combating malnutrition: recommendations for action. report from the advisory group on malnutrition, led by BAPEN. Redditch, United Kingdom: The British Association for Parenteral and Enteral Nutrition, 2009.
48. Field AE, Aneja P, Rosner B. The validity of self-reported weight change among adolescents and young adults. Obesity (Silver Spring) 2007;15:2357-64. (Pubitemid 350004104)