Comparison of Nutrition Risk Screening 2002 and Subjective Global Assessment Form as Short Nutrition Assessment Tools in Older Hospitalized Adults

Nutrients. 2021 Jan 14;13(1):225. doi: 10.3390/nu13010225.

Abstract

The aim of the present study was to compare two widely recommended short nutrition assessment tools-Nutrition Risk Screening 2002 (NRS-2002) and Subjective Global Assessment Form (SGA)-with other Comprehensive Geriatric Assessment (CGA) measurements. The study included 622 consecutively hospitalized older subjects, aged 81.7 ± 7.8 years. The criteria to participate were the ability to communicate and given consent. Both NRS-2002 and SGA were inversely related to anthropometric measurements, functional assessment tests, Mini-Mental State Examination (MMSE) and positively associated with the Vulnerable Elders Survey-13 (VES-13) score. Results of SGA and NRS-2002 were not related to sex and 15-item Geriatric Depression Scale (GDS) score. Comparison of well-nourished subjects and patients with suggested problems with nutrition according to NRS-2002 (0-2 vs. 3-7) and SGA (A vs. B + C) gave comparable results. Both nutritional scales at given cut-off points similarly discriminated anthropometric data and other CGA tools in the populations of well-nourished vs. malnourished hospitalized older subjects. In conclusion, we can recommend using both NRS-2002 and SGA to detect malnutrition or risk of malnutrition in a routine clinical practice of the geriatric department ward.

Keywords: Comprehensive Geriatric Assessment; NRS-2002; SGA; VES-13; malnutrition.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Geriatric Assessment / methods*
  • Hospitalization
  • Humans
  • Male
  • Malnutrition / diagnosis*
  • Middle Aged
  • Nutrition Assessment*
  • Sensitivity and Specificity