Advance Search
CUI Yuhuan, ZHANG Jingwen, XU Yali, FENG Yinghui, DU Dan, YAN Juan, LIAN Jingjing, LIU Zhankuang, DONG Liping. Prognostic Nutritional Index versus Mini-nutrition Assessment Form in evaluating efficacy of nutrition status in elderly patients with acute cerebral infarction[J]. Journal of Clinical Medicine in Practice, 2021, 25(19): 30-35. DOI: 10.7619/jcmp.20213191
Citation: CUI Yuhuan, ZHANG Jingwen, XU Yali, FENG Yinghui, DU Dan, YAN Juan, LIAN Jingjing, LIU Zhankuang, DONG Liping. Prognostic Nutritional Index versus Mini-nutrition Assessment Form in evaluating efficacy of nutrition status in elderly patients with acute cerebral infarction[J]. Journal of Clinical Medicine in Practice, 2021, 25(19): 30-35. DOI: 10.7619/jcmp.20213191
shu

Prognostic Nutritional Index versus Mini-nutrition Assessment Form in evaluating efficacy of nutrition status in elderly patients with acute cerebral infarction

  • 1.

    Department of Geriatrics, the First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000

  • 2.

    Department of Pharmacy, the First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000

  • 3.

    Department of Laboratory Medicine, the First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei, 075000

More Information
  • Received Date: August 07, 2021
  • Available Online: October 19, 2021
  • Published Date: October 14, 2021
    Graphical Abstract
    • Abstract
  •   Objective  To compare Mini-Nutrition Assessment Form (MNA) and Prognostic Nutrition Index (PNI) in evaluating efficacy of nutritional status in elderly patients with acute cerebral infarction.
      Methods  The baseline data of 120 elderly patients with acute cerebral infarction were collected. The receiver operating characteristic (ROC) curve of PNI was drawn based on the prognosis of patients at 3 months as the end point. The optimal cut-off value of PNI was determined and they were divided into differed groups. Then PNI and MNA were used to evaluate the nutrition of the patients, and their relationships with anthropometric indicators, biochemical indicators and functional status indicators were analyzed by correlation analysis, and consistency of PNI and MNA methods was evaluated.
      Results  The optimal cut-off value of the PNI was 50.375. Of 120 patients, there were 50 (41.7%) with malnutrition by PNI and 57 (47.5%) by MNA. No significant differences were found in age, body weight, arm circumference, calf circumference, weight loss, body mass index, National Institutes of Health Stroke Scale (NIHSS) score and the total number of total lymphocyte count and total protein of two groups assessed by both MNA and PNI(P>0.05). The consistency of the two methods showed that PNI was highly consistent with MNA (κ=0.647).
      Conclusion  PNI and MNA have a highly consistent effect in assessing the nutritional status of elderly patients with acute cerebral infarction. PNI is a more objective indicator, while MNA is a more subjective one.
    • FullText(HTML)
    • References (24)
  • [1]
    郭园丽, 董小方, 杨彩侠, 等. 多学科团队合作改善卒中后吞咽障碍患者营养状况的实践[J]. 中国护理管理, 2019, 19(5): 662-666. doi: 10.3969/j.issn.1672-1756.2019.05.005
    [2]
    PRELL T, PERNER C. Disease specific aspects of malnutrition in neurogeriatric patients[J]. Front Aging Neurosci, 2018, 10: 80. doi: 10.3389/fnagi.2018.00080
    [3]
    WIERZBICKI K, HORYNIECKI M, MAMAK D, et al. Does the nutritional status of acute stroke patients affect the neurological status in the early post-stroke period?[J]. Neurol Res, 2020, 42(1): 1-7. doi: 10.1080/01616412.2019.1672379
    [4]
    ISAUTIER J M J, BOSNICM, YEUNG S S Y, et al. Validity of nutritional screening tools for community-dwelling older adults: a systematic review and meta-analysis[J]. J Am Med Dir Assoc, 2019, 20(10): 1351. e13-1351. e25. doi: 10.1016/j.jamda.2019.06.024
    [5]
    NISHIOKA S, WAKABAYASHI H, YOSHIDA T. Accuracy of non-paralytic anthropometric data for nutritional screening in older patients with stroke and hemiplegia[J]. Eur J Clin Nutr, 2017, 71(2): 173-179. doi: 10.1038/ejcn.2016.191
    [6]
    JI F, LIANG Y, FU S, et al. Prognostic value of combined preoperative prognostic nutritional index and body mass index in HCC after hepatectomy[J]. HPB: Oxford, 2017, 19(8): 695-705. doi: 10.1016/j.hpb.2017.04.008
    [7]
    HUANG J, YUAN Y, WANG Y, et al. Preoperative prognostic nutritional index is a significant predictor of survival in patients with localized upper tract urothelial carcinoma after radical nephroureterectomy[J]. Urol Oncol, 2017, 35(12): 671. e1-671. e9. doi: 10.1016/j.urolonc.2017.07.028
    [8]
    SZE S, PELLICORI P, KAZMI S, et al. Prevalence and prognostic significance of malnutrition using 3 scoring systems among outpatients with heart failure: a comparison with body mass index[J]. JACC Heart Fail, 2018, 6(6): 476-486. doi: 10.1016/j.jchf.2018.02.018
    [9]
    中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2018[J]. 中华神经科杂志, 2018, 51(9): 666-682. doi: 10.3760/cma.j.issn.1006-7876.2018.09.004
    [10]
    ABD AZIZ N A S, MOHD FAHMI TENG N I, KAMARUL ZAMAN M. Geriatric Nutrition Risk Index is comparable to the mini nutritional assessment for assessing nutritional status in elderly hospitalized patients[J]. Clin Nutr ESPEN, 2019, 29: 77-85. doi: 10.1016/j.clnesp.2018.12.002
    [11]
    BUZBY G P, MULLEN J L, MATTHEWS D C, et al. Prognostic nutritional index in gastrointestinal surgery[J]. Am J Surg, 1980, 139(1): 160-167. doi: 10.1016/0002-9610(80)90246-9
    [12]
    SCRUTINIO D, LANZILLO B, GUIDA P, et al. Association between malnutrition and outcomes in patients with severe ischemic stroke undergoing rehabilitation[J]. Arch Phys Med Rehabil, 2020, 101(5): 852-860. doi: 10.1016/j.apmr.2019.11.012
    [13]
    VAN BOKHORST-DE VAN DER SCHUEREN M A, GUAITOLI P R, JANSMA E P, et al. Nutrition screening tools: does one size fit all A systematic review of screening tools for the hospital setting[J]. Clin Nutr, 2014, 33(1): 39-58. doi: 10.1016/j.clnu.2013.04.008
    [14]
    DE AQUINO C C, LEITÃO R A, OLIVEIRA ALVES L A, et al. Effect of hypoproteic and high-fat diets on hippocampal blood-brain barrier permeability and oxidative stress[J]. Front Nutr, 2018, 5: 131. http://www.onacademic.com/detail/journal_1000041694134799_e1de.html
    [15]
    NISHIOKA S, OKAMOTO T, TAKAYAMA M, et al. Malnutrition risk predicts recovery of full oral intake among older adult stroke patients undergoing enteral nutrition: Secondary analysis of a multicentre survey (the APPLE study)[J]. Clin Nutr, 2017, 36(4): 1089-1096. doi: 10.1016/j.clnu.2016.06.028
    [16]
    PARK S H, LEE S, SONG J H, et al. Prognostic significance of body mass index and prognostic nutritional index in stage Ⅱ/Ⅲgastric cancer[J]. Eur J Surg Oncol, 2020, 46(4): 620-625. doi: 10.1016/j.ejso.2019.10.024
    [17]
    阿丽耶·图尔荪, 巩莉, 艾山江, 等. 预后营养指数与脑梗塞患者预后的关系[J]. 新疆医学, 2017, 47(6): 615-617. https://www.cnki.com.cn/Article/CJFDTOTAL-XJYI201706014.htm
    [18]
    MARESCHAL J, FERRER SOLER C, LATHUILIōRE A, et al. Nutritional management of older people in neuro-rehabilitation[J]. Rev Med Suisse, 2019, 15(670): 2046-2051. http://www.ncbi.nlm.nih.gov/pubmed/31696680
    [19]
    肖潇, 胡松, 季晓云, 等. 80岁及以上住院患者肌肉减少症与营养状况的相关性分析[J]. 中华老年医学杂志, 2019(6): 654-657. doi: 10.3760/cma.j.issn.0254-9026.2019.06.014
    [20]
    钟萍, 范贤明, 蒋雪莲, 等. 吸烟对COPD稳定期患者血清IL-6、IL-18、CC16水平及营养状况的影响[J]. 山东医药, 2017, 57(25): 27-30. doi: 10.3969/j.issn.1002-266X.2017.25.008
    [21]
    林红, 孙国珍, 张海锋, 等. 心力衰竭患者微型营养评价量表的改良及其信效度检验[J]. 中华护理杂志, 2017, 52(2): 150-153. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL201702006.htm
    [22]
    MIAO J P, QUAN X Q, ZHANG C T, et al. Comparison of two malnutrition risk screening tools with nutritional biochemical parameters, BMI and length of stay in Chinese geriatric inpatients: a multicenter, cross-sectional study[J]. BMJ Open, 2019, 9(2): e022993. doi: 10.1136/bmjopen-2018-022993
    [23]
    SERETIS C, KAISARI P, WANIGASOORIYA K, et al. Malnutrition is associated with adverse postoperative outcome in patients undergoing elective colorectal cancer resections[J]. j buon, 2018, 23(1): 36-41. http://www.researchgate.net/profile/Kasun_Wanigasooriya/publication/323111097_Malnutrition_is_associated_with_adverse_postoperative_outcome_in_patients_undergoing_elective_colorectal_cancer_resections/links/5a8ab0cf458515b8af951848/Malnutrition-is-associated-with-adverse-postoperative-outcome-in-patients-undergoing-elective-colorectal-cancer-resections.pdf
    [24]
    OZDEMIR Y, TOPKAN E, MERTSOYLU H, et al. Low prognostic nutritional index predicts poor clinical outcomes in patients with stage IIIB non-small-cell lung carcinoma undergoing chemoradiotherapy[J]. Cancer Manag Res, 2020, 12: 1959-1967. doi: 10.2147/CMAR.S248034
    • Related Articles

  • Related Articles

    [1]MOU Yanhui, CHEN Zhaogui, YAO Guang, CHEN Jingci, QUAN Zhi. Mechanism of acupuncture on hippocampal neuron apoptosis in rat model of post-traumatic stress disorder via the reactive oxygen species/c-Jun N-terminal kinase/p53 pathway[J]. Journal of Clinical Medicine in Practice, 2025, 29(1): 44-49, 72. DOI: 10.7619/jcmp.20243510
    [2]ZHANG Junchen, XU Wuhua, ZHONG Li. Effect of lycopene on oxidized low-density lipoprotein induced apoptosis of cerebral vascular endothelial cells by regulating the RAS homologous gene family member A/Rho-related kinase signaling pathway[J]. Journal of Clinical Medicine in Practice, 2023, 27(22): 44-49. DOI: 10.7619/jcmp.20232790
    [3]FEI Xiang, Hasibala, Daorina, HAO Jianbin. Mechanism and effect of Mongolian medicine Eridun·Wurile on neuronal apoptosis in rats with acute spinal cord injury[J]. Journal of Clinical Medicine in Practice, 2023, 27(22): 37-43. DOI: 10.7619/jcmp.20232286
    [4]LIN Ying, LI Jianhong, LU Hongquan, CHEN Junling. Effect of miR-199a targeted regulating silent information regulator 1 on neuronal apoptosis in rats with cerebral infarction[J]. Journal of Clinical Medicine in Practice, 2022, 26(6): 26-32. DOI: 10.7619/jcmp.20214455
    [5]ZHOU Xianjing, LIU Xiufang, LI Yaxuan, LI Hao, DAI Xiaorong, HUANG Zhen, TANG Juan, CHENG Hongwei. Influence of long non-coding RNA HOTAIR on proliferation and apoptosis of gastric cancer cells by targeted regulation of miR-206[J]. Journal of Clinical Medicine in Practice, 2020, 24(8): 41-46. DOI: 10.7619/jcmp.202008011
    [6]LIU Hanyang, SONG Jun, ZHOU Yan, TANG Liming. Caffeine promotes apoptosis of gastric cancer by Caspase pathway[J]. Journal of Clinical Medicine in Practice, 2017, (13): 40-44. DOI: 10.7619/jcmp.201713011
    [7]JING FA, XIONG Shuming, LI Jianping. Mechanism of bisdemethoxycurcumin inhabits proliferation of hepatocellular carcinoma cell and induces apoptosis[J]. Journal of Clinical Medicine in Practice, 2016, (15): 43-46. DOI: 10.7619/jcmp.201615012
    [8]Influence of electro acupuncture on learning and memory capability and hippocampal neuronal apoptosis in AD model SD rats[J]. Journal of Clinical Medicine in Practice, 2015, (1): 1-6. DOI: 10.7619/jcmp.201501001
    [9]ZHANG Hongqiang, LI Danni, CHEN Jian. Intervention effect of vitamin C on peripheral blood mononuclear cell apoptosis induced by intravenous iron[J]. Journal of Clinical Medicine in Practice, 2014, (21): 38-42. DOI: 10.7619/jcmp.201421011
    [10]SONG Hui, YANG Tao, GUO Yuanyuan, LI Fengmin, DONG Ping, YU Yibing, LIU Wen. Effects of uroacitide on proliferation and apoptosis of K562 cells in chronic myeloid leukemia[J]. Journal of Clinical Medicine in Practice, 2013, (14): 1-4. DOI: 10.7619/jcmp.201314001

Catalog

    Get Citation
    PDF
    XML
    Article views (239) PDF downloads (13) Cited by()
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return