Table 5: Modifications to the Mini Nutritional Assessment Short Form (MNA-SF).

Original MNA-SF criteria and score [30]WHAS modifications to MNA-SF criteria and score

AHas food intake declined over the past 3 months due to loss of appetite, digestive problems, chewing, or swallowing difficulties? What is usual appetite? Any difficulty chewing or swallowing that limit ability to eat?
0 = severe decrease in food intake
1 = moderate decrease in food intake
2 = no decrease in food intake
0 = appetite is usually poor or appetite is fair combined with problems chewing/swallowing that limit ability to eat
1 = fair appetite and no problems chewing/swallowing
2 = good or very good appetite

BWeight loss during the last 3 monthsWeight loss during the past year and/or percentage of body weight lost since age 60
0 = weight loss greater than 3 kg
1 = does not know
2 = weight loss between 1 and 3 kg
3 = no weight loss
0 = reports either weight loss due to illness or weight loss in past year combined with >15% of weight at age 60 is now lost
1 = weight loss unknown
2 = reports weight loss in past year combined with <15% of weight at age 60 is lost
3 = reports no weight loss in past year

CMobilityNo modifications
0 = bed or chair bound
1 = able to get out of bed/chair but does not go out
2 = goes out
0 = By his/herself, has difficulty getting in and out of bed or chairs
1 = By his/herself, able to get in out of bed/chair, but does not leave the house in a typical week
2 = During typical week, goes outside the house and/or neighborhood

DHas suffered psychological stress or acute disease in the past 3 months? Has suffered bereavement or seriously ill spouse in past year or acute disease in past 2 weeks?
0 = yes
2 = no
0 = yes
2 = no

ENeuropsychological problems No modifications
0 = severe dementia or depression
1 = mild dementia
2 = no psychological problems
0 = Mini Mental State Examination (MMSE) score <17 [37, 38] or Geriatric Depression Scale score 11≤ [39, 40]
1 = MMSE score 17–24 and Depression score <11
2 = MMSE score 24< and Depression score <11

FBody mass index (BMI)No modifications
0 = BMI < 19
1 = BMI 19 to <21
2 = BMI 21 to <23
3 = BMI ≥ 23
As described, according to clinically measured height at weight. If a height measurement was not available it was estimated from the mean of two measurements of knee to heel measurements, if these were obtained, with the following formula as has been recommended [30]:
Estimated height = (1.83 × knee height, cm) − (0.24 × age) + 84.88