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"Dear Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "136" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Francisco Javier Martín-Sánchez, Cesáreo Fernández Alonso, Javier Perdigones, Juan González del Castillo" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Francisco Javier" "apellidos" => "Martín-Sánchez" "email" => array:1 [ 0 => "fjjms@hotmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Cesáreo" "apellidos" => "Fernández Alonso" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Javier" "apellidos" => "Perdigones" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Juan" "apellidos" => "González del Castillo" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital Clínico San Carlos, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Instituto de Investigación Sanitaria del Hospital San Carlos, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Malnutrición: un dominio más de la fragilidad clínica" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We have read with interest the study published by Jürschik et al. on the association between the Mini Nutritional Assessment (MNA) and the Fried frailty index in community-dwelling older people, and we would like to make some remarks towards establishing certain recommendations.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Previous studies have described a greater likelihood of malnutrition among frail elderly people.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">2</span></a> Indeed, this study brings together greater evidence in this regard in showing that there is a significant linear trend between degree of frailty according to the Fried criteria and the presence of malnutrition according to the full MNA and its short-form version (MNA-SF).<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a> However, from a methodological point of view, in considering certain features incorporated into, or closely related to, items in the nutritional indexes assessed to be criteria for diagnosis of frailty, all that may be affirmed is that the MNA-SF and MNA indexes are useful to detect malnutrition in the frail elderly population. They will not be able to be used as tools to diagnose clinical frailty in the community-dwelling elderly population.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Currently, there is a consensus that frailty is multidimensional, and that several domains must be included in the clinical definition. These domains include walking speed, mobility, physical condition, mental health and cognition, with nutrition being considered by some as another area to be assessed.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">3–6</span></a> Therefore, many simple tests have been developed with the aim of establishing recommendations for detecting frailty in a primary care setting and may be useful for rapid screening for frailty. These tests include the FRAIL questionnaire, the Cardiovascular Health Study Frailty Screening Measure, the Clinical Frailty Scale and the Gérontopôle Frailty Screening Tool.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a> This screening should be carried out as early as possible, especially in the population over 70 years of age and in patients with chronic disease, especially if they have lost weight in the last year, have cancer or HIV, or will undergo surgery.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">5</span></a> Identifying this population group would aid in decision-making and make it possible to implement intervention strategies to mitigate or prevent functional decline and other adverse outcomes in a minimally stressful situation and by setting out quality plans that improve patient satisfaction.<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">7–9</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Martín-Sánchez FJ, Fernández Alonso C, Perdigones J, González del Castillo J. Malnutrición: un dominio más de la fragilidad clínica. Med Clin (Barc). 2015;145:136.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib0050" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Asociación entre el <span class="elsevierStyleItalic">Mini Nutritional Assessment</span> y el índice de fragilidad de Fried en las personas mayores que viven en la comunidad" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P. Jürschik" 1 => "T. Botigué" 2 => "C. Nuin" 3 => "A. 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Journal Information
Vol. 145. Issue 3.
Pages 136 (August 2015)
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Vol. 145. Issue 3.
Pages 136 (August 2015)
Letter to the Editor
Malnutrition: Another domain of frailty
Malnutrición: un dominio más de la fragilidad clínica
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