Table 1.
Screening question | Answer score | |||
---|---|---|---|---|
0 | 1 | 2 | 3 | |
| ||||
(A) Has food intake declined over the past 3 months due to loss of appetite, digestive problems, chewing or swallowing difficulties? | severe decrease in food intake | moderate decrease in food intake | no decrease in food intake | ---------------- |
(B) Weight loss during the last 3 months | weight loss greater than 3 kg (6.6 lbs) | does not know | weight loss between 1 and 3 kg (2.2 and 6.6 lbs) | no weight loss |
(C) Mobility | bed or chair bound | able to get out of bed/chair but does not go out | goes out | ---------------- |
(D) Has suffered psychological stress or acute disease in the past 3 months? | yes | ----------------- | no | ---------------- |
(E) Neuropsychological problems | severe dementia or depression | mild dementia | no psychological problems | ---------------- |
± (F1) Body Mass Index (BMI) (weight in kg)/(height in m2) | BMI less than 19 | BMI 19 to less than 21 | BMI 21 to less than 23 | BMI 23 or greater |
± (F2) Calf circumference (CC) in cm | CC less than 31 | ----------------- | -------------------- | CC 31 or greater |
± IF BMI IS NOT AVAILABLE, REPLACE QUESTION F1 WITH QUESTION F2. DO NOT ANSWER QUESTION F2 IF QUESTION F1 IS ALREADY COMPLETED.
Screening scoring (max. 14 points) 12–14 points: Normal nutritional status, 8–11 points: At risk of malnutrition, 0–7 points: Malnourished