1.Mini Nutritional Assessment (MNA) as an Evaluation Tool in Community-Dwelling Nutrition Interventions for Older Adults: A Scoping Review
Azli Baharudin ; Norsyamlina Che Abdul Rahim ; Khairul Hasnan Amali ; Suhaila Abdul Ghaffar ; Lalitha Palaniveloo ; Lai Wai Kent ; Mohd Shaiful Azlan Kassim ; Ahmad Ali Zainuddin
Malaysian Journal of Health Sciences 2026;24(No. 2):175-193
Older adults living in community settings are at increased risk of malnutrition due to factors such as chronic
illness, functional decline, and social isolation. This scoping review aimed to map the types of nutritional
interventions implemented to prevent and manage malnutrition among community-dwelling older adults and to
identify outcome measures used to assess their effectiveness, including the Mini Nutritional Assessment (MNA).
A scoping review was conducted following established methodological frameworks. Literature searches were
conducted in the Web of Science, PubMed, and Ovid databases to identify English-language studies that described
nutrition-related interventions targeting malnutrition among older adults living in community settings. Two
reviewers independently screened the articles, and relevant data were extracted and narratively synthesized. A
total of 4,000 records were identified, of which 12 studies met the inclusion criteria. The most commonly reported
interventions included oral nutritional supplementation, personalized dietary counselling, nutrition education,
and social support–based approaches. The MNA was frequently used as a primary or secondary outcome measure
to assess nutritional status. This review highlights the diversity of community-based nutritional interventions
for older adults and the widespread use of the MNA in evaluating nutritional outcomes. The findings provide an
overview of existing evidence and may inform future research, intervention development, and policy initiatives
aimed at enhancing the nutritional status of community-dwelling older adults.

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