Elder Law Practice of Timothy L. Takacs

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Elder Law FAX -- January 16, 2006


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Four-Item Questionnaire Predicts Weight Loss in Elders
Weight loss can have devastating consequences on quality-of-life, morbidity, and mortality of elderly people living in the community.

Many elders lose weight because they simply lack appetite for food. But who is at risk for weight loss? How can weight loss be predicted and, hence perhaps, prevented?

Researchers at the Division of Geriatric Medicine, Saint Louis University, in St. Louis, have devised a simple, four-item questionnaire, called the simplified nutritional appetite questionnaire (SNAQ), that appears to be an effective tool to predict weight loss in community-dwelling adults and long-term care residents.

Here are the four questions:
My appetite is
1. very poor
2. poor
3. average
4. good
5. very good

When I eat
1. I feel full after eating only a few mouthfuls
2. I feel full after eating about a third of a meal
3. I feel full after eating over half a meal
4. I feel full after eating most of the meal
5. I hardly ever feel full

Food tastes
1. very bad
2. bad
3. average
4. good
5. very good

Normally I eat
1. less than one meal a day
2. one meal a day
3. two meals a day
4. three meals a day
5. more than three meals a day

Tally the results based on the following numerical scale: a = 1, b = 2, c = 3, d = 4, e = 5. The sum of the scores for the individual items constitutes the SNAQ score. SNAQ score =14 indicates significant risk of at least 5 % weight loss within six months.

A study published in the American Journal of Clinical Nutrition shows scores on the SNAQ questionnaire correctly identified those who would go on to lose 5 percent of their weight more than eight times out of 10. The test also identified those who would lose 10 percent of their weight and is about 88 percent successful in doing so.


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