A
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Has food intake declined over the past 3 months due to loss of appetite, digestive problems, chewing or swallowing difficulties?
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0 : severe decrease in food intake
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1 : moderate decrease in food intake
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2 : no decrease in food intake
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B
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Weight loss during the last 3 months
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0 : weight loss > 3 kg
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1 : does not know
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2 : weight loss between 1 and 3 kgs
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3 : no weight loss
|
C
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Mobility
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0 : bed or chair bound
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1 : able to get out of bed/chair but does not go out
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2 : goes out
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E
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Neuropsychological problems
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0 : severe dementia or depression
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1 : mild dementia or depression
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2 : no psychological problems
|
F
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Body Mass Index (BMI (weight in kg)/(height in m2)
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0 : BMI < 19
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1 : BMI = 19 to BMI < 21
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2 : BMI = 21 to BMI < 23
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3 : BMI = 23 and > 23
|
H
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Takes more than 3 medications per day
|
0 : yes
|
1 : no
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P
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In comparison with other people of the same age, how does the patient consider his/her health status?
|
0 : not as good
|
0.5 : does not know
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1 : as good
|
2 : better
|
|
Age
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0 : >85
|
1 : 80–85
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2 : <80
|
|
Total Score
|
0–17
|