{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:18:22Z","timestamp":1783469902810,"version":"3.55.0"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":61,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"Science and Technology Research Project of Jiangxi Provincial Department of Education","award":["GJJ210149"],"award-info":[{"award-number":["GJJ210149"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"DOI":"10.1038\/s41598-026-50651-7","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T13:05:20Z","timestamp":1778245520000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical utility of the mini nutritional assessment short form in predicting stroke-associated pneumonia in acute stroke patients: a prospective cohort study"],"prefix":"10.1038","volume":"16","author":[{"given":"Xiong","family":"Liao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianpan","family":"Cai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qifan","family":"Fen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jimin","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueting","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanan","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"50651_CR1","doi-asserted-by":"crossref","unstructured":"Sarmadi, S., Sanaie, N. & Zare-Kaseb, A. Global prevalence of stroke-associated pneumonia: A systematic review and meta-analysis of cross-sectional studies. Top. Stroke Rehabil. 1\u201317 (2025).","DOI":"10.1080\/10749357.2025.2585118"},{"key":"50651_CR2","doi-asserted-by":"publisher","first-page":"108770","DOI":"10.1016\/j.clineuro.2025.108770","volume":"249","author":"ME Guven","year":"2025","unstructured":"Guven, M. E., Tekan, U. Y., Pirdal, B. Z. & Orken, D. N. Understanding definitive and probable stroke-associated pneumonia: Risk factors and clinical outcomes. Clin. Neurol. Neurosurg. 249, 108770 (2025).","journal-title":"Clin. Neurol. Neurosurg."},{"issue":"7","key":"50651_CR3","first-page":"799","volume":"33","author":"S Zhang","year":"2023","unstructured":"Zhang, S., Huang, J. & Zhou, X. A meta-analysis of the risk factors for stroke-associated pneumonia. J. Coll. Phys. Surg.\u2013Pak. JCPSP. 33 (7), 799\u2013803 (2023).","journal-title":"J. Coll. Physicians Surgeons\u2013Pakistan: JCPSP"},{"issue":"1","key":"50651_CR4","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1186\/s12883-023-03340-1","volume":"23","author":"D Li","year":"2023","unstructured":"Li, D. et al. Association between malnutrition and stroke-associated pneumonia in patients with ischemic stroke. BMC Neurol. 23 (1), 290 (2023).","journal-title":"BMC Neurol."},{"issue":"12","key":"50651_CR5","doi-asserted-by":"publisher","first-page":"2275","DOI":"10.1093\/nutrit\/nuac034","volume":"80","author":"A Mehta","year":"2022","unstructured":"Mehta, A. et al. The relationship between nutritional status at the time of stroke on adverse outcomes: A systematic review and meta-analysis of prospective cohort studies. Nutr. Rev. 80 (12), 2275\u20132287 (2022).","journal-title":"Nutr. Rev."},{"issue":"1","key":"50651_CR6","doi-asserted-by":"publisher","first-page":"108","DOI":"10.3390\/nu15010108","volume":"15","author":"I Ciancarelli","year":"2022","unstructured":"Ciancarelli, I. et al. Influence of oxidative stress and inflammation on nutritional status and neural plasticity: New perspectives on post-stroke neurorehabilitative outcome. Nutrients 15 (1), 108 (2022).","journal-title":"Nutrients"},{"key":"50651_CR7","doi-asserted-by":"publisher","first-page":"970573","DOI":"10.3389\/fnut.2022.970573","volume":"9","author":"L Chen","year":"2022","unstructured":"Chen, L. et al. Clinical significance of albumin to globulin ratio among patients with stroke-associated pneumonia. Front. Nutr. 9, 970573 (2022).","journal-title":"Front. Nutr."},{"key":"50651_CR8","doi-asserted-by":"publisher","first-page":"2305","DOI":"10.2147\/CIA.S230255","volume":"14","author":"GQ Huang","year":"2019","unstructured":"Huang, G. Q. et al. Reduced vitamin D levels are associated with stroke-associated pneumonia in patients with acute ischemic stroke. Clin. Interv Aging. 14, 2305\u20132314 (2019).","journal-title":"Clin. Interv Aging"},{"issue":"9","key":"50651_CR9","doi-asserted-by":"publisher","first-page":"1220749209","DOI":"10.1177\/0300060520949657","volume":"48","author":"H Shen","year":"2020","unstructured":"Shen, H. & Zhan, B. Effect of vitamin E on stroke-associated pneumonia. J. Int. Med. Res. 48 (9), 1220749209 (2020).","journal-title":"J. Int. Med. Res."},{"key":"50651_CR10","doi-asserted-by":"publisher","first-page":"505","DOI":"10.2147\/CIA.S301480","volume":"16","author":"J Li","year":"2021","unstructured":"Li, J. et al. An L-shaped relationship between serum iron and stroke-associated pneumonia. Clin. Interv. Aging. 16, 505\u2013511 (2021).","journal-title":"Clin. Interv Aging"},{"issue":"8","key":"50651_CR11","doi-asserted-by":"publisher","first-page":"e2718","DOI":"10.1002\/brb3.2718","volume":"12","author":"C Dai","year":"2022","unstructured":"Dai, C. et al. Geriatric nutritional risk index is related to the risk of stroke-associated pneumonia. Brain Behav. 12 (8), e2718 (2022).","journal-title":"Brain Behav."},{"issue":"6","key":"50651_CR12","doi-asserted-by":"publisher","first-page":"M366","DOI":"10.1093\/gerona\/56.6.M366","volume":"56","author":"LZ Rubenstein","year":"2001","unstructured":"Rubenstein, L. Z., Harker, J. O., Salv\u00e0, A., Guigoz, Y. & Vellas, B. Screening for undernutrition in geriatric practice: Developing the short-form mini-nutritional assessment (MNA-SF). J. Gerontol. Biol. Sci. Med. Sci. 56 (6), M366\u2013M372 (2001).","journal-title":"J. Gerontol. Biol. Sci. Med. Sci."},{"issue":"9","key":"50651_CR13","doi-asserted-by":"publisher","first-page":"782","DOI":"10.1007\/s12603-009-0214-7","volume":"13","author":"MJ Kaiser","year":"2009","unstructured":"Kaiser, M. J. et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): A practical tool for identification of nutritional status. J. Nutr. Health Aging. 13 (9), 782\u2013788 (2009).","journal-title":"J. Nutr. Health Aging"},{"issue":"5","key":"50651_CR14","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1016\/j.jand.2015.09.014","volume":"116","author":"S Nishioka","year":"2016","unstructured":"Nishioka, S. et al. Nutritional improvement correlates with recovery of activities of daily living among malnourished elderly stroke patients in the convalescent stage: A cross-sectional study. J. Acad. Nutr. Diet. 116 (5), 837\u2013843 (2016).","journal-title":"J. Acad. Nutr. Diet."},{"issue":"4","key":"50651_CR15","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","volume":"61","author":"E von Elm","year":"2008","unstructured":"von Elm, E. et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. J. Clin. Epidemiol. 61 (4), 344\u2013349 (2008).","journal-title":"J. Clin. Epidemiol."},{"key":"50651_CR16","doi-asserted-by":"crossref","unstructured":"Arsava, E. M. et al. Admission chest CT findings and risk assessment for stroke-associated pneumonia. Acta Neurol. Belg. 1\u20137 (2022).","DOI":"10.1007\/s13760-022-02043-7"},{"issue":"1","key":"50651_CR17","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1186\/s12967-022-03389-5","volume":"20","author":"J Yan","year":"2022","unstructured":"Yan, J. et al. ICH-LR2S2: A new risk score for predicting stroke-associated pneumonia from spontaneous intracerebral hemorrhage. J. Transl. Med. 20 (1), 193 (2022).","journal-title":"J. Transl. Med."},{"issue":"4","key":"50651_CR18","first-page":"435","volume":"89","author":"G Parra-Romero","year":"2021","unstructured":"Parra-Romero, G. et al. Hemorrhagic stroke associated to COVID-19 infection in Mexico General Hospital. Accidente cerebrovascular hemorr\u00e1gico asociado a infecci\u00f3n por COVID-19 en Hospital General de M\u00e9xico. Cir. Cir. 89 (4), 435\u2013442 (2021).","journal-title":"Cir. Cir."},{"key":"50651_CR19","doi-asserted-by":"publisher","first-page":"34","DOI":"10.12688\/f1000research.42308.1","volume":"10","author":"S Syahrul","year":"2021","unstructured":"Syahrul, S. et al. Hemorrhagic and ischemic stroke in patients with coronavirus disease 2019: Incidence, risk factors, and pathogenesis\u2014A systematic review and meta-analysis. F1000Res. 10, 34 (2021).","journal-title":"F1000Res"},{"key":"50651_CR20","doi-asserted-by":"publisher","first-page":"815578","DOI":"10.3389\/fnut.2022.815578","volume":"9","author":"H Liu","year":"2022","unstructured":"Liu, H. et al. Nutritional Status According to the Short-Form Mini Nutritional Assessment (MNA-SF) and clinical characteristics as predictors of length of stay, mortality, and readmissions among older inpatients in China: A national study. Front. Nutr. 9, 815578 (2022).","journal-title":"Front. Nutr."},{"issue":"7","key":"50651_CR21","doi-asserted-by":"publisher","first-page":"2183","DOI":"10.3390\/nu13072183","volume":"13","author":"A Kalu\u017aniak-Szymanowska","year":"2021","unstructured":"Kalu\u017aniak-Szymanowska, A. et al. Diagnostic performance and accuracy of the MNA-SF against GLIM criteria in community-dwelling older adults from Poland. Nutrients. 13 (7), 2183 (2021).","journal-title":"Nutrients"},{"issue":"9","key":"50651_CR22","first-page":"5455","volume":"29","author":"SW Hsueh","year":"2021","unstructured":"Hsueh, S. W. et al. A comparison of the MNA-SF, MUST, and NRS-2002 nutritional tools in predicting treatment incompletion of concurrent chemoradiotherapy in patients with head and neck cancer. Support Care Cancer. 29 (9), 5455\u20135462 (2021).","journal-title":"Support Care Cancer"},{"issue":"1","key":"50651_CR23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/nu16010001","volume":"16","author":"F Morales","year":"2023","unstructured":"Morales, F., Montserrat-de la Paz, S., Leon, M. J. & Rivero-Pino, F. Effects of malnutrition on the immune system and infection and the role of nutritional strategies regarding improvements in children\u2019s health status: A literature review. Nutrients 16 (1), 1 (2023).","journal-title":"Nutrients"},{"issue":"5","key":"50651_CR24","doi-asserted-by":"publisher","first-page":"1142","DOI":"10.1161\/STROKEAHA.123.046122","volume":"55","author":"H Zeng","year":"2024","unstructured":"Zeng, H. et al. Effect of intermittent oro-esophageal tube feeding in bulbar palsy after ischemic stroke: A randomized controlled study. Stroke 55 (5), 1142\u20131150 (2024).","journal-title":"Stroke"},{"issue":"5","key":"50651_CR25","doi-asserted-by":"publisher","first-page":"745","DOI":"10.1017\/S0007114522001271","volume":"129","author":"SA Ribeiro","year":"2023","unstructured":"Ribeiro, S. A. et al. Consumption of a multi-deficient diet causes dynamic changes in the intestinal morphofunctional barrier, body composition and impaired physical development in post-weaning mice. Br. J. Nutr. 129 (5), 745\u2013758 (2023).","journal-title":"Br. J. Nutr."},{"issue":"8","key":"50651_CR26","doi-asserted-by":"publisher","first-page":"e2718","DOI":"10.1002\/brb3.2718","volume":"12","author":"C Dai","year":"2022","unstructured":"Dai, C., Yan, D., Xu, M., Huang, Q. & Ren, W. Geriatric Nutritional Risk Index is related to the risk of stroke-associated pneumonia. Brain Behav. 12 (8), e2718 (2022).","journal-title":"Brain Behav."},{"issue":"3","key":"50651_CR27","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1007\/s12028-017-0436-1","volume":"29","author":"T Sabbouh","year":"2018","unstructured":"Sabbouh, T. & Torbey, M. T. Malnutrition in stroke patients: Risk factors, assessment, and management. Neurocrit. Care. 29 (3), 374\u2013384 (2018).","journal-title":"Neurocrit. Care"},{"issue":"3","key":"50651_CR28","first-page":"1046","volume":"15","author":"Q Chen","year":"2024","unstructured":"Chen, Q., Wu, M., Tang, Q., Yan, P. & Zhu, L. Age-related alterations in immune function and inflammation: Focus on ischemic stroke. Aging Dis. 15 (3), 1046\u20131074 (2024).","journal-title":"Aging Dis."},{"issue":"4","key":"50651_CR29","doi-asserted-by":"publisher","first-page":"609","DOI":"10.1055\/s-0043-1771470","volume":"43","author":"HYF Yong","year":"2023","unstructured":"Yong, H. Y. F., Ganesh, A. & Camara-Lemarroy, C. Gastrointestinal dysfunction in stroke. Semin. Neurol. 43 (4), 609\u2013625 (2023).","journal-title":"Semin Neurol."},{"issue":"6","key":"50651_CR30","doi-asserted-by":"publisher","first-page":"107123","DOI":"10.1016\/j.jstrokecerebrovasdis.2023.107123","volume":"32","author":"VE Bond","year":"2023","unstructured":"Bond, V. E., Doeltgen, S., Kleinig, T. & Murray, J. Dysphagia-related acute stroke complications: A retrospective observational cohort study. J. Stroke Cerebrovasc. Dis. 32 (6), 107123 (2023).","journal-title":"J. Stroke Cerebrovasc. Dis."},{"issue":"4","key":"50651_CR31","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1097\/NRL.0000000000000626","volume":"30","author":"J Bai","year":"2025","unstructured":"Bai, J. et al. Stroke-associated pneumonia and the brain-gut-lung axis: A systematic literature review. Neurologist. 30 (4), 237\u2013250 (2025).","journal-title":"Neurologist"},{"key":"50651_CR32","doi-asserted-by":"publisher","first-page":"110613","DOI":"10.1016\/j.nut.2019.110613","volume":"71","author":"C Uno","year":"2020","unstructured":"Uno, C. et al. Nutritional status change and activities of daily living in elderly pneumonia patients admitted to acute care hospital: A retrospective cohort study from the Japan Rehabilitation Nutrition Database. Nutrition 71, 110613 (2020).","journal-title":"Nutrition"},{"issue":"6","key":"50651_CR33","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1016\/j.amjmed.2019.10.031","volume":"133","author":"A Eckart","year":"2020","unstructured":"Eckart, A. et al. Relationship of nutritional status, inflammation, and serum albumin levels during acute illness: A prospective study. Am. J. Med. 133 (6), 713\u2013722e7 (2020).","journal-title":"Am. J. Med."},{"key":"50651_CR34","doi-asserted-by":"publisher","first-page":"868973","DOI":"10.3389\/fimmu.2022.868973","volume":"13","author":"SR Khan","year":"2022","unstructured":"Khan, S. R. et al. Serum immunoglobulins, pneumonia risk, and lung function in middle-aged and older individuals: A population-based cohort study. Front. Immunol. 13, 868973 (2022).","journal-title":"Front. Immunol."}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-50651-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-50651-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-50651-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:03:50Z","timestamp":1783469030000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-026-50651-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,8]]},"references-count":34,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["50651"],"URL":"https:\/\/doi.org\/10.1038\/s41598-026-50651-7","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-8556078\/v1","asserted-by":"object"}]},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,8]]},"assertion":[{"value":"9 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"We obtained the approval of the Ethics Committee of the First Affiliated Hospital of Nanchang University(NO. 2021026). The institutional ethics committee reviewed the retrospective use of anonymous data for scientific purpose and waived the need to obtain informed written consent, and all methods were performed in accordance with the relevant guidelines and regulations (Declaration of Helsinki) .","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"21115"}}