Validation the modified subjective global nutrition assessment (mSGNA) for assessing malnutrition among hospitalized children

IF 2 3区医学 Q2 OBSTETRICS & GYNECOLOGY Early human development Pub Date : 2025-02-01 Epub Date: 2025-01-16 DOI:10.1016/j.earlhumdev.2025.106201

Thi Thu Lieu Nguyen , Thi Mai Anh Than , Ha Anh Nguyen , Thu Huyen Doan , Thi Thanh Xuan Le , Thi Huong Le , Thi My Thuc Luu

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Abstract

Objectives

To validate a modified Subjective Global Nutritional Assessment (mSGNA) for assessing nutritional status among Vietnamese children.

Study design

A cross-sectional study was conducted at the National Children's Hospital in Vietnam, where 200 children were assessed using mSGNA, Subjective Global Nutritional Assessment (SGNA), and a standardized method developed by the Academy of Nutrition and Dietetics (AND) and the American Society for Parenteral and Enteral Nutrition (ASPEN).

Results

The mSGNA showed high accuracy with 82.9 % sensitivity and 90.8 % specificity when compared to SGNA, and moderate accuracy (72.0 % sensitivity, 77.3 % specificity) against AND/ASPEN. The kappa value for mSGNA-SGNA agreement was 0.8 (95 % CI 0.686–0.849), indicating substantial agreement, while the kappa value for mSGNA-AND/ASPEN agreement was 0.5 (95%CI 0.304–0.567), reflecting moderate agreement.

Conclusions

The results suggest that mSGNA is a reliable tool for identifying malnutrition in Vietnamese pediatric patients, with high sensitivity and specificity in comparison to SGNA and moderate effectiveness against AND/ASPEN standards.

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修正主观整体营养评估（mSGNA）评估住院儿童营养不良的有效性。

目的：验证改进的主观全球营养评估（mSGNA）评估越南儿童的营养状况。研究设计：在越南国立儿童医院进行了一项横断面研究，其中200名儿童使用mSGNA、主观全球营养评估（SGNA）和由营养与饮食学会（and）和美国肠外和肠内营养学会（ASPEN）开发的标准化方法进行评估。结果：与SGNA相比，mSGNA对and /ASPEN具有较高的准确性（敏感性为82.9%，特异性为90.8%），对and /ASPEN具有中等的准确性（敏感性为72.0%，特异性为77.3%）。mSGNA-SGNA一致的kappa值为0.8 (95%CI 0.886 -0.849)，表示基本一致，而mSGNA-AND/ASPEN一致的kappa值为0.5 (95%CI 0.304-0.567)，表示中等一致。结论：结果表明mSGNA是鉴别越南儿科患者营养不良的可靠工具，与SGNA相比具有高敏感性和特异性，与and /ASPEN标准相比具有中等有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early human development 医学-妇产科学

CiteScore

4.40

自引率

4.00%

发文量

100

审稿时长

46 days

期刊介绍： Established as an authoritative, highly cited voice on early human development, Early Human Development provides a unique opportunity for researchers and clinicians to bridge the communication gap between disciplines. Creating a forum for the productive exchange of ideas concerning early human growth and development, the journal publishes original research and clinical papers with particular emphasis on the continuum between fetal life and the perinatal period; aspects of postnatal growth influenced by early events; and the safeguarding of the quality of human survival. The first comprehensive and interdisciplinary journal in this area of growing importance, Early Human Development offers pertinent contributions to the following subject areas: Fetology; perinatology; pediatrics; growth and development; obstetrics; reproduction and fertility; epidemiology; behavioural sciences; nutrition and metabolism; teratology; neurology; brain biology; developmental psychology and screening.