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

IF 2.2 3区医学 Q2 OBSTETRICS & GYNECOLOGY Early human development Pub 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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引用次数: 0

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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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.