Clinical study on Subjective Global Nutritional Assessment method for children with cerebral palsy

CHEN Jing; TONG Guang-lei; SHI Lei; YE Fu-ling; FENG Chao; XU Xue-cui; LI Hong

doi:10.11852/zgetbjzz2021-1129

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Chinese Journal of Child Health Care ›› 2022, Vol. 30 ›› Issue (2) : 212-215. DOI: 10.11852/zgetbjzz2021-1129

Clinical Research

Clinical study on Subjective Global Nutritional Assessment method for children with cerebral palsy

CHEN Jing, TONG Guang-lei, SHI Lei, YE Fu-ling, FENG Chao, XU Xue-cui, LI Hong

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Abstract

Objective To study the consistency between the results of Subjective Global Nutritional Assessment (SGNA) and Z-score method for children when assessing the malnutrition of children with cerebral palsy (CP), so as to provide helpful reference for more general clinical applications of SGNA. Methods Totally 76 children with CP treated in the Department of Pediatric Rehabilitation of Anhui Children′s Hospital from January to July 2021 were enrolled in this study, and were assessed with SGNA and Z-score method simultaneously to evaluate their nutritional status. Weighted-Kappa coefficient was used to analyze their consistency on evaluating different nutritional levels for children with CP. There were two kinds of nutritional level division for the Z-score method. The traditional Z-score nutritional levels included three levels:well nourished (Z>—2), moderately malnourished (-3＜Z ≤-2) and severely malnourished(Z≤-3). Nutritional levels presented by consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition (ASPEN) included four levels, among which slightly malnourished (-2＜Z ≤-1) was added, and this new level was merged with moderately malnourished as one level to compare with the three SGNA nutritional levels in this study. Results According to traditional Z-score levels (Z >-2 as well nourished), the weighted-Kappa coefficient of the two methods was 0.491 (95%CI: 0.336 - 0.645), and the consistency was moderate. According to ASPEN nutritional levels (Z >-1 as well nourished), the weighted-Kappa coefficient of the two methods was 0.709 (95%CI: 0.569 - 0.850), and the consistency was relatively strong. Conclusions For CP children′s nutritional status evaluation, the consistency between SGNA nutritional levels and Z-score levels is obviously affected by different divisions of Z-score levels. Compared with the traditional Z-score nutritional levels, higher consistency is observed between ASPEN Z-score nutritional levels and SGNA nutritional levels.

Key words

cerebral palsy / malnutrition / Subjective Global Nutritional Assessment / child growth Z-score

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CHEN Jing, TONG Guang-lei, SHI Lei, YE Fu-ling, FENG Chao, XU Xue-cui, LI Hong. Clinical study on Subjective Global Nutritional Assessment method for children with cerebral palsy[J]. Chinese Journal of Child Health Care. 2022, 30(2): 212-215 https://doi.org/10.11852/zgetbjzz2021-1129

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