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Patient-Generated Subjective Global Assessment of nutritional status in pediatric patients with recent cancer

Mayra Jezabel Vázquez de la Torre1, Katja Stein, Edgar Manuel Vásquez Garibay

  • 1Institute de Nutrición Humana, Universidad de Guadalajara. jeza85vaz@hotmail.com.

Nutricion Hospitalaria
|November 14, 2017
PubMed

Insights

The Patient-Generated Subjective Global Assessment (PG-SGA) tool effectively identifies nutritional status in pediatric cancer patients. This method shows moderate correlation with anthropometric measurements, aiding in nutritional risk assessment for children with cancer.

Area of Science:

  • Pediatric Oncology
  • Nutritional Assessment
  • Clinical Research

Background:

  • Subjective Global Assessment (SGA) is a recognized tool for nutritional risk identification in adults.
  • Limited evidence exists on SGA's effectiveness in pediatric cancer patients.
  • Nutritional status is critical for outcomes in children undergoing cancer treatment.

Purpose of the Study:

  • To assess the correlation between the Patient-Generated SGA (PG-SGA) and anthropometric measurements.
  • To validate the PG-SGA as a tool for identifying nutritional status in newly diagnosed pediatric cancer patients.
  • To determine the prevalence of malnutrition using the PG-SGA in this population.

Main Methods:

  • Cross-sectional study involving 70 pediatric cancer patients.
  • Nutritional status assessed using PG-SGA and anthropometric measurements.
  • Statistical analysis included ANOVA, t-tests, Kappa statistic, and Spearman/Kendall correlation coefficients.

Main Results:

  • The prevalence of malnutrition identified by PG-SGA was 21.4%.
  • Moderate and significant correlations (r ≥ 0.300, p < 0.001) were found between PG-SGA and anthropometric indicators.
  • Significant concordance (k ≥ 0.327, p < 0.001) was observed.

Conclusions:

  • The PG-SGA is a valid instrument for assessing nutritional status in hospitalized children with recent cancer diagnoses.
  • PG-SGA aids in identifying malnutrition risk in pediatric cancer patients.
  • The study highlights PG-SGA's utility but notes its limitation in detecting growth abnormalities like obesity.
Abstract

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