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[Clinical effectiveness of Subjective Global Nutritional Assessment in hospitalized children with cerebral palsy]
Han-You Liu1, Deng-Na Zhu, Gong-Xun Chen
1Department of Children's Rehabilitation, Third Affiliated Hospital, Zhengzhou University, Zhengzhou 450052, China. zhudengna@126.com.
Insights
Malnutrition is common in children with cerebral palsy (CP). Subjective Global Nutritional Assessment (SGNA) effectively identifies nutritional status in these hospitalized children, showing high consistency with standard methods.
Area of Science:
- Pediatric Nutrition
- Clinical Assessment Tools
- Childhood Disabilities
Background:
- Children with cerebral palsy (CP) often face nutritional challenges.
- Accurate nutritional assessment is crucial for managing CP.
- Existing assessment methods may have limitations in this population.
Purpose of the Study:
- To evaluate the nutritional status of hospitalized children with CP.
- To determine the clinical effectiveness of Subjective Global Nutritional Assessment (SGNA) for these children.
- To compare SGNA with the World Health Organization's Z-score method.
Main Methods:
- A study involving 208 children with CP (aged 1-5 years) hospitalized between April and October 2019.
- Nutritional status assessed using SGNA.
- The Z-score method served as the reference standard for validation.
Main Results:
- SGNA detected malnutrition in 42.3% of children, compared to 39.4% by the Z-score method (P>0.05).
- SGNA demonstrated high inter-evaluator consistency (κ=0.621, P<0.001).
- SGNA showed good sensitivity (80.5%), specificity (82.5%), and predictive values against the Z-score method (κ=0.622, P<0.001).
Conclusions:
- A significant proportion of children with CP experience malnutrition.
- SGNA is a reliable and effective tool for assessing the nutritional status of hospitalized children with CP.
- SGNA offers a practical approach for nutritional screening in this vulnerable group.
Objective:
To investigate the nutritional status of children with cerebral palsy (CP) and the clinical effectiveness of Subjective Global Nutritional Assessment (SGNA) in nutritional assessment of hospitalized children with CP.
Methods:
A total of 208 children with CP, aged 1-5 years, who were hospitalized from April to October 2019 were enrolled as subjects. SGNA was used to investigate nutritional status, and the Z-score method recommended by the World Health Organization was used as a reference standard to validate the clinical effectiveness of SGNA.
Results:
The detection rate of malnutrition in children with CP was 42.3% by SGNA and 39.4% by the Z-score method (P>0.05). The application of SGNA showed high consistency between different evaluators (κ=0.621, P<0.001). With the Z-score method as the reference standard, SGNA had a sensitivity of 80.5%, a specificity of 82.5%, a positive predictive value of 75.0%, and a negative predictive value of 86.7%, and high consistency was observed between the two evaluation methods (κ=0.622, P<0.001). SGNA was moderately consistent with weight-for-age Z-score and height-for-age Z-score (κ=0.495 and 0.478 respectively, P<0.001) and was poorly consistent with weight-for-height Z-score (κ=0.197, P<0.05).
Conclusions:
There is a relatively high incidence rate of malnutrition in children with CP. SGNA can be used as a tool to assess the nutritional status of children with CP.
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