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Assessment of Child Anthropometry in a Large Epidemiologic Study
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Agreement between nutritional risk screening tools and anthropometry in hospitalized pediatric patients

Tatiana Abreu Barros1, Juliana Moreira da Silva Cruvel1, Bruna de Melo Silva1

  • 1Hospital Universitário, Universidade Federal Do Maranhão, São Luís, Brazil.

Clinical Nutrition ESPEN
|January 22, 2022
PubMed

Insights

The Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) identified more hospitalized children at high nutritional risk than the Screening Tool for Risk on Nutritional Status and Growth (STRONGkids). Both tools effectively identify pediatric malnutrition risk.

Area of Science:

  • Pediatric Nutrition
  • Clinical Assessment
  • Public Health

Background:

  • Malnutrition screening is crucial for hospitalized children.
  • Identifying at-risk children aids timely intervention.
  • Established tools require validation in pediatric populations.

Purpose of the Study:

  • To evaluate the Screening Tool for Risk on Nutritional Status and Growth (STRONGkids) and the Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP).
  • To assess the association between these tools and anthropometric nutritional parameters.
  • To determine the effectiveness of these screening tools in identifying malnutrition in hospitalized children.

Main Methods:

  • Utilized nutrition data from 672 hospitalized pediatric patients (2019-2020).
  • Administered STRONGkids and STAMP tools.
  • Employed chi-square test, Fisher-Freeman-Halton Exact Test, and Kappa coefficient for statistical analysis (p<0.05).

Main Results:

  • STAMP identified 24.3% of patients at high nutritional risk, compared to 10.1% by STRONGkids.
  • Both STRONGkids and STAMP showed significant associations with anthropometric parameters (BMI/Age, Height/Age, Weight/Age, Weight/Height).
  • A significant moderate agreement (κ=0.448, p<0.001) was observed between the two screening tools.

Conclusions:

  • STAMP identifies a higher proportion of hospitalized children at high nutritional risk than STRONGkids.
  • Both screening tools demonstrate significant associations with anthropometric measures.
  • These screening tools are practical for identifying malnutrition risk in pediatric hospital settings.
Abstract

Keywords:
Child adolescent malnutritionNutritional risk screening toolsSTAMPSTRONGkids

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