The Indian Journal of Pediatrics

, Volume 85, Issue 1, pp 15–19 | Cite as

Subjective Global Nutritional Assessment: A Reliable Screening Tool for Nutritional Assessment in Cerebral Palsy Children

  • Priyanka Minocha
  • Sadasivan Sitaraman
  • Anita Choudhary
  • Rajiv Yadav
Original Article

Abstract

Objective

To determine the prevalence of undernutrition in children with cerebral palsy and to compare subjective and objective methods of nutritional assessment.

Methods

This was a hospital based analytical observational study in which 180 children of cerebral palsy, aged 1–12 y, attending tertiary level hospital, Jaipur from March, 2012 through March, 2013 were included. Subjective assessment was done by questionnaire (Subjective Global Nutritional Assessment; SGNA) in which questions related to nutrition history and physical examination, signs of fat, muscle wasting and edema was done while objective assessment was done by weight, height and triceps skinfold thickness (TSFT) measurements.

Results

In this study prevalence of undernutrition by subjective method (SGNA) was 76.67% while by objective measurement (weight, height, TSFT) was 48.89%, 77.78% 35.18% respectively. There was fair to moderate agreement between the SGNA and objective assessments including weight and height (k = 0.341, p = 0.000; k = 0.337, p = 0.000 respectively) while for TSFT agreement between both methods was poor (k = 0.092, p = 0.190). In the index study, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of SGNA was for weight was 95%, 37%, 56%, 90%; for height 84%, 50%, 85%, 47%; for TSFT 81%, 30%, 38%, 75% respectively.

Conclusions

The prevalence of undernutrition is high in cerebral palsy children. SGNA can be a reliable tool for assessing nutritional status in children with cerebral palsy and is a simple, comprehensive, noninvasive, and cost-effective tool for screening undernutrition in children of cerebral palsy.

Keywords

Cerebral palsy Malnutrition Nutritional assessment Objective assessment Subjective global nutrition assessment 

Abbreviations

CP

Cerebral palsy

NPV

Negative predictive value

PPV

Positive predictive value

SGNA

Subjective global nutrition assessment

TSFT

Triceps skinfold thickness

Notes

Contributions

PM and AC wrote the manuscript. SS is consultant of incharge and will act as guarantor for this paper. RY interpreted the results. All authors critically reviewed the manuscript.

Compliance with Ethical Standards

Conflict of Interest

None.

Source of Funding

None.

Supplementary material

12098_2017_2501_MOESM1_ESM.docx (682 kb)
ESM 1(DOCX 682 kb)

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Copyright information

© Dr. K C Chaudhuri Foundation 2017

Authors and Affiliations

  • Priyanka Minocha
    • 1
  • Sadasivan Sitaraman
    • 1
  • Anita Choudhary
    • 1
  • Rajiv Yadav
    • 2
  1. 1.Department of PediatricsSMS Medical College and HospitalJaipurIndia
  2. 2.Department of Preventive and Social MedicineSMS Medical College and HospitalJaipurIndia

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