Evaluation of Nutrition Status Using the Subjective Global Assessment: Malnutrition, Cachexia, and Sarcopenia

Background: Cancer is the second cause of disease-related deaths worldwide. Malnutrition among cancer patients is very common, with an estimated incidence of approximately 40 to 80%. While it is already a proven fact that malnutrition is prevalent among cancer patients, its impact on the quality of life of patients has not been adequately studied, particularly in the local setting. Purpose: To assess quality of life, nutrition status and to determine the affects of nutrition status on quality of life of cancer patients treated chemotherapy at Oncology Department, Hue University of Medicine and Pharmacy Hospital. Methods: A cross sectional study with 70 cancer patients admitted for chemotherapy recruited from at oncology department, Hue University of Medicine and Pharmacy Hospital during March to September 2018. The EORTC QLQ-C30 were used to assess quality of life and Subjective Global Assessment scale were used to assess nutrition status. T-test, ANOVA, Mann Whitney, Kruskal Wallis were used to determine the correlation between 2 factors. Pearson and Spearman Coefficient were used to measure the strength of relationship between the factors. Results: Patient’s mean age was 58.93 ± 13.26, males were 61.3%. There were 67.14% patients with SGA A, 14.29% were classified SGA-B (moderately malnourished) and 18.57% were classified SGA C (severely malnourished). The global health scale, the functional scales were in the limit of the EORTC reference value, meanwhile the toxicities -related symptom scales were worse than the EORTC reference value. Patients were statistically different across the Subjective Global Assessment groups according to emotional (p < 0.05), and cognitive functioning (p < 0.05) nausea and vomiting (p < 0.05). Conclusions: This study showed that there were the effects of nutrition status on quality of life in patients treated chemotherapy. Key words: Quality of life, nutritional status, cancer, chemotherapy

Download Full-text

Comparisons of Subjective Global Assessment Ratings and Routine Biochemical Markers in Evaluating Nutrition Status of Patients on Hemodialysis

Journal of the American Dietetic Association ◽

10.1016/s0002-8223(97)00424-0 ◽

1997 ◽

Vol 97 (9) ◽

pp. A29

Author(s):

L.P. Corley ◽

C. Mitchell ◽

M.A. Smith ◽

L. Moore ◽

S.O. Smith

Keyword(s):

Biochemical Markers ◽

Global Assessment ◽

Nutrition Status ◽

Subjective Global Assessment

Download Full-text

Status gizi awal berdasarkan Patient Generated Subjective Global Assessment (PG-SGA) berhubungan dnegan asupan zat gizi dan perubahan berat badan pada penderita kanker rawat inap di RSUP Dr. Mohammad Hosein Palembang

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.17741 ◽

2010 ◽

Vol 7 (2) ◽

pp. 80

Author(s):

Susetyowati Susetyowati ◽

Yenita Yenita ◽

Johan Kurnianda

Keyword(s):

Weight Loss ◽

Cancer Patients ◽

Significant Relationship ◽

Nutrient Intake ◽

Global Assessment ◽

Nutrition Status ◽

Anthropometric Measurement ◽

Subjective Global Assessment ◽

Weight Changes ◽

Food Record

Background: Weight loss is commonly detected among cancer patients in their early stages. This presumably happens due to low calory intake and increasing energy requirements which finally lead to malnutrition in cancer patients. Early detection to identify nutrition problems of cancer patients is through screening so as to maximize nutrient intake through nutrition therapy and diet modification and to improve nutrition status as well as quality of life of cancer patients.Objective: The study aimed to identify the relationship between nutrition status based on PS-SGA and nutrient intake and weight loss of cancer patients hospitalized at Dr. M. Hoesin Hospital of Palembang.Methods: The study was observational with prospective cohort study design. In this study the group that had fulfilled inclusion criteria were screened during their early hospitalization (within 24 hours) using patient-generated subjective global assessment score to identify their nutrition problem. Next, the group was divided into 2 smaller groups consisting of one group with malnutrition and another group without malnutrition. Analysis of nutrient intake obtained from foods provided by the hospital and outside the hospital was made to the two groups within 2 weeks of hospitalization using visual comstock and food record. Anthropometric measurement was made to find weight loss the subject of the study.Results: The results of the study showed that there was significant relationship between nutrition status and intake of energy and protein with p=0.000. The result of logistic regression test to nutrition status based on weight changes indicated that there was significant relationship between risk of nutrition and weight changes; patients with risk of nutrition had 7.016 times greater probability for weight loss than those without risk of nutrition (95% C5 2.896-16.997).Conclusion: There was significant relationship between nutrition status and nutrient intake among cancer patients and there was greater probability for weight loss.

Download Full-text

The Relationship Between Nutritional Status Based on Subjective Global Assessment and Dialysis Adequacy

Nephro-Urology Monthly ◽

10.5812/numonthly.116254 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Effat Afaghi ◽

Ali Tayebi ◽

Seyedeh Azam Sajadi ◽

Abbas Ebadi

Keyword(s):

Global Assessment ◽

Binding Capacity ◽

Nutrition Status ◽

Severe Malnutrition ◽

Cluster Sampling ◽

Dialysis Session ◽

Subjective Global Assessment ◽

Dialysis Adequacy ◽

Cross Sectional ◽

The Relationship

Background: Malnutrition is common in patients undergoing hemodialysis and leads to a decrease in dialysis adequacy. The evaluation of dialysis adequacy is very important. Objectives: This study was done to investigate the relationship between patients’ nutrition status based on Subjective Global Assessment (SGA) and their dialysis adequacy. Methods: This cross-sectional descriptive study was conducted in Tehran, Iran, in 2019. Three hundred qualified patients were selected by cluster sampling. Before the dialysis session, measurement of height and weight and blood sampling for albumin, total iron-binding capacity (TIBC), blood urea nitrogen (BUN), and creatinine (Cr) assessment were performed. After the dialysis session, measurement of weight and second sampling for BUN were done. SGA forms were filled by patients. Patients’ dialysis adequacy was calculated based on the DaugirdasII formula, and data were analyzed using SPSS 21. Results: From 300 patients, 128 cases (42.7%) had normal nutrition status, while 148 cases (49.3%) had mild to moderate malnutrition and 24 cases (8%) had severe malnutrition with mean dialysis adequacy of 1.07. The present study showed a significant statistical relationship between malnutrition and education (P < 0.001), body mass index (BMI) (P = 0.03), albumin (P < 0.001), TIBC (P < 0.001), and dialysis adequacy (P < 0.001). Gender, age, and dialysis duration showed no significant relationship with nutrition status based on the SGA index. Conclusions: The findings showed a high relative frequency of malnutrition and a decrease in patients’ dialysis adequacy, which emphasize the patient’s educational level, proper management of nutrition along with regular consultations by nutritionists, better implementation of the dialysis procedure, and regular follow-up of dialysis adequacy.

Download Full-text

A description of nutrition status, using Subjective Global Assessment on the patient population followed by the Urban Health Dietitian at St. Paul’s Hospital.

10.26226/morressier.5cdc25c8bf4ffc62054210b4 ◽

2019 ◽

Author(s):

Alena Spears ◽

Betty Sung ◽

Pearl Cicci ◽

Katie Perttula

Keyword(s):

Urban Health ◽

Patient Population ◽

Global Assessment ◽

Nutrition Status ◽

Subjective Global Assessment

Download Full-text

Subjective global assessment of malnutrition and dysphagia effect on the clinical and Para-clinical outcomes in elderly ischemic stroke patients: a community-based study

BMC Neurology ◽

10.1186/s12883-021-02501-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mahsa Mahmoudinezhad ◽

Mohammad Khalili ◽

Nasim Rezaeemanesh ◽

Mehdi Farhoudi ◽

Sharareh Eskandarieh

Keyword(s):

Clinical Outcomes ◽

Global Assessment ◽

Univariate Analysis ◽

Nutrition Status ◽

Subjective Global Assessment ◽

Stroke Patients ◽

Discharge Time ◽

Biochemical Tests ◽

Positive Correlation ◽

Arm Circumference

Abstract Background Malnutrition as a result of insufficient intake or uptake of nutrition leads to increasing rate of chronic diseases such as stroke. Stroke is one of the most common causes of death in western countries and its increasing trend has attracted lots of attention. In this regard, it seems logical to focus on modifiable risk factors such as nutrition, in order to reduce the resulting complications. Accordingly, this study aimed at evaluating nutrition status of stroke patients to estimate its relationship with clinical outcomes of stroke. Methods In the present cross-sectional study, 349 patients were recruited. Nutrition assessment was performed using Patient-Generated Subjective Global Assessment (PG-SGA). In addition, National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), and biochemical tests were performed. Results Our findings elucidated a significant positive correlation of mRS with PG-SGA and consciousness score, as well as a negative correlation with BMI, calf circumference, mid-arm circumference, and triceps skinfold at admission time (P ≤ 0.002). Moreover, a direct correlation was found between mRS and PG-SGA and consciousness score at discharge time (P ≤ 0.001). In contrast, an inverse correlation was established between mRS and mid-arm circumference (P = 0.02). Furthermore, univariate analysis indicated significant associations between mRS ≥ 3 and age (OR: 1.02; 95%CI: 1.00–1.04), PG-SGA (OR: 1.08; 95%CI: 1.03–1.13), NIHSS (OR: 1.04; 95%CI: 1.02–1.07), dysphagia (OR: 1.69; 95%CI: 1.03–2.77), consciousness (OR: 1.48; 95%CI: 1.07–2.04), and mid-arm circumference (OR: 0.95; 95%CI: 0.90–1.00). In addition, these associations remained significant in multivariate analysis for PG-SGA (OR: 1.07; 95%CI: 1.00–1.13) and NIHSS (OR: 1.04; 95%CI: 1.01–1.07). Conclusion This study revealed a positive correlation between mRS and consciousness status and PG-SGA score, as well as a negative one between mRS and MAC at discharge time.

Download Full-text