Nutritional status of cancer outpatients using scored patient generated subjective global assessment in two cancer treatment centers, Nairobi, Kenya

ABSTRACT Objective: To determine frequency of dysphagia risk and associated factors in hospitalized patients as well as to evaluate nutritional status by using different methods and correlate the status with scores of the Eating Assessment Tool (EAT-10). Methods: This was a cross-sectional study including 909 inpatients of a philanthropic hospital. For the diagnosis of dysphagia we used an adapted and validated Brazilian version of the Eating Assessment Tool (EAT-10). The nutritional status was evaluated through the subjective global assessment, and anthropometric measurements included weight, calf and arm circumference, and knee height. The Mann-Whitney test, associations using the Pearson’s χ2 and Spearman’s correlation were used to verify differences between the groups. Results: The prevalence of dysphagia risk was 10.5%, and aging was the associated factor with this condition. Patients at risk presented lower values of arm and calf circumference, variables that correlated inversely with the Eating Assessment Tool (EAT-10) score. Malnutrition was observed in 13.2% of patients based on the subjective global assessment and in 15.2% based on the Body Mass Index. Conclusion: Screening for dysphagia and malnutrition should be introduced in hospitals routine to avoid or minimize damages caused by dysphagia or malnutrition, especially among older people.

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Assessment of nutritional status of hemodialysis patients by subjective global assessment score: a single centre study from Karachi, Pakistan

Journal of the Pakistan Medical Association ◽

10.47391/jpma.1935 ◽

2022 ◽

Vol 71 (12) ◽

pp. 2761-2765

Author(s):

Lubna Ghazi ◽

Murtaza Dhrolia ◽

Aamna Hamid ◽

Ruqaya Qureshi ◽

Kiran Nasir ◽

...

Keyword(s):

Nutritional Status ◽

Global Assessment ◽

Practical Method ◽

Hemodialysis Patients ◽

Normal Weight ◽

Maintenance Hemodialysis ◽

P Value ◽

Binary Logistic Regression Analysis ◽

Subjective Global Assessment ◽

Cross Sectional

Objective: Despite being an important predictor of morbidity and mortality, routine screening for malnutrition in dialysis patients is not a common practice in Pakistan. Modified Subjective Global Assessment (SGA) is a convenient, inexpensive and practical method to assess nutritional status particularly in resource limited setup. Methods: This cross sectional study was conducted in The Kidney Center Post Graduate Training institute (TKC-PGTI). Patients on maintenance hemodialysis (MHD) were included through non-probability consecutive sampling. A one-time SGA score was calculated based on the history and physical examinations using modified SGA or Dialysis Malnutrition Score (DMS). Chi square test was applied to find association between variables, while to observe the amount of effect of factors on SGA score; binary logistic regression analysis was run. P value of ? 0.05 considered significant. Results: Mild-Moderately malnourished patients were the most frequent in our study 96(64%).None of patient had severe malnourishment. Females were 2.6 times more prone for malnourishment (p value=0.009). More than 5- years on hemodialysis also increased the risk of malnourishment by 12.5 times (p value <0.001). Overweight patients had 85 % less chance of being malnourished as compare to patients with normal weight (p value=0.004). Conclusion: Malnutrition is quite common in hemodialysis patients, which necessitates its regular assessment and monitoring. There is a need to assess the reasons of more malnourishment in female as compared to male. Similarly, the longer duration (> 5 years) on hemodialysis also need attention for prevention and cure of malnourishment. Continuous...

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Comparison between handgrip strength, subjective global assessment, anthropometry, and biochemical markers in assessing nutritional status of patients with Crohnʼs disease in clinical remission

Inflammatory Bowel Diseases ◽

10.1097/00054725-200802001-00038 ◽

2008 ◽

Vol 14 ◽

pp. S11-S12

Author(s):

C Bin ◽

C Flores ◽

M da Silva ◽

C Francesconi

Keyword(s):

Nutritional Status ◽

Clinical Remission ◽

Biochemical Markers ◽

Global Assessment ◽

Handgrip Strength ◽

Subjective Global Assessment

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Nutritional status assessed by scored patient-generated subjective global assessment associated with length of hospital stay in adult patients receiving an appendectomy

Biomedical Journal ◽

10.4103/2319-4170.113183 ◽

2014 ◽

Vol 37 (2) ◽

pp. 71 ◽

Cited By ~ 6

Author(s):

Ching-Chuan Hsieh ◽

Tzu-Hao Huang ◽

Ching-Chi Chi ◽

Chin-Hua Liu ◽

Cheng-Chih Chang ◽

...

Keyword(s):

Nutritional Status ◽

Hospital Stay ◽

Global Assessment ◽

Length Of Hospital Stay ◽

Adult Patients ◽

Subjective Global Assessment

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Evaluation of perioperative nutritional status with subjective global assessment method in patients undergoing gastrointestinal cancer surgery

Turkish Journal of Surgery ◽

10.5152/turkjsurg.2017.3603 ◽

2017 ◽

Vol 33 (4) ◽

pp. 253-257

Author(s):

Aylin Erdim ◽

Ahmet Ozdemir Aktan

Keyword(s):

Nutritional Status ◽

Gastrointestinal Cancer ◽

Global Assessment ◽

Assessment Method ◽

Cancer Surgery ◽

Subjective Global Assessment

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Association of subjective global assessment of nutritional status with gut microbiota in hemodialysis patients: a case–control study

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfaa019 ◽

2020 ◽

Cited By ~ 2

Author(s):

Ting-Yun Lin ◽

Szu-Chun Hung

Keyword(s):

Nutritional Status ◽

Gut Microbiota ◽

Global Assessment ◽

Hemodialysis Patients ◽

Adverse Outcomes ◽

Subjective Global Assessment ◽

Protein Energy Wasting ◽

Β Diversity ◽

Protein Energy ◽

Α Diversity

Abstract Background Protein-energy wasting (PEW) is prevalent and associated with adverse outcomes in patients with chronic kidney disease (CKD). However, the pathogenesis of PEW in CKD patients has not been fully identified. The gut microbiota has been implicated in the regulation of host metabolism and energy balance. Therefore, we aimed to explore the association between nutritional status and the composition of the gut microbiota in hemodialysis patients. Methods Gut microbial diversity and taxonomy were examined in 88 hemodialysis patients with PEW (n = 22) and normal nutritional status (n = 66) who were matched 1:3 for age and sex. Nutritional status was assessed by using the 7-point subjective global assessment (SGA) score (1–3 = severe PEW; 4–5 = moderate PEW and 6–7 = normal nutrition). The gut microbiota was assessed by 16S ribosomal RNA gene sequencing. Results Patients with normal nutritional status had a significantly higher body mass index and physical activity and serum albumin levels, but significantly lower levels of inflammatory cytokines than patients with PEW. The most striking finding was that the α-diversity of the gut microbiota was significantly lower in patients with PEW. In a multivariate analysis, the SGA score was independently and positively associated with α-diversity (P = 0.049). Patients with or without PEW were different with respect to the principal coordinate analysis of β-diversity. Notably, the relative abundance of Faecalibacterium prausnitzii, a butyrate-producing bacteria, was markedly reduced in patients with PEW. Conclusion In hemodialysis patients, PEW assessed with the SGA was associated with gut dysbiosis.

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