Department of Pediatrics, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
Indian J Pediatr. 2009 Sep;76(9):903-6. doi: 10.1007/s12098-009-0196-9. Epub 2009 Nov 4.
Use of clinical assessment of nutrition status (CAN) score to assess the prevalence of fetal malnutrition among term newborns and to compare other anthropometric criteria used to assess fetal growth.
Prospective study of 529 term healthy newborns assessed using CAN score. Complete anthropometric assessment and determination of weight for gestation was done. Using CAN score as a standard, the usefulness of birth weight, weight for gestation, length, head circumference (HC), mid arm circumference (MAC), MAC/HC ratio and Ponderal index to assess fetal nutrition was determined.
With a cut off value of 25, CAN score identified 148 (27.97%) malnourished neonates. 4% of appropriate for gestational age neonate were malnourished and 42.9 % of small for gestational age neonates were well nourished. When CAN score was taken as a standard, weight for gestation and MAC/HC had the highest sensitivity to identify malnourished neonates (92.5% & 90.5%).
CAN score identifies malnourished neonates which can be missed by other methods and identifies well nourished neonates classified as growth retarded by other methods.
使用临床营养评估（CAN）评分评估足月新生儿营养不良的患病率，并比较其他用于评估胎儿生长的人体测量标准。
对 529 名足月健康新生儿进行前瞻性研究，使用 CAN 评分进行评估。进行完整的人体测量评估和胎龄体重测定。以 CAN 评分为标准，确定体重、胎龄体重、身长、头围（HC）、中臂围（MAC）、MAC/HC 比值和体质量指数（Ponderal index）评估胎儿营养的有用性。
CAN 评分的截断值为 25，识别出 148 名（27.97%）营养不良的新生儿。4%的适于胎龄儿为营养不良，42.9%的小于胎龄儿为营养良好。当以 CAN 评分为标准时，胎龄体重和 MAC/HC 对识别营养不良的新生儿具有最高的敏感性（92.5%和 90.5%）。
CAN 评分可以识别其他方法可能遗漏的营养不良新生儿，并识别其他方法归类为生长迟缓的营养良好的新生儿。
