Universidade Federal de Uberlândia (UFU), Faculdade de Medicina (FAMED), Uberlândia, MG, Brazil.
Universidade Federal de Uberlândia (UFU), Hospital de Clínicas de Uberlândia, Gestão de Nutrição e Dietética (GENUD), Uberlândia, MG, Brazil.
J Pediatr (Rio J). 2018 Nov-Dec;94(6):602-608. doi: 10.1016/j.jped.2017.09.007. Epub 2017 Nov 12.
To assess the agreement between the results of the Subjective Global Nutritional Assessment questionnaire, adapted for children and adolescents of the Brazilian population, and the nutritional status assessment method through growth curves and the classification of the World Health Organization in a pediatric hospital service.
This was an analytical, quantitative, cross-sectional study. During the data collection period, the nutritional status of all patients from 0 to 12 years of age, admitted to the pediatric unit of a university hospital, was concomitantly assessed according to the Subjective Global Nutritional Assessment and World Health Organization curves. To determine the assessment and agreement between these methods, the Kappa and Kendall coefficients were used, respectively, considering a significance level of 5%.
Sixty-one children participated, with a predominance of males. It was observed that the highest frequency of equivalent results occurred among the group classified as well nourished, and that only the height/age variable showed a close agreement between the methods. Additionally, there was a good correlation only for the weight/height variable between the assessment tools used.
Due to the low agreement between the methods, the combination of both may be beneficial for the nutritional assessment of pediatric patients, collaborating with the early diagnosis of nutritional alterations and facilitating the use of adequate dietary therapy.
评估适用于巴西儿童和青少年的主观全球营养评估问卷的结果与生长曲线和世界卫生组织分类的营养状况评估方法之间的一致性,在一家儿科医院服务中。
这是一项分析性、定量、横断面研究。在数据收集期间,根据主观全球营养评估和世界卫生组织曲线,同时评估了大学医院儿科病房中所有 0 至 12 岁患者的营养状况。为了确定这些方法的评估和一致性,分别使用了 Kappa 和 Kendall 系数,置信水平为 5%。
共有 61 名儿童参与,男性居多。结果发现,在营养良好的分类组中,等效结果的频率最高,并且仅身高/年龄变量在方法之间显示出密切的一致性。此外,仅在使用的评估工具中,体重/身高变量之间存在良好的相关性。
由于方法之间的一致性较低,因此将两者结合起来可能有助于儿科患者的营养评估,有助于早期诊断营养改变,并便于使用适当的饮食治疗。