Comparison of the Identification of Malnutrition by Subjective Global Assessment and the A.S.P.E.N./Academy Malnutrition Diagnostic Framework Among Adults on Maintenance Hemodialysis

Emily Schwartz; Rebecca A. Brody; J. Scott Parrott; Emily Peters; Laura Byham-Gray

doi:10.1097/TIN.0000000000000182

Comparison of the Identification of Malnutrition by Subjective Global Assessment and the A.S.P.E.N./Academy Malnutrition Diagnostic Framework Among Adults on Maintenance Hemodialysis

Emily Schwartz, Rebecca A. Brody, J. Scott Parrott, Emily Peters, Laura Byham-Gray

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

The aim of this study was to determine the level of agreement between Subjective Global Assessment (SGA) and the A.S.P.E.N./Academy framework (AAF) in identifying malnutrition among adults on maintenance hemodialysis. In a secondary analysis, participants (N = 80) were evaluated using surrogate markers for the AAF and results were compared with SGA scores. Malnutrition prevalence identified by the AAF and SGA was 25% (n = 20) and 78.8% (n = 63), respectively. A κ value of 0.131 indicated only slight agreement between the 2 tools. Prospective trials should be conducted that compare malnutrition identification by using the 2 tools.

Original language	English (US)
Pages (from-to)	218-232
Number of pages	15
Journal	Topics in Clinical Nutrition
Volume	34
Issue number	3
DOIs	https://doi.org/10.1097/TIN.0000000000000182
State	Published - Jul 1 2019

All Science Journal Classification (ASJC) codes

Nutrition and Dietetics

Keywords

Subjective Global Assessment
hemodialysis
malnutrition

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10.1097/TIN.0000000000000182

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title = "Comparison of the Identification of Malnutrition by Subjective Global Assessment and the A.S.P.E.N./Academy Malnutrition Diagnostic Framework Among Adults on Maintenance Hemodialysis",

abstract = "The aim of this study was to determine the level of agreement between Subjective Global Assessment (SGA) and the A.S.P.E.N./Academy framework (AAF) in identifying malnutrition among adults on maintenance hemodialysis. In a secondary analysis, participants (N = 80) were evaluated using surrogate markers for the AAF and results were compared with SGA scores. Malnutrition prevalence identified by the AAF and SGA was 25% (n = 20) and 78.8% (n = 63), respectively. A κ value of 0.131 indicated only slight agreement between the 2 tools. Prospective trials should be conducted that compare malnutrition identification by using the 2 tools.",

keywords = "Subjective Global Assessment, hemodialysis, malnutrition",

author = "Emily Schwartz and Brody, {Rebecca A.} and Parrott, {J. Scott} and Emily Peters and Laura Byham-Gray",

note = "Funding Information: Research reported in this publication was supported by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health under award nos. 1R15DK090593-01A1, 6R15DK090593-02, and 3R15DK090593-02S1. Publisher Copyright: {\textcopyright} 2019 Wolters Kluwer Health, Inc. All rights reserved.",

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Comparison of the Identification of Malnutrition by Subjective Global Assessment and the A.S.P.E.N./Academy Malnutrition Diagnostic Framework Among Adults on Maintenance Hemodialysis. / Schwartz, Emily; Brody, Rebecca A.; Parrott, J. Scott et al.
In: Topics in Clinical Nutrition, Vol. 34, No. 3, 01.07.2019, p. 218-232.

Research output: Contribution to journal › Article › peer-review

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AU - Peters, Emily

AU - Byham-Gray, Laura

N1 - Funding Information: Research reported in this publication was supported by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health under award nos. 1R15DK090593-01A1, 6R15DK090593-02, and 3R15DK090593-02S1. Publisher Copyright: © 2019 Wolters Kluwer Health, Inc. All rights reserved.

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N2 - The aim of this study was to determine the level of agreement between Subjective Global Assessment (SGA) and the A.S.P.E.N./Academy framework (AAF) in identifying malnutrition among adults on maintenance hemodialysis. In a secondary analysis, participants (N = 80) were evaluated using surrogate markers for the AAF and results were compared with SGA scores. Malnutrition prevalence identified by the AAF and SGA was 25% (n = 20) and 78.8% (n = 63), respectively. A κ value of 0.131 indicated only slight agreement between the 2 tools. Prospective trials should be conducted that compare malnutrition identification by using the 2 tools.

AB - The aim of this study was to determine the level of agreement between Subjective Global Assessment (SGA) and the A.S.P.E.N./Academy framework (AAF) in identifying malnutrition among adults on maintenance hemodialysis. In a secondary analysis, participants (N = 80) were evaluated using surrogate markers for the AAF and results were compared with SGA scores. Malnutrition prevalence identified by the AAF and SGA was 25% (n = 20) and 78.8% (n = 63), respectively. A κ value of 0.131 indicated only slight agreement between the 2 tools. Prospective trials should be conducted that compare malnutrition identification by using the 2 tools.

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Comparison of the Identification of Malnutrition by Subjective Global Assessment and the A.S.P.E.N./Academy Malnutrition Diagnostic Framework Among Adults on Maintenance Hemodialysis

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