II. Evaluation: Assign SGA rating to each criteria (where A is well nourished and C is severely malnourished)
- Weight Change in last 6 months
- A: <5%
- B: 5-10%
- C: >10%
- Weight change in last 2 weeks
- A: Increased
- B: Unchanged
- C: Decreased
- Dietary intake overall change
- A: Increased
- B: Unchanged
- C: Decreased
- Dietary Change Duration (in weeks or months)
- Clinician subjectively rates A-C
- Type of dietary change
- Clinician subjectively rates A-C
- Examples: Suboptimal solid diet, Full liquid Diet, Hypocaloric liquids, or Starvation diet
- Gastrointestinal symptoms persisting >2 weeks
- Functional capacity overall Impairment
- A: None
- B: Moderate
- C: Severe
- Functional Capacity Change Duration (in days, weeks or months)
- Clinician subjectively rates A-C
- Functional Capacity Progression
- A: Getting better
- B: Unchanged
- C: Getting Worse
- Physical findings (rated as A = normal and C=Severe)
- Primary underlying condition affecting nutrition
- A: Mild
- B: Moderate
- C: Severe
- Primary underlying conditions affect on metabolic demand
- A: None
- B: Low to Moderate
- C; High
III. Interpretation
- Using the above ratings estimate an overall SGA Score
- A: Well Nourished
- B: Moderately malnourished
- C: Severely malnourished
IV. Resources
- Mini-Nutritional Assessment