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Subjective Global Assessment of Nutritional Status
Aka: Subjective Global Assessment of Nutritional Status
- See Also
- Specialized Nutrition Support
- 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
- Clinician subjectively rates A-C
- Examples: Nausea, Vomiting, Diarrhea, Anorexia
- 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)
- Loss of subcutaneous fat at triceps and chest
- Muscle wasting at deltoids and quadriceps
- Edema at ankle or Sacrum
- Ascites
- 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
- Interpretation
- Using the above ratings estimate an overall SGA Score
- A: Well Nourished
- B: Moderately malnourished
- C: Severely malnourished
- Resources
- Mini-Nutritional Assessment
- http://www.mna-elderly.com/forms/MNA_english.pdf
- References
- Detsky (1987) J Parenter Enteral Nutr 11(1):8-13 [PubMed]