Equivalência semântica do Questionário Pediatric Subjective Global Nutritional Assessment para triagem nutricional em pacientes pediátricos com câncer

Saraiva, Danúbia da Cunha Antunes; Afonso, Wanélia Vieira; Pinho, Nivaldo Barroso de; Peres, Wilza Arantes Ferreira; Padilha, Patrícia de Carvalho

doi:10.1590/1678-98652016000200006

Cited by 8 publications

(12 citation statements)

References 17 publications

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“…This justifies the importance of using specific nutritional assessment instruments to better characterize each population, their specific pathology and hospital environment, in addition to objective measures 23,31 . In 2016, an adapted equivalent of the subjective nutritional assessment proposed by Secker & Jeejeebhoy 11 was released for use in pediatric cancer patients 11,32 . Subsequently, another article was published with cross-cultural adaptations and instrument validations 33 .…”

Section: Discussionmentioning

confidence: 99%

Subjective global nutritional assessment: applicability in children and adolescents with malignant tumors

Nemetz¹,

Domingues²,

Gregianin³

et al. 2021

CBR

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Introduction: This study investigated the applicability of the Subjective Global Nutritional Assessment (SGNA) tool to evaluate the nutritional status of pediatric cancer patients.Methods: This was a multicenter, observational cohort study of infants, children, and adolescents diagnosed with malignant tumors. Participants were evaluated at the moment they were diagnosed with a malignant tumor (EV1) and at the third month of treatment (EV2). Objective data were collected and the SGNA questionnaire was applied. Correlation between the methods was performed using the Kendall test. Results:We evaluated 216 patients at EV1 and 172 patients at EV2. During EV1, 7% of patients presented with some degree of malnutrition, according to objective measures, and 35.7% according to the SGNA. During EV2, they presented 6.4% and 26.8%, respectively. The SGNA showed ability to diagnose more malnutrition than objective indicators and the agreement found between both methods was moderate and weak. We observed a significant correlation between the SGNA and the nutritional indicators (p = <0.002), thus proving its efficacy in assessing nutritional status. Conclusion:The SGNA was applicable for evaluating the nutritional status of children and adolescents diagnosed with malignant tumors, and effective in tracking malnutrition prevalence when compared to objective nutritional assessment methods.

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Section: Discussionmentioning

confidence: 99%

Subjective global nutritional assessment: applicability in children and adolescents with malignant tumors

Nemetz¹,

Domingues²,

Gregianin³

et al. 2021

CBR

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“…In 2007, Secker & Jeejeebhoy (2007) developed the Pediatric subjective global nutritional assessment, which used the data of anthropometry, dietary intake, physical examinations, functional capacities, gastrointestinal symptoms, and the degree of metabolic stress. Saraiva et al (2016) performed a transcultural translation and an adaptation of this particular questionnaire, with a subsequent validation. It is the only validated nutritional screening instrument for the Brazilian pediatric population to date.…”

Section: Discussionmentioning

confidence: 99%

Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil

Bertoldi

Ferreira

Scancetti

et al. 2018

PeerJ

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BackgroundQuality indicators for nutritional therapy (QINT) are important in assessing care and monitoring of resources. Among the 30 indicators proposed by International Life Sciences Institute, Brazil, there is still no evaluation of the most pertinent for Pediatrics.ObjectiveTo list the 10 main quality indicators for nutritional therapies (QINTs) for Pediatrics.MethodsThis was a two-phase cross-sectional study. Firstly, a questionnaire was answered by physicians, nutritionists, nurses, and pharmacists, all with having experience in nutritional therapy (NT) with Pediatrics, in Rio de Janeiro, Brazil. Participants assessed four attributes of QINT by using the Likert scale. A Top 10 ranked QINT list for Pediatrics was established. To verify the consistency of the questionnaire, Cronbach’s Alpha coefficient was calculated. Secondly, the opinions of the participants on the results that were obtained were requested and the percentages of the positive responses were calculated.ResultsA total of 33 professionals participated in the first phase and 92% (n = 23 of 25) in the second phase approved the results of the selected indicators. Among the Top 10 QINTs, the three main ones were: #1: “Frequency of diarrhea in those patients on enteral nutrition” (mean = 13.194; α = 0.827); #2: “Frequency of dietary nutritional prescriptions upon the hospital discharge of the NT patients” (mean = 12.871; α = 0.822); #3: “Frequency of the NT patients who recovered their oral intake” (mean = 12.839; α = 0.859).ConclusionWhen considering the consistency and the concordance that were obtained, it can be suggested that the list of Top 10 QINTs as proposed in this study will help in the evaluation of NT quality indicators for Pediatrics.

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“…De acordo com dados da literatura, a necessidade de utilizar novos métodos de diagnóstico, para além das medidas objetivas, é evidente. Recentemente, pesquisadores vinculados ao Instituto Nacional do Câncer publicaram a equivalência semântica da avaliação nutricional subjetiva proposta por Secker & Jeejeebhoy 12 para ser aplicada especificamente em pacientes pediátricos com câncer 12,28 . Posteriormente,foi publicado outro artigo com a adaptação transcultural e a validação do instrumento 29 .…”

Section: Discussionunclassified

Avaliação Nutricional Subjetiva Global: aplicabilidade em crianças e adolescentes com neoplasia maligna Resultados Preliminares

et al. 2018

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Introdução: Crianças e adolescentes com câncer apresentam alterações provenientes tanto da patologia quanto do tratamento que podem refletir no estado nutricional (EN) ao diagnóstico e ao longo do tratamento. O objetivo primário do estudo foi avaliar a aplicabilidade do instrumento Avaliação Nutricional Subjetiva Global (ANSG) na avaliação do Estado Nutricional (EN) de pacientes oncológicos pediátricos. Métodos: Estudo de coorte observacional e descritivo com lactentes, crianças e adolescentes diagnosticados com neoplasia maligna. Os participantes do estudo foram avaliados ao diagnóstico (AV1) e ao terceiro mês de tratamento (AV2). Dados objetivos foram aferidos e o instrumento ANSG foi aplicado. O teste de Kendall foi utilizado para analisar a correlação entre os métodos. Resultados: Realizadas 42 avaliações ao diagnóstico e 26 ao terceiro mês de tratamento. Observou-se predominância de pacientes bem nutridos nos dois momentos da avaliação. Na AV1, 7,2% dos pacientes foram identificados com algum grau de desnutrição conforme indicadores objetivos e 38,1% de acordo com o ANSG. Na AV2, houve redução na prevalência de pacientes desnutridos. O método ANSG mostrou correlação significativa com os indicadores nutricionais peso-para-idade e estaturapara-idade e foi eficaz no rastreamento de desnutrição. Conclusão: A ANSG é um instrumento útil na identificação de risco nutricional e pode ser utilizado na prática clínica assistencial, em conjunto com outros métodos de avaliação nutricional. O monitoramento do EN da população oncológica pediátrica é fundamental, a fim de intervir de maneira adequada.

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Equivalência semântica do Questionário Pediatric Subjective Global Nutritional Assessment para triagem nutricional em pacientes pediátricos com câncer

Cited by 8 publications

References 17 publications

Subjective global nutritional assessment: applicability in children and adolescents with malignant tumors

Subjective global nutritional assessment: applicability in children and adolescents with malignant tumors

Selection of quality indicators for nutritional therapy in pediatrics: a cross-sectional study conducted in Brazil

Avaliação Nutricional Subjetiva Global: aplicabilidade em crianças e adolescentes com neoplasia maligna Resultados Preliminares

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