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    Subjective Global Nutrition Assessment Form (SGNA)

    Uploaded by

    Rika Ledy
    The Subjective Global Nutrition Assessment Form (SGNA) is used to assess a patient's nutritional status. It evaluates factors such as height, weight, growth trends, dietary intake, gastrointestinal symptoms, functional capacity, and physical exam findings. Based on ratings in these categories as normal, moderate, or severe, an overall SGNA rating is assigned as normal, moderately malnourished, or severely malnourished. A normal rating indicates expected growth and weight gain without signs of malnutrition. A moderate rating means signs of decreased weight or intake with the potential to worsen. A severe rating represents progressive malnutrition with significant physical signs and decreased function.

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    Subjective Global Nutrition Assessment Form (SGNA)

    Uploaded by

    Rika Ledy
    581 views3 pages
    The Subjective Global Nutrition Assessment Form (SGNA) is used to assess a patient's nutritional status. It evaluates factors such as height, weight, growth trends, dietary intake, gastrointestinal symptoms, functional capacity, and physical exam findings. Based on ratings in these categories as normal, moderate, or severe, an overall SGNA rating is assigned as normal, moderately malnourished, or severely malnourished. A normal rating indicates expected growth and weight gain without signs of malnutrition. A moderate rating means signs of decreased weight or intake with the potential to worsen. A severe rating represents progressive malnutrition with significant physical signs and decreased function.

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    Subjective Global Nutrition Assessment Form(SGNA)

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    The Subjective Global Nutrition Assessment Form (SGNA) is used to assess a patient's nutritional status. It evaluates factors such as height, weight, growth trends, dietary intake, gastrointestinal symptoms, functional capacity, and physical exam findings. Based on ratings in these categories as normal, moderate, or severe, an overall SGNA rating is assigned as normal, moderately malnourished, or severely malnourished. A normal rating indicates expected growth and weight gain without signs of malnutrition. A moderate rating means signs of decreased weight or intake with the potential to worsen. A severe rating represents progressive malnutrition with significant physical signs and decreased function.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    581 views3 pages

    Subjective Global Nutrition Assessment Form (SGNA)

    Uploaded by

    Rika Ledy
    The Subjective Global Nutrition Assessment Form (SGNA) is used to assess a patient's nutritional status. It evaluates factors such as height, weight, growth trends, dietary intake, gastrointestinal symptoms, functional capacity, and physical exam findings. Based on ratings in these categories as normal, moderate, or severe, an overall SGNA rating is assigned as normal, moderately malnourished, or severely malnourished. A normal rating indicates expected growth and weight gain without signs of malnutrition. A moderate rating means signs of decreased weight or intake with the potential to worsen. A severe rating represents progressive malnutrition with significant physical signs and decreased function.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Subjective Global Nutrition Assessment Form (SGNA)

    Subjective Global Nutrition Assessment Form(SGNA) SGNA Score


    Patient name:________________ DOB__________________
    Date: _______________
    Length/Height:_________________ cm
    Weight:________________ kg

    Nutrition Focused Medical History Normal Moderate Severe

    Appropriateness of current height for age:


    a) Length/Height Z score
    Normal: ≥ -2 z-score
    Moderate: < -2 to ≥ -3 z-score
    Severe: < -3 z-score

    b) Serial growth
    Normal: z-scores following growth channel or moving upwards
    Moderate: z-scores gradually trending downwards
    Severe: z-scores rapidly or sharply trending downwards

    c) Appropriate considering mid parental height?


    Boys:[paternal height(cm)+(maternal height(cm)+13cm]/2
    Girls:[(paternal height(cm)-13cm)+maternal height(cm)]/2
    This gives the height expected at 18 years, plot on the growth chart.
    Extrapolate the child’s growth from now to 18 years on the growth chart ,
    if the estimated final height is within 8.5cm of the mid-parental height, the
    child's current height is appropriate for the family.

    Appropriateness of Current Weight for height


    a) Weight for length Z score (age < 2 y) or BMI Z-score (≥ 2 y)
    Normal: ≥ -2 z-score
    Moderate: < -2 to ≥ -3 z-score
    Severe: < -3 z-score

    Unintentional Changes in body weight


    a) Changes in weight for age Z-score(serial weight)
    Normal: z-scores following growth channel
    Moderate: z-scores low, but trending upwards
    Severe: z-scores trending downwards

    b) Weight loss
    Normal: < 5% of usual body weight
    Moderate: 5-10% of usual body weight
    Severe: > 10% of usual body weight

    c) Change in past 2 weeks


    No change/increased weight loss/decreased weight loss

    1
    May 2021
    Subjective Global Nutrition Assessment Form (SGNA)

    Adequacy of Dietary Intake:


    a) Normal: Intake is Adequate; Moderate: Hypocaloric but >50% of needs;
    Severe: Starvation <50% of needs

    b) Current intake versus usual


    (decreasing, same, or improving). Low, but improving, intakes could be
    rated as moderate.

    c) Duration of change : Low intakes lasting for more than 2 weeks and
    that are continuing or worsening place a child at higher risk of
    malnutrition.

    GI Symptoms: This feature helps clarify the degree to which a child’s


    ability to take and tolerate a normal diet is restricted.

    a) Normal: No symptoms; Moderate: 1 or more symptoms (not daily);


    Severe: daily

    b) Duration of symptoms: GI symptoms are severe if they have been


    present almost daily for at least 2 weeks

    Functional Capacity
    Normal: No impairment, energetic, can perform age appropriate
    activity
    Moderate: Restricted in physically strenuous activity, but able to
    perform play and or school activities in a light/sedentary nature, less
    energy, tired more often
    Severe: Little or no play or activity, confined to bed>50% of waking
    time, no energy, sleeps more often

    b) Function in past 2 weeks :


    Normal: Function is improving; Moderate: unchanged;
    Severe: Worsening

    Metabolic Stress of Disease


    None/Moderate/Severe

    Physical Exam Normal Moderate Severe


    Loss of subcutaneous fat
    Normal: No loss
    Moderate: Loss in some but not all areas
    Severe: Severe loss in most areas

    Muscle wasting
    Normal: No wasting
    Moderate: Wasting in some but not all areas
    Severe: Severe wasting in most or all areas

    Edema (Nutrition related)


    Normal: No edema
    Moderate: Moderate edema
    Severe: Severe edema

    Overall SGNA Rating

    2
    May 2021
    Subjective Global Nutrition Assessment Form (SGNA)

    Guidelines for assigning a Global Score


    These instructions will assist in assigning an overall SGNA rating

    Normal: This patient is growing and gaining weight as expected, has grossly adequate intake without
    GI symptoms, shows no or few physical signs of wasting, and exhibits normal functional capacity.
    Normal ratings in most or all categories or significant and sustained improvement from a
    questionable or moderately malnourished state. It is possible to rate a patient as well nourished
    despite some reductions in muscle mass, fat stores, weight and intake if there are signs of recent
    improvement.

    Moderately malnourished: This patient has definite signs of a decrease in weight or growth and intake
    and may or may not show physical signs of diminished fat stores, muscle mass and functional
    capacity. This patient is experiencing a downward trend but started with normal nutritional status.
    Moderate ratings in most or all categories with the potential to progress to severe malnutrition.

    Severely malnourished: This patient has progressive malnutrition with a downward trend in most or all
    categories. There are significant physical signs of malnutrition- loss of fat stores, muscle wasting and
    weight loss of greater than 10% - as well as decreased intake, excessive GI losses and /or acute
    metabolic stress and a definite loss of functional capacity. Severe ratings in most or all categories with
    little or no sign of improvement.

    3
    May 2021

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