OBJECTIVE: Establish the reliability of the scored Patient Generated-Subjective Global Assessment (PG-SGA) in determining nutritional status among Antiretroviral Therapy (ART) naive HIV-infected adults. METHODS: A descriptive, cross sectional study among outpatient medical clinics, in The AIDS Support Organization (TASO), Mulago Centre, Kampala, Uganda. The study group (n=217) consisted of male (n=60) and female (n=157) HIV patients (18-67 years). Purposive sampling was used. Anthropometry (weight, height, BMI), nutritional history (body weight, dietary intake, gastrointestinal symptoms, functional capacity and infections), and clinical status were assessed. Sensitivity and specificity of PG-SGA were determined using Receiver Operating Characteristic (ROC) curve. Data collection was done from April-May 2008. RESULTS: Only 12% of the subjects were underweight and over half (58.2%) had normal weight. The PG-SGA had low sensitivity (69.2%) and specificity (57.1%) at categorizing the risk for malnutrition indicated by BMI< 18.5. CONCLUSION: There was a high prevalence of malnutrition among the study group. Overall, this study indicated the PG-SGA could not adequately discriminate between underweight and normal patients. The tool was not reliable enough for determining nutritional status in this population.
OBJECTIVE: Establish the reliability of the scored Patient Generated-Subjective Global Assessment (PG-SGA) in determining nutritional status among Antiretroviral Therapy (ART) naive HIV-infected adults. METHODS: A descriptive, cross sectional study among outpatient medical clinics, in The AIDS Support Organization (TASO), Mulago Centre, Kampala, Uganda. The study group (n=217) consisted of male (n=60) and female (n=157) HIVpatients (18-67 years). Purposive sampling was used. Anthropometry (weight, height, BMI), nutritional history (body weight, dietary intake, gastrointestinal symptoms, functional capacity and infections), and clinical status were assessed. Sensitivity and specificity of PG-SGA were determined using Receiver Operating Characteristic (ROC) curve. Data collection was done from April-May 2008. RESULTS: Only 12% of the subjects were underweight and over half (58.2%) had normal weight. The PG-SGA had low sensitivity (69.2%) and specificity (57.1%) at categorizing the risk for malnutrition indicated by BMI< 18.5. CONCLUSION: There was a high prevalence of malnutrition among the study group. Overall, this study indicated the PG-SGA could not adequately discriminate between underweight and normal patients. The tool was not reliable enough for determining nutritional status in this population.
Entities:
Keywords:
Patient Generated-Subjective Global Assessment; sensitivity; specificity
Authors: Aurea Kaoru Yamauti; Marcelo Eidi Ochiai; Paula Sofia Bifulco; Moab Alves de Araújo; Rosiris Roco Alonso; Regina Helena Cunha Ribeiro; Antonio Carlos Pereira-Barretto Journal: Arq Bras Cardiol Date: 2006-12 Impact factor: 2.000
Authors: J D Bogden; F W Kemp; S Han; W Li; K Bruening; T Denny; J M Oleske; J Lloyd; H Baker; G Perez; P Kloser; J Skurnick; D B Louria Journal: Am J Clin Nutr Date: 2000-09 Impact factor: 7.045
Authors: Esther Alice Nalugga; Eva Laker; Maria Sarah Nabaggala; Ahmed Ddungu; Charles Batte; Theresa Piloya; Felix Bongomin Journal: BMC Nutr Date: 2022-09-27