Journal of Renal Nutrition
Volume 14, Issue 4 , Pages 191-200 , October 2004

Subjective Global Assessment in chronic kidney disease: A review

  • Alison L. Steiber, PhD, RD, LD

      Affiliations

    • Department of Nutrition, Case Western Reserve University, Cleveland, OH, USA
    • Corresponding Author InformationAddress reprint requests to Alison Steiber, PhD, RD, LD, Department of Nutrition, Case Western Reserve University, Dental Building, Room 201, 10900 Euclid Ave, Cleveland, OH 44106
    • ,
  • Kamyar Kalantar-Zadeh, MD, PhD, MPH

      Affiliations

    • Harbor-UCLA, UCLA David Geffen School of Medicine, Torrance, CA, USA
    • ,
  • Donna Secker, MS, RD

      Affiliations

    • Hospital for Sick Children, Department of Clinical Dietetics, Division of Nephrology, Toronto, Ontario, Canada
    • ,
  • Maureen McCarthy, MPH, RD, CSR, LD

      Affiliations

    • McMinnville Kidney Center, McMinnville, OR, USA
    • ,
  • Ashwini Sehgal, MD

      Affiliations

    • Division of Nephrology, MetroHealth Medical Center, Cleveland, OH, USA
    • ,
  • Linda McCann, RD, LD

      Affiliations

    • Satellite Healthcare, Redwood City, CA, USA

References 

  1. Detsky AS , McLaughlin JR , Baker JP , et al.   What is subjective global assessment of nutritional status? . JPEN J Parenter Enteral Nutr . 1987;11:8–13
  2. Canada-USA (CANUSA) Peritoneal Dialysis Study Group . Adequacy of dialysis and nutrition in continuous peritoneal dialysis (Association with clinical outcomes) . J Am Soc Nephrol . 1996;7:198–207
  3. Visser R , Dekker FW , Boeschoten EW , et al.   Reliability of the 7-point subjective global assessment scale in assessing nutritional status of dialysis patients . Adv Perit Dial . 1999;15:222–225
  4. Jones CH , Wolfenden RC , Wells LM . Is subjective global assessment a reliable measure of nutritional status in hemodialysis? . J Ren Nutr . 2004;14:26–30
  5. K/DOQI, National Kidney Foundation . Clinical practice guidelines for nutrition in chronic renal failure . Am J Kidney Dis . 2000;35(suppl 2):S1–S140
  6. Cooper BA , Bartlett LH , Aslani A , et al.   Validity of subjective global assessment as a nutritional marker in end-stage renal disease . Am J Kidney Dis . 2002;40:126–132
  7. Kalantar-Zadeh K , Kleiner M , Dunne E , et al.   A modified quantitative subjective global assessment of nutrition for dialysis patients . Nephrol Dial Transplant . 1999;14:1732–1738
  8. Pifer TB , McCullough KP , Port FK , et al.   Mortality risk in hemodialysis patients and changes in nutritional indicators (DOPPS) . Kidney Int . 2002;62:2238–2245
  9. Stenvinkel P , Heimburger O , Paultre F , et al.   Strong association between malnutrition, inflammation, and atherosclerosis in chronic renal failure . Kidney Int . 1999;55:1899–1911
  10. Detsky AS , Baker JP , Mendelson RA , et al.   Evaluating the accuracy of nutritional assessment techniques applied to hospitalized patients (Methodology and comparisons) . JPEN J Parenter Enteral Nutr . 1984;8:153–159
  11. Christensson L , Unossons M , Ek AC . Measurement of perceived health problems as a means of detecting elderly people at risk of malnutrition . J Nutr Health Aging . 2003;7:257–262
  12. Christensson L , Unosson M , Ek AC . Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care . Eur J Clin Nutr . 2002;56:810–818
  13. Covinsky KE , Covinsky MH , Palmer RM , et al.   Serum albumin concentration and clinical assessments of nutritional status in hospitalized older people (Different sides of different coins?) . J Am Geriatr Soc . 2002;50:631–637
  14. Bauer J , Capra S , Ferguson M . Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer . Eur J Clin Nutr . 2002;56:779–785
  15. Stephenson GR , Moretti EW , El Moalem H , et al.   Malnutrition in liver transplant patients (Preoperative subjective global assessment is predictive of outcome after liver transplantation) . Transplantation . 2001;72:666–670
  16. Enia G , Sicuso C , Alati G , et al.   Subjective global assessment of nutrition in dialysis patients . Nephrol Dial Transplant . 1993;8:1094–1098
  17. Hirsch S , de Obaldia N , Petermann M , et al.   Subjective global assessment of nutritional status (Further validation) . Nutrition . 1991;7:35–37
  18. Kalantar-Zadeh K , Kopple JD , Block G , et al.   A malnutrition-inflammation score is correlated with morbidity and mortality in maintenance hemodialysis patients . Am J Kidney Dis . 2001;38:1251–1263
  19. Kalantar-Zadeh K , Rodriguez RA , Humphreys MH . Association between serum ferritin and measures of inflammation, nutrition and iron in haemodialysis patients . Nephrol Dial Transplant . 2004;19:141–149
  20. Kalantar-Zadeh K , Kopple JD , Humphreys MH , et al.   Comparing outcome predictability of markers of malnutrition-inflammation complex syndrome in hemodialysis patients . Nephrol Dial Transplant . 2004; (in press)
  21. Kalantar-Zadeh K , Block G , Humphreys MH , et al.   A low, rather than a high, total plasma homocysteine is an indicator of poor outcome in hemodialysis patients . J Am Soc Nephrol . 2004;15:442–453
  22. Kalantar-Zadeh K , Block G , McAllister CJ , et al.   Appetite and inflammation, nutrition, anemia and clinical outcome in hemodialysis patients . Am J Clin Nutr . 2004; (in press)
  23. Sezer S , Ozdemir FN , Akman B , et al.   Predictors of serum albumin level in patients receiving continuous ambulatory peritoneal dialysis . Adv Perit Dial . 2001;17:210–214
  24. Passadakis P , Sud K , Dutta A , et al.   Bioelectrical impedance analysis in the evaluation of the nutritional status of continuous ambulatory peritoneal dialysis patients . Adv Perit Dial . 1999;15:147–152
  25. Kalantar-Zadeh K , Kleiner M , Dunne E , et al.   Total iron-binding capacity—estimated transferrin correlates with the nutritional subjective global assessment in hemodialysis patients . Am J Kidney Dis . 1998;31:263–272
  26. Jones CH , Newstead CG , Will EJ , et al.   Assessment of nutritional status in CAPD patients (Serum albumin is not a useful measure) . Nephrol Dial Transplant . 1997;12:1406–1413
  27. Lawson JA , Lazarus R , Kelly JJ . Prevalence and prognostic significance of malnutrition in chronic renal insufficiency . J Ren Nutr . 2001;11:16–22
  28. Davies SJ , Phillips L , Griffiths AM , et al.   Analysis of the effects of increasing delivered dialysis treatment to malnourished peritoneal dialysis patients . Kidney Int . 2000;57:1743–1754
  29. Biesenbach G , Debska-Slizien A , Zazgornik J . Nutritional status in type 2 diabetic patients requiring haemodialysis . Nephrol Dial Transplant . 1999;14:655–658
  30. Julien JP , Combe C , Lasseur C . Subjective global assessment of nutrition a useful diagnostic tool for nurses? . EDTNA ERCA J . 2001;27:193–196
  31. Qureshi AR , Alvestrand A , Danielsson A , et al.   Factors predicting malnutrition in hemodialysis patients (A cross-sectional study) . Kidney Int . 1998;53:773–782
  32. Caglar K , Fedje L , Dimmitt R , et al.   Therapeutic effects of oral nutritional supplementation during hemodialysis . Kidney Int . 2002;62:1054–1059
  33. Steiber AL , Handu DJ , Cataline DR , et al.   The impact of nutrition intervention on a reliable morbidity and mortality indicator (The hemodialysis-prognostic nutrition index) . J Ren Nutr . 2003;13:186–190
  34. Beto JA , Bansal VK , Hart J , et al.  Council on Renal Nutrition National Research Question Collaborative Study Group   Hemodialysis prognostic nutrition index as a predictor for morbidity and mortality in hemodialysis patients and its correlation to adequacy of dialysis . J Ren Nutr . 1999;9:2–8
  35. Abdullah MS , Wild G , Jacob V , et al.   Cytokines and the malnutrition of chronic renal failure . Miner Electrolyte Metab . 1997;23:237–242

PII: S1051-2276(04)00139-6

doi: 10.1053/j.jrn.2004.08.004

Journal of Renal Nutrition
Volume 14, Issue 4 , Pages 191-200 , October 2004

Article Tools

* Image Usage & Resolution