Journal of Renal Nutrition
Volume 17, Issue 5 , Pages 336-342 , September 2007

Multicenter Study of the Validity and Reliability of Subjective Global Assessment in the Hemodialysis Population

  • Alison Steiber, PhD, RD, LD

      Affiliations

    • Department of Nutrition, Case Western Reserve University, Cleveland, Ohio.
    • Corresponding Author InformationAddress reprint requests to Alison Steiber, PhD, RD, LD, Department of Nutrition, School of Medicine, WG-48, Case Western Reserve University, 10900 Euclid Ave., Cleveland, OH 44106-4954.
    • ,
  • Janeen B. Leon, MS, RD, LD

      Affiliations

    • Department of Medicine, Division of Nephrology, MetroHealth Medical Center, Cleveland, Ohio.
    • ,
  • Donna Secker, MS, RD

      Affiliations

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

      Affiliations

    • Department of Dietetics and Nutrition, Oregon Health and Science University, Portland, Oregon.
    • ,
  • Linda McCann, RD, LD

      Affiliations

    • Satellite Health, Inc., Redwood City, California.
    • ,
  • Monica Serra, MS, RD

      Affiliations

    • Department of Nutrition, Case Western Reserve University, Cleveland, Ohio.
    • ,
  • Ashwini R. Sehgal, MD

      Affiliations

    • Department of Medicine, Division of Nephrology, MetroHealth Medical Center, Cleveland, Ohio.
    • ,
  • Kamyar Kalantar-Zadeh, MD, PhD, MPH

      Affiliations

    • Department of Medicine and Pediatrics, Harbor-University of California at Los Angeles, David Geffen School of Medicine, University of California at Los Angeles, Torrance, California.

References 

  1. Stenvinkel P, Heimburger O, Paultre F, Diczfalusy U, Wang T, Berglund L, et al. Strong association between malnutrition, inflammation, and atherosclerosis in chronic renal failure. Kidney Int. 1999;55:1899–1911
  2. 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
  3. Cooper BA, Bartlett LH, Aslani A, Allen BJ, Ibels LS, Pollock CA. Validity of subjective global assessment as a nutritional marker in end-stage renal disease. Am J Kidney Dis. 2002;40:126–132
  4. Detsky AS, McLaughlin JR, Baker JP, et al. What is subjective global assessment of nutritional status?. J Parenter Enteral Nutr. 1987;11:8–13
  5. Adequacy of dialysis and nutrition in continuous peritoneal dialysis. association with clinical outcomes. Canada-USA (CANUSA) Peritoneal Dialysis Study Group. J Am Soc Nephrol. 1996;7:198–207
  6. Jones CH, Newstead CG, Will EJ, Smye SW, Davison AM. Assessment of nutritional status in CAPD patients: serum albumin is not a useful measure. Nephrol Dial Transplant. 1997;12:1406–1413
  7. 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
  8. Visser R, Dekker FW, Boeschoten EW, Stevens P, Krediet RT. Reliability of the 7-point subjective global assessment scale in assessing nutritional status of dialysis patients. Adv Perit Dial. 1999;15:222–225
  9. Lawson JA, Lazarus R, Kelly JJ. Prevalence and prognostic significance of malnutrition in chronic renal insufficiency. J Ren Nutr. 2001;11:16–22
  10. McCann L: https://secure.kidneytools.com/netnutrition/. Redwood City, CA: Satellite Health, Inc., 2004
  11. Moshfegh AJ, Borrud L, Perloff B, et al. Improved method for the 24-hour dietary recall for use in national surveys. FASEB J. 1999;13:A603
  12. Ware JE, Kosinskia M. SF-36 physical and mental health summary scales: a manual for users of version 1. 2nd ed.. Lincoln RI: Quality Metric, Inc; 2002;
  13. US renal data system. Bethesda, MD: National Institutes of Diabetes and Digestive and Kidney Diseases, National Institutes of Health; 2003;
  14. Kalantar-Zadeh K, Kleiner M, Dunne E, Lee GH, Luft FC. A modified quantitative subjective global assessment of nutrition for dialysis patients. Nephrol Dial Transplant. 1999;14:1732–1738
  15. Detsky AS, Baker JP, Mendelson RA, Wolman SL, Wesson DE, Jeejeebhoy KN. Evaluating the accuracy of nutritional assessment techniques applied to hospitalized patients: methodology and comparisons. J Parenter Enteral Nutr. 1984;8:153–159
  16. Young GA, Kopple JD, Lindholm B, et al. Nutritional assessment of continuous ambulatory peritoneal patients: an international study. Am J Kidney Dis. 1991;17:461–471
  17. Enia G, Sicuso C, Alati G, Zoccali C. Subjective global assessment of nutrition in dialysis patients. Nephrol Dial Transplant. 1993;8:1094–1098

PII: S1051-2276(07)00119-7

doi: 10.1053/j.jrn.2007.05.004

Journal of Renal Nutrition
Volume 17, Issue 5 , Pages 336-342 , September 2007

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