1.Fetal malnutrition assessment program.
Xiao-Yu LIN ; Jian-Bing LIU ; Xiu-Ping DU ; Han-Zhou GUAN ; Wei-Bing ZHANG ; Wen-Long LI ; Xiang-Bo XU ; Li LI ; Ming LIU
Chinese Journal of Contemporary Pediatrics 2020;22(12):1273-1278
OBJECTIVE:
To study the application of ponderal index (PI), body mass index (BMI), mid-arm circumference/head circumference (MAC/HC), and Clinical Assessment of Nutritional Status (CANS) score in assessing the nutritional status of neonates at birth, and to find a simple and reliable scheme for the assessment of fetal nutritional status.
METHODS:
PI, BMI, MAC/HC, and CANS were used to assess the nutritional status of full-term infants and preterm infants shortly after birth. The assessment results of these methods were analyzed.
RESULTS:
Among the 678 full-term infants, 61, 102, 47, and 131 were diagnosed with malnutrition by PI, BMI, MAC/HC, and CANS respectively. Among the 140 preterm infants, 30, 87, 9, and 112 were diagnosed with malnutrition by PI, BMI, MAC/HC, and CANS respectively. The combination of BMI and CANS had a detection rate of 99.3% in full-term infants and 100% in preterm infants. Compared with the single method, the combination significantly improved the detection rate of malnutrition (
CONCLUSIONS
The combination of BMI+CANS can reduce the rate of missed diagnosis of fetal malnutrition. It is therefore a simple and reliable method for the assessment of fetal malnutrition.
Body Mass Index
;
Fetal Nutrition Disorders/diagnosis*
;
Humans
;
Infant, Newborn
;
Infant, Premature
;
Nutrition Assessment
;
Nutritional Status