Detection of fetal malnutrition using “CAN score”.
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Date
2009-09
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Abstract
Objective. Use of clinical assessment of nutrition status (CAN) score to assess the prevalence of fetal malnutrition among
term newborns and to compare other anthropometric criteria used to assess fetal growth.
Methods. Prospective study of 529 term healthy newborns assessed using CAN score .Complete anthropometric
assessment and determination of weight for gestation was done. Using CAN score as a standard, the usefulness of birth
weight, weight for gestation, length, head circumference (HC), mid arm circumference (MAC), MAC/HC ratio and Ponderal
index to assess fetal nutrition was determined.
Results. With a cut off value of 25, CAN score identified 148 (27.97%) malnourished neonates. 4% of appropriate for
gestational age neonate were malnourished and 42.9 % of small for gestational age neonates were well nourished. When CAN
score was taken as a standard, weight for gestation and MAC/HC had the highest sensitivity to identify malnourished
neonates (92.5% & 90.5%).
Conclusion. CAN score identifies malnourished neonates which can be missed by other methods and identifies well
nourished neonates classified as growth retarded by other methods.
Description
Keywords
Newborn, Anthropometry, Nutritional assessment, Fetal nutritional disorders
Citation
Sankhyan Naveen, Sharma Vijay Kumar, Singh Surinder. Detection of fetal malnutrition using “CAN score”. Indian Journal of Pediatrics. 2009 Sept; 76(9): 903-906.