![]() ![]() ![]() MPH Candidate, Tufts University School of Medicine, Boston, MA, USAĬlinical Assistant Professor, University of Texas Health San Antonio, San Antonio, TX, USAĮxecutive Director, Cedars Sinai Medical Center, Beverly Hills, CA, USA Senior Scientist, Academy of Nutrition and Dietetics, Chicago, IL, USAĭietitian/Nutritionist, University of Wisconsin Hospital & Clinics, Madison, WI, USAĪssistant Professor, Rush University, Chicago, IL, USA Texas A&M University, TAMU-Libraries, College Station, TX, USA Nutrition Researcher, Academy of Nutrition and Dietetics, Chicago, IL, USA Nutritionists, ARS-USDA, Beltsville, MD, USA Mary Katherine Hoy, EdD, RD, Lead Analyst.Senior Dietitian, Texas Children’s Hospital Memorial Hermann IRONMAN Sports Medicine Institute, Houston, TX, USA Professor Pediatrics Emeritus, University of Alabama at Birmingham, Birmingham, AL, USAĬlinical Nutrition Specialist & Pediatric Dietitian, Texas Children’s Hospital, Houston, TX, USA Professor of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, USA Pediatric Dietitian, Dayton Children’s Hospital, Cincinnati, OH, USAĪssistant Professor, Brigham Young University, Provo, UT, USA The following individuals contributed their valuable time and expertise to this project: Expand the section below titled Project Team and Disclosures for a listing of individuals who contributed to the development of the systematic review, disclosures and project funding information. Use the links on the left to view tool components and descriptions validity and reliability criteria, definitions and the evidence analysis. Expand the section below titled Resources and Articles for article abstracts and citations. Several articles resulting from this review have been published. The preponderance of evidence suggested no association between food insecurity status and underweight or overweight/obesity in the pediatric population in the US, though evidence was mixed with some suggestion of increased overweight/obesity with food insecurity compared to food security.MUAC demonstrated a low degree of validity and high reliability, based on Grade III (Limited) evidence.Differences in validity and reliability among different users of the tools were found, but the relevance of these findings is unclear.No tools met these criteria in the community setting. The workgroup concluded that tools with moderate to high validity and reliability that were based on Grade I (Strong) or Grade II (Fair) evidence were: STAMP, STRONGkids and PYMS in the inpatient setting, and the Nutrition Screening Tool for Cystic Fibrosis (NRST for CF) in the specialty/outpatient setting. ![]() The most frequently examined tools were: Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP), Screening Tool for Risk on Nutritional status and Growth (STRONGkids) (13 studies each) and Paediatric Yorkhill Malnutrition Score (PYMS) (9 studies).Finally, the association between food insecurity and under- or over-nutrition was explored in order to determine if this factor should be considered during nutrition screening. Validity and reliability of mid-arm muscle circumference (MUAC) as a single screening indicator to detect risk of undernutrition in developed countries was also examined. The scope of this project was to determine the validity and reliability of 14 pediatric nutrition screening tools to identify risk of malnutrition related to under- or over-nutrition and to determine if results varied according to users of the tools. Use of valid and reliable nutrition screening tools that are appropriate for age and practice setting are important components of the screening process. Nutrition screening exists as an important precursor to dietitian notification that a nutrition problem may exist, thus sending a patient into the first step of the Nutrition Care Process. In the pediatric population, optimal nutritional status is crucial to ensure appropriate growth and development.
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