Comparative Assessment of Fetal Malnutrition by Anthropometry and CAN Score

BSV Shivanagaraja; Kamila Raghuveera; Achappa Basavaprabhu; Mahalingam Soundarya

IJ Pediatrics

The Scientific Journal of Growth & Development Research Center

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Comparative Assessment of Fetal Malnutrition by Anthropometry and CAN Score

Author(s):

BSV Shivanagaraja¹,

Kamila Raghuveera¹,

Achappa Basavaprabhu¹,

Mahalingam Soundarya^1,*

1Department of Pediatrics, Kasturba Medical College,Manipal University, Mangalore, India

IJ Pediatrics:Vol. 22, issue 1; 70-76

Published online:Mar 31, 2012

Article type:Research Article

Received:May 12, 2011

Accepted:Sep 25, 2011

How to Cite:BSV ShivanagarajaKamila RaghuveeraAchappa BasavaprabhuMahalingam SoundaryaComparative Assessment of Fetal Malnutrition by Anthropometry and CAN Score.Iran J Pediatr.22(1):70-76.

Abstract

Objectives: Fetal malnutrition (FM) implies soft tissue wasting at birth with significant postnatal consequences and morbidity, and is identified by clinical assessment (CAN score) and anthropometry. No previous studies have been done to study all these parameters and evolve a screening method. The aim of this study was identifying the incidence of FM using CAN score and compare the nutritional assessment with anthropometry and evolve a screening tool for rapid assessment of FM.
Methods: Prospective study in Government district maternity hospital. 300 term newborns were assessed by CAN score and anthropometry recorded. The newborns were classified as per weight for age. Ponderal index (PI), Body mass index (BMI) and midarm circumference/head circumference ratio (MAC/HC) calculated and compared to CAN Score for accuracy in identifying FM.
Findings: Incidence of FM was 24%. Newborns identified malnourished by PI, BMI, MAC/HC were evaluated by CAN score and significant number of them (31/78 in PI, 60/121 in BMI, 51/81 in MAC/HC) were found well nourished. Similarly those recognized as normal by PI, BMI, MAC/HC were malnourished by CAN score(25/222 in PI, 11/179 in BMI, 42/219 in MAC/HC) with statistical significance(0.0001). BMI had the highest sensitivity and 11 neonates with normal BMI had low CAN score ann 9 of them had normal PI also making a combination of BMI and PI a good indicator of normal nutrition.
Conclusion: FM is best identified by CAN Score. BMI is the best screening tool for malnutrition and when coupled with PI will identify most normally nourished newborns.

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