Subjective Global Assessment of Nutritional Status

Evaluation
Assign SGA rating to each criteria (where A is well nourished and C is severely malnourished)

Weight Change in last 6 months
1. A: <5%
2. B: 5-10%
3. C: >10%
Weight change in last 2 weeks
1. A: Increased
2. B: Unchanged
3. C: Decreased
Dietary intake overall change
1. A: Increased
2. B: Unchanged
3. C: Decreased
Dietary Change Duration (in weeks or months)
1. Clinician subjectively rates A-C
Type of dietary change
1. Clinician subjectively rates A-C
2. Examples: Suboptimal solid diet, Full liquid Diet, Hypocaloric liquids, or Starvation diet
Gastrointestinal symptoms persisting >2 weeks
1. Clinician subjectively rates A-C
2. Examples: Nausea, Vomiting, Diarrhea, Anorexia
Functional capacity overall Impairment
1. A: None
2. B: Moderate
3. C: Severe
Functional Capacity Change Duration (in days, weeks or months)
1. Clinician subjectively rates A-C
Functional Capacity Progression
1. A: Getting better
2. B: Unchanged
3. C: Getting Worse
Physical findings (rated as A = normal and C=Severe)
1. Loss of subcutaneous fat at triceps and chest
2. Muscle wasting at deltoids and quadriceps
3. Edema at ankle or Sacrum
4. Ascites
Primary underlying condition affecting nutrition
1. A: Mild
2. B: Moderate
3. C: Severe
Primary underlying conditions affect on metabolic demand
1. A: None
2. B: Low to Moderate
3. C; High