Suitability of CANSCORE for the assessment of the nutritional status of newborns
The suitability of Clinical Assessment of Nutritional Status Score (CANSCORE) for the assessment of foetal malnutrition among 372 local Hyderabad newborns was studied. Details of length, weight and body mass index (BMI) at birth were related to total CANSCORE which consisted of scores ranging from 1 to 4 based on the grades of clinical status of hair, cheeks, buttocks, chest, legs, back, neck, arms and skin of anterior abdominal wall. The correlation coefficients of CANSCORE with the length, weight and BMI of newborns indicated that score of hair was least correlated with nutritional status. Normal newborns were found to have the lowest prevalence of foetal malnutrition. In those with retarded measurements of length and weight or BMI, the prevalence of foetal malnutrition was higher. The newborns with retardation of both length and BMI had higher prevalence of foetal malnutrition. The feasibility of the suggested limits of CANSCORE for the foetal malnutrition was assessed. Values of 24 for total CANSCORE and of 22 for “Modified CANSCORE” (score excluding hair as a parameter) were found appropriate for the assessment of foetal malnutrition. Modified CANSCORE is a simple, rapid and quantifiable method for the assessment of foetal malnutrition in term newborns.
Key wordsFoetal malnutrition Total CANSCORE Correlation and discriminant function analysis
Unable to display preview. Download preview PDF.
- 2.Scott KE, Usher R. Foetal malnutrition, It’s incidence, causes and effects.AM J Obs and Gynaecol 1996; 94: 951–963.Google Scholar
- 3.Metteoff J. Clinical assessment of nutritional status at birth.Ped Clin N Amer 1994; 41 (5): 875–891.Google Scholar
- 5.Linda CE, Nutall JC, Klonoff H, Dunn HG. Developmental and psychological test scores in children of low birth weight.Pediatrics, 1970; 45: 9–20.Google Scholar
- 7.Ghai OP.Essential Pediatrics. 4th edition 1996; 3:89–90.Google Scholar
- 8.Brenner WE, Edelman DA, Hendricks CH. A standard of fetal growth for USA.Am J Obs and Gynaecol 1976; 126:555–564.Google Scholar
- 9.Visweswara Rao K. Anthropometry for the assessment of various forms of malnutrition Available approaches and their relative merits.Man in India 1995; 75 (2): 185–207.Google Scholar
- 10.Visweswara Rao K. Biostatistics: A manual of statistical methods for use in health, nutrition, and anthropology. Jaypee Brothers Medical Publishers (P) Ltd. New Delhi, 1996.Google Scholar
- 11.Meteoff J. Maternal fetal malnutritional relationships.Ped. Nutrition. London, Butterworth, 1985; 56–106.Google Scholar
- 12.Meharban Singh.Care of Newborn. 4th edition 1991:112–125.Google Scholar
- 13.Agarwal DK, Verma M. Maternal malnutrition — physical anthropometry and foetal outcome.Update Growth 1987; 25–45.Google Scholar