title: [Assessment of foetal nutrition status at birth using the CANS score].
abstract: BACKGROUND
  Foetal malnutrition (FM) is the result of a loss or failure of intrauterine acquisition of the correct amount of fat and muscle mass, with short and long term implications. As the diagnosis of FM is essentially clinical, the aim of this study is to detect the incidence of FM using the Clinical Assessment of Nutritional Status (CANS) score, and compare the results with the classic anthropometric parameters.
  
  
  METHODS
  Retrospective population of term infants was studied between 2003 and 2014 (n=14,477). They were classified into adequate weight (AGA), small weight (SGA) and large weight (LGA) for gestational age newborns. The CANS score was performed on all infants enrolled in the study, and the ponderal index (PI) was calculated, considering an FM cut off value of a CANS score <25 and PI <2.2g/cm(3).
  
  
  RESULTS
  Using the CANS score, 7.6% (n 1,101) of the population showed FM, 50.3% (n=538) of SGA, 76.2% (n=193) subgroup <p3, and 4.67% (n=559) of AGA. The CANS score was <25 in 7.26% (n=1,043) of newborns with PI ≥2.2g/cm(3) (n=14.356), and the CANS score was >24 in 49% with PI <2.2g/cm(3) (n=109) CONCLUSIONS: It is worthwhile identifying all newborns with FM due to the risks they may have in the short and long term. CANS score assessment allows a better identification of nutritional status of infants than only using the curves of weight for gestational age.
authors.affiliation: Societat Cooperativa d'Instal·lacions Assistencials Sanitàries Hospital de Barcelona, Barcelona, España. Electronic address: silviamnadal@hotmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Martínez-Nadal
authors.affiliation: Societat Cooperativa d'Instal·lacions Assistencials Sanitàries Hospital de Barcelona, Barcelona, España.
authors.forename: X
authors.initials: X
authors.lastname: Demestre
authors.affiliation: Societat Cooperativa d'Instal·lacions Assistencials Sanitàries Hospital de Barcelona, Barcelona, España.
authors.forename: F
authors.initials: F
authors.lastname: Raspall
authors.affiliation: Societat Cooperativa d'Instal·lacions Assistencials Sanitàries Hospital de Barcelona, Barcelona, España.
authors.forename: C
authors.initials: C
authors.lastname: Vila
authors.affiliation: Societat Cooperativa d'Instal·lacions Assistencials Sanitàries Hospital de Barcelona, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Álvarez
authors.affiliation: Societat Cooperativa d'Instal·lacions Assistencials Sanitàries Hospital de Barcelona, Barcelona, España.
authors.forename: P
authors.initials: P
authors.lastname: Sala
mesh_terms: D001724:Birth Weight; D005865:Gestational Age; D006801:Humans; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D007236:Infant, Small for Gestational Age; D015596:Nutrition Assessment; D009752:Nutritional Status; D012189:Retrospective Studies
keywords: Anthropometric parameters; Clinical assesment of nutritional status score; Foetal malnutrition; Intrauterine growth restriction; Malnutrición fetal; Parámetros antropométricos; Ponderal index; Restricción de crecimiento intrauterino; Índice ponderal