Validation of a nutritional screening tool for ambulatory use in pediatrics

Gal Rub*, Luba Marderfeld, Irit Poraz, Corina Hartman, Shlomo Amsel, Israel Rosenbaum, Shiri Pergamentzev-Karpol, Efrat Monsonego-Ornan, Raanan Shamir

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Objectives: To evaluate the use of Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) in a primary health care clinic in the community and to assess the impact of its use on medical staff's awareness of nutritional status. Methods: STAMP scoring system was tested as is and with modifications in the ambulatory setting. Nutritional risk according to STAMP was compared with a detailed nutritional assessment performed by a registered dietitian. Recording of nutrition-related data and anthropometric measurements in medical files were compared prior and post implementation. Results: Sixty children were included (31 girls, 52%), ages between 1 and 6 years, mean age 2.8±1.5 (mean±SD). STAMP scores yielded a fair agreement between STAMP and the dietitian's nutritional assessment: κ=0.47 (95% confidence interval [CI] 0.24-0.7), sensitivity of 47.62% (95% CI 28.34-67.63). Modified STAMP yielded more substantial agreement: κ=0.57 (95% CI 0.35-0.79), sensitivity of 76.19% (95% CI 54.91-89.37), specificity of 82.05% (95% CI 67.33-91.02). The use of STAMP resulted in an increase in recording of appetite, dietary intake, and anthropometric measurements. Conclusions: Modification of the STAMP improved nutritional risk evaluation in community setting. The use of STAMP in a primary health care clinic raised clinician's awareness to nutritional status. Further work will identify whether this could be translated into lower malnutrition rates and better child care.

Original languageAmerican English
Pages (from-to)771-775
Number of pages5
JournalJournal of Pediatric Gastroenterology and Nutrition
Issue number5
StatePublished - 1 May 2016

Bibliographical note

Publisher Copyright:
© 2016 by ESPGHAN and NASPGHAN.


  • Malnutrition
  • anthropometry
  • community
  • nutritional assessment
  • nutritional screening
  • pediatrics


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