{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:05:40Z","timestamp":1791468340130,"version":"4.3.4"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Excess body weight can underestimate undernutrition in hospitalized patients. Performing standardised Nutrition\u2010Focused Physical Examination may reduce subjectivity. This study aimed to assess the concurrent validity of the Systematic Nutritional Clinical Assessment tool and its ability to identify nutritional depletion in patients with excess body weight.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included adult patients hospitalized in two Brazilian regions. Within 48 hours\u00a0of admission, patients underwent anthropometric assessment, handgrip strength, Subjective Global Assessment or Patient\u2010Generated Subjective Global Assessment, and Systematic Nutritional Clinical Assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 412 patients were included (57.6\u2009\u00b1\u200914.3 years; 58.7% male), from oncology (29.1%), hepatology (28.6%), cardiology (24.0%), and nephrology (18.2%). Undernutrition frequency was 51.4% by Subjective Global Assessment\/Patient\u2010Generated Subjective Global Assessment and 35.7% by Systematic Nutritional Clinical Assessment. The Systematic Nutritional Clinical Assessment showed moderate agreement with the Subjective Global Assessment (\n                      <jats:italic>k<\/jats:italic>\n                      \u2009=\u20090.572;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), high diagnostic accuracy (AUROC 0.886), 63.7% sensitivity, and 94% specificity. In the subgroup of patients with excess body weight, the post\u2010test probability for positive results increased from 31.7% to 93.1%. The biceps and triceps compartment stood out for high sensitivity (83.0%), while the dorsum of hands and interosseous muscles stood out for high specificity (87.5%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Systematic Nutritional Clinical Assessment is shown to be a reliable instrument for confirming nutritional depletion in patients with and without excess body weight. When a simplified physical examination is required during nutritional assessment, the evaluation of the dorsum of hands and interosseous muscles showed the highest specificity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70342","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T13:43:50Z","timestamp":1791467030000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Concurrent Validity of Systematic Nutritional Clinical Assessment in Hospitalized Adults: Comparative Analysis of Patients With and Without Excess Body Weight"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3990-264X","authenticated-orcid":false,"given":"Marina","family":"da Silva Guedes","sequence":"first","affiliation":[{"name":"Department of Nutrition, School of Medicine Federal University of Rio Grande do Sul Porto Alegre 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