Malnutrition Screening and Assessment

Nutrients, Journal Year: 2022, Volume and Issue: 14(12), P. 2392 - 2392

Published: June 9, 2022

Malnutrition is a serious problem with negative impact on the quality of life and evolution patients, contributing to an increase in morbidity, length hospital stay, mortality, health spending. Early identification fundamental implement necessary therapeutic actions, involving adequate nutritional support prevent or reverse malnutrition. This review presents two complementary methods fighting malnutrition: screening assessment. Nutritional risk conducted using simple, quick-to-perform tools, first line action detecting at-risk patients. It should be implemented systematically periodically admission residential care, as well outpatient basis for patients chronic conditions. Once are detected, they undergo more detailed assessment identify quantify type degree include history clinical examination, dietary history, anthropometric measurements, evaluation aggression determined by disease, functional assessment, and, whenever possible, some method measuring body composition.

Language: Английский

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Guidance for assessment of the inflammation etiologic criterion for the GLIM diagnosis of malnutrition: A modified Delphi approach

Journal of Parenteral and Enteral Nutrition, Journal Year: 2024, Volume and Issue: 48(2), P. 145 - 154

Published: Jan. 15, 2024

Abstract Background The Global Leadership Initiative on Malnutrition (GLIM) approach to malnutrition diagnosis is based assessment of three phenotypic (weight loss, low body mass index, and reduced skeletal muscle mass) two etiologic (reduced food intake/assimilation disease burden/inflammation) criteria, with confirmed by fulfillment any combination at least one criterion. original GLIM description provided limited guidance regarding inflammation, this has been a factor impeding further implementation the criteria. We now seek provide practical for inflammation. Methods A GLIM‐constituted working group 36 participants developed consensus‐based through modified Delphi review. multiround review revision process served develop seven statements. Results final round was highly favorable, 99% overall “agree” or “strongly agree” responses. presence acute chronic disease, infection, injury that usually associated inflammatory activity may be used fulfill burden/inflammation criterion, without need laboratory confirmation. However, we recommend recognition underlying medical conditions commonly inflammation supported C‐reactive protein (CRP) measurements when contribution components uncertain. Interpretation CRP requires consideration given method, reference values, units (milligrams per deciliter milligram liter) clinical being used. Conclusion Confirmation should guided judgment condition, signs, CRP.

Language: Английский

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Accuracy of the GLIM criteria for diagnosing malnutrition: A systematic review and meta-analysis

Clinical Nutrition, Journal Year: 2022, Volume and Issue: 41(6), P. 1208 - 1217

Published: April 11, 2022

Language: Английский

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Guidance for assessment of the inflammation etiologic criterion for the GLIM diagnosis of malnutrition: A modified Delphi approach

Clinical Nutrition, Journal Year: 2023, Volume and Issue: 43(5), P. 1025 - 1032

Published: Nov. 29, 2023

The Global Leadership Initiative on Malnutrition (GLIM) approach to malnutrition diagnosis is based assessment of three phenotypic (weight loss, low body mass index, and reduced skeletal muscle mass) two etiologic (reduced food intake/assimilation disease burden/inflammation) criteria, with confirmed by fulfillment any combination at least one criterion. original GLIM description provided limited guidance regarding inflammation this has been a factor impeding further implementation the criteria. We now seek provide practical for in support criterion inflammation.

Language: Английский

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The global leadership initiative on malnutrition criteria for the diagnosis of malnutrition in patients admitted to the intensive care unit: A systematic review and meta-analysis

Clinical Nutrition, Journal Year: 2022, Volume and Issue: 42(2), P. 182 - 189

Published: Dec. 16, 2022

Language: Английский

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Feasibility and criterion validity of the GLIM criteria in the critically ill: A prospective cohort study

Journal of Parenteral and Enteral Nutrition, Journal Year: 2023, Volume and Issue: 47(6), P. 754 - 765

Published: June 17, 2023

Abstract Background This study aimed to evaluate the feasibility and validity of Global Leadership Initiative on Malnutrition (GLIM) criteria in intensive care unit (ICU). Methods was a cohort involving critically ill patients. Diagnoses malnutrition by Subjective Assessment (SGA) GLIM within 24 h after ICU admission were prospectively performed. Patients followed up until hospital discharge assess hospital/ICU length stay (LOS), mechanical ventilation duration, readmission, mortality. Three months discharge, patients contacted record outcomes (readmission death). Agreement accuracy tests regression analyses Results could be applied 377 (83.7%) 450 (64 [54–71] years old, 52.2% men). prevalence 47.8% ( n = 180) SGA 65.5% 247) criteria, presenting an area under curve equal 0.835 (95% confidence interval [CI], 0.790–0.880), sensitivity 96.6%, specificity 70.3%. increased odds prolonged LOS 1.75 times CI, 1.08–2.82) readmission 2.66 1.15–6.14). also risk death more than twice. Conclusion The highly feasible presented high sensitivity, moderate specificity, substantial agreement with It independent predictor but it not associated such as diagnosed SGA.

Language: Английский

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Prevalence of malnutrition based on global leadership initiative in malnutrition criteria for completeness of diagnosis and future risk of malnutrition based on current malnutrition diagnosis: systematic review and meta-analysis

Frontiers in Nutrition, Journal Year: 2023, Volume and Issue: 10

Published: July 4, 2023

The proposal of the global leadership initiative in malnutrition (GLIM) criteria has received great attention from clinicians. are mainly used research environment and have potential to be widely clinic future. However, prevalence risk future based on a current diagnosis worth exploring.A systematic search PubMed, Embase, Cochrane Library was performed earliest available date 1 February 2023. According diagnostic GLIM, we analysed by directly adopting GLIM for without previous nutritional screening (one-step approach) after (two-step approach). main outcome one-and two-step approaches. Secondary outcomes were diagnosis, including mortality within beyond year. primary pooled using random-effects models, secondary presented as hazard ratios (HRs) 95% confidence intervals (CIs).A total 64 articles included study, 47,654 adult hospitalized patients 15,089 malnourished criteria. Malnutrition diagnosed one-step approach 18 studies 46 studies. approaches 53% (95% CI, 42%-64%) 39% 0.35%-0.43%), respectively. quite different; Nutritional Risk Screening 2002 (NRS2002) tool 35% 29%-40%); however, Mini Nutrition Assessment (MNA) 48% 35%-62%). Among disease types, cancer 44% 36%-52%), while that acute critically ill 33%-56%). internal medicine wards 40% 34%-45%), surgical 47% 30%-64%). In addition, year (HR, 2.62; 1.95-3.52; I2 = 77.1%) 2.04; 1.70-2.45; 59.9%) with double normal nutrition.The significantly lower than greater among assessed criteria.Systematic review registration: identifier CRD42023398454.

Language: Английский

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COVID-19: Lessons on malnutrition, nutritional care and public health from the ESPEN-WHO Europe call for papers

Clinical Nutrition, Journal Year: 2022, Volume and Issue: 41(12), P. 2858 - 2868

Published: Aug. 11, 2022

Language: Английский

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Risk of Malnutrition in Hospitalized COVID-19 Patients: A Systematic Review and Meta-Analysis

Nutrients, Journal Year: 2022, Volume and Issue: 14(24), P. 5267 - 5267

Published: Dec. 10, 2022

(1) Background: Studies have reported that COVID-19 may increase the risk of malnutrition among patients. However, prevalence such in hospitalized patients is uncertain due to inconsistent use assessment methods. (2) Methods: PubMed, Web Science, and EMBASE were searched identify studies on nutritional status A pooled evaluated by Nutrition Risk Score (NRS-2002) was obtained using a random effects model. Differences study-level characteristics examined hospitalization setting, time assessment, age, country. bias assessed Newcastle–Ottawa Scale. (3) Results: 53 from 17 countries identified summarized. total NRS-2002, including 3614 included primary meta-analysis. The significantly higher ICU (92.2%, 95% CI: 85.9% 96.8%) than general ward (70.7%, 56.4% 83.2%) (p = 0.002). No significant differences found between age groups (≥65 vs. <65 years, p 0.306) 0.893). (4) Conclusions: High common concerning with COVID-19, suggesting screening support during are needed.

Language: Английский

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Nutritional and Morphofunctional Assessment of Post-ICU Patients with COVID-19 at Hospital Discharge: NutriEcoMuscle Study

Nutrients, Journal Year: 2024, Volume and Issue: 16(6), P. 886 - 886

Published: March 19, 2024

This paper presents baseline results from the NutriEcoMuscle study, a multicenter observational study conducted in Spain which focused on changes nutritional status, body composition, and functionality post-intensive care unit (ICU) COVID-19 patients following intervention. Assessments at hospital discharge included Subjective Global Assessment (SGA), Leadership Initiative Malnutrition (GLIM) criteria, Barthel index, handgrip strength (HGS) Timed Up-and-Go test, bioelectrical impedance analysis (BIA), ultrasound (US). The involved 96 (71.9% male, mean age 58.8 years, BMI 28.8 kg/m2, 36.5% obese). All were malnourished according to GLIM SGA. Functional status declined admission up discharge. A total of 33.3% had low fat-free mass index (FFMI) 29.5% phase angle (PhA). Myosteatosis was observed 83.7% population. There positive correlation between rectus femoris cross-sectional area, PhA, FFMI, HGS. In conclusion, post-critically ill commonly suffer malnutrition reduced muscle mass, causing loss independence BIA US could be valuable tools for assessing composition these patients. highlights need thorough morphofunctional assessment post-ICU

Language: Английский

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