Evaluation of malnutrition in patients undergoing major abdominal surgery using GLIM criteria and comparing CT and BIA for muscle mass measurement

Wobith, Maria; Herbst, Christian T.; Lurz, Markus; Haberzettel, Delia; Fischer, Martin; Weimann, Arved

doi:10.1016/j.clnesp.2022.06.004

Cited by 12 publications

(3 citation statements)

References 29 publications

(24 reference statements)

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“…In numerous studies, CT-derived reduced muscle mass (i.e., sarcopenia) has shown a prognostic impact [13][14][15]. Considering CT-derived reduced muscle mass, the GLIM criteria have been reported to be correlated with surgical outcomes in patients undergoing major abdominal surgery [16].…”

Section: Metabolic Risk and Malnutritionmentioning

confidence: 99%

Postoperative Nutrition Management: Who Needs What?

Wobith¹,

Weimann²

2022

Visc Med

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Background: Early oral feeding after major abdominal surgery has been clearly shown to be safe and not a risk factor for anastomotic dehiscence. Within the Enhanced Recovery after Surgery protocol, it is the nutritional plan A. Nonetheless, one must consider that postoperative protein and energy requirements will often be not covered by oral food intake alone. Because nutritional status has been shown to be a prognostic factor in patients undergoing major abdominal surgery, the preoperative identification of patients at risk may be mandatory. Malnutrition may be underestimated in an overweight society. With special regard to patients with cancer and those with preexisting malnutrition, an accumulating caloric gap may be harmful in the early and late postoperative periods. Furthermore, complications requiring reoperation and intensive care treatment may occur. Summary: Therefore, a plan B for postoperative nutrition therapy is needed, using preferentially the enteral route. The European Society for Clinical Nutrition and Metabolism recently addressed perioperative nutritional management and the indications for enteral and even parenteral supplementation to achieve caloric requirements in the postoperative course. In the first months after surgery, persisting weight loss is common in patients with upper gastrointestinal resections, even in those with an uncomplicated course. This may delay the initiation of adjuvant chemotherapy, increase toxicity, and worsen long-term outcomes.

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Section: Metabolic Risk and Malnutritionmentioning

confidence: 99%

Postoperative Nutrition Management: Who Needs What?

Wobith¹,

Weimann²

2022

Visc Med

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“…A useful tool has recently been developed for older patients: the Global Leadership Initiative on Malnutrition (GLIM) criteria, which include aetiological and phenotypic criteria for the diagnosis of moderate and severe malnutrition [7,8]. In a recent publication, these criteria demonstrated a good correlation with the development of postsurgical complications and mortality in patients with a mean age of 70 years, who were undergoing emergency surgery [9].…”

Section: Introductionmentioning

confidence: 99%

Impact of malnutrition on the clinical evolution of very elderly patients undergoing emergency surgery for abdominal pathology

Villajos-Guijarro,

Ramírez-Martín,

Mauleón-Ladrero

et al. 2024

Preprint

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Purpose: Analyse the influence of nutritional status on postoperative complications, as well as on mortality and mean length of hospital stay, of very elderly patients undergoing emergency abdominal surgery. Methods: We performed a longitudinal observational study including patients older than 80 years who underwent emergency surgery by the general surgery service for abdominal pathology, who were followed by the geriatrics service between September 2018 and May 2021. Global Leadership Initiative on Malnutrition criteria were used for the diagnosis of malnutrition, classifying patients as malnourished or normonourished. A comprehensive geriatric assessment was performed on the patients, and postoperative complications, mean length of hospital stay and in-hospital and 1-year mortality were recorded. Results: Of the 131 patients included, 84 were malnourished and 47 normonourished. The average age was 86±4.7 years. Compared with normonourished patients, malnourished patients had a higher incidence of atrial fibrillation debut (22.4% vs. 4.5%, p<0.05; odds ratio [OR] 6.1 [1.33-27.6]), urinary tract infection (18.4% vs 4.5%, p<0.05; OR 4.72 [1.02-21.95]) and bacteraemia (26% vs 9.1%, p<0.05; OR 3.51 [1.14-11.1]). Surgical complications were more frequent in malnourished patients (51.2% vs 23.9%, p<0.05; OR 3.34 [1.5-7.44]). The mean length of hospital stay was 22.6 (±14.1) days in the malnourished patients compared with 15.3 (±11.9) days in the normonourished (p<0.005). Conclusion: Malnutrition in very old patients undergoing emergency abdominal surgery is associated with a poorer clinical course; thus, it must be considered in the evaluation and follow-up of these patients.

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“…Sarcopenia, defined as a gradual decrease in muscle mass and strength, leads to impaired overall health, including physical activity, cognitive function, and quality of life, as well as increased all-cause mortality in older adults [ 2 3 ]. Muscle gain and loss are also closely related to nutritional status, and decreased muscle mass is included in the criteria for assessing malnutrition in hospitalized patients [ 4 5 ]. Securing muscle mass and attenuating its loss are major health concerns, even in young populations.…”

Section: Introductionmentioning

confidence: 99%

Effects of Omega-3 Fatty Acid Supplementation on Skeletal Muscle Mass and Strength in Adults: A Systematic Review

Moon,

2023

Clin Nutr Res

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Previous studies have suggested that omega-3 polyunsaturated fatty acids, predominantly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), have several health benefits. However, their effect on changes in skeletal muscle mass and strength has not been established, owing to differences in study designs. This systematic review aimed to investigate the recent evidence regarding the role of dietary EPA and DHA in muscle mass changes and their association with muscle strength. Databases including PubMed and Google Scholar were searched for randomized controlled trials and single-arm interventions that investigated the effects of omega-3 fatty acids on skeletal muscle mass, strength, and body composition in adults aged 18 years and older. A total of 18,521 studies were retrieved from the databases and manual searches; 21 studies were quality assessed, and the findings were summarized. Studies were categorized into 3 main categories according to the type of omega-3 fatty acid supplementation: pure compounds such as oil tablets, formulated forms with protein, leucine, and vitamin D, and ingredients added to enteral nutrition support products. Overall, the majority of the study results appeared to indicate that omega-3 fatty acids are beneficial for muscle health. However, meta-analysis was not conducted because of the heterogeneity of the study participants, evaluation method of muscle indices, and intervention periods among the studies. High-quality studies are required to validate our conclusions. However, this systematic review of the effects of EPA and DHA on skeletal muscle and body composition provides evidence that can be applied in both clinical and industrial settings.

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Evaluation of malnutrition in patients undergoing major abdominal surgery using GLIM criteria and comparing CT and BIA for muscle mass measurement

Cited by 12 publications

References 29 publications

Postoperative Nutrition Management: Who Needs What?

Postoperative Nutrition Management: Who Needs What?

Impact of malnutrition on the clinical evolution of very elderly patients undergoing emergency surgery for abdominal pathology

Effects of Omega-3 Fatty Acid Supplementation on Skeletal Muscle Mass and Strength in Adults: A Systematic Review

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