The relationship between existing nutritional indicators and Global Leadership Initiative on Malnutrition (GLIM) criteria: A one-institution cross-sectional analysis

Matsumoto, Yoshinari; Iwai, Kanae; Namikawa, Natsuko; Matsuda, Shiori; Wakano, Chie; Heya, Hitomi; Yamanaka, M.

doi:10.1016/j.clnu.2020.01.016

Cited by 41 publications

(40 citation statements)

References 14 publications

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“…One or some of the tests may better detect the risk of mortality or rehospitalization (15). In a study by Matsumoto et al, similar to the present study, malnutrition was detected in 97.7% using the MNA-SF test and GLIM test (16). The GLIM criteria were developed for an easy-to-apply and universally used nutrition test.…”

Section: Discussionsupporting

confidence: 63%

GLIM criteria for the evaluation of nutrition in palliative care patients, a comparison of MNA-SF and NRS-2002

Öztin

Öztürk

Oymak

2021

Journal of Health Sciences and Medicine

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Aim: A new malnutrition diagnostic criterion called the Global Leadership Initiative on Malnutrition (GLIM) was created by an initiative of the same name as these criteria in 2018. The present study aims to evaluate the differences and superiority of MNA, NRS-2002 screening tests, and GLIM criteria in patients hospitalized in palliative care with a diagnosis of malnutrition. Material and Method: 148 patients who were hospitalized in palliative care due to clinical malnutrition were included in the study. MNA, NRS-2002, and GLIM screening tests were filled out by dieticians for each patient within the first 48 hours of hospitalization. Within the framework of GLIM criteria, patients were recorded for weight loss from phenotypic criteria based on information obtained from their relatives (more than five percent in the last six months or ten percent or more over the last six months). Hand dynamometer and calf circumference measurements were made to show muscle loss. Low Body Mass Index (BMI) was accepted as 20 kg/m2 for individuals under the age of 70 years, and <22 for individuals above the age of 70 years. Decreased food intake which is among the etiologic criteria was detected by calculating the mean daily consumed calories of a patient. Individuals with CRP>5 mg/L were accepted as inflammation positive. Results: Mean age in the total series was 72.98 with 70.4 in males and 75.5 in females including a total of 148 patients. Among the patients 50.67% (n=75) were males and 49.32% (n=73) were females. Malnutrition was found to be present in 141/148 (94.6%) patients according to the GLIM screening test. Malnutrition risk was present in 131/148 (87.9%) and 139/148 (93.2%) according to MNA-SF and NRS-2002, respectively. The results of the GLIM criteria and the other two screening tests were compared. While the results of the GLIM criteria and NRS-2002 test were similar, a significant difference was found between the GLIM test results and the results of MNA-SF. Conclusion:The GLIM screening test is an easy-to-use and sensitive test for the diagnosis of patients hospitalized in palliative care centers. GLIM test and NRS-2002 were found to be similar for diagnosing malnutrition. Although the results of MNA and GLIM tests were close, a significant difference was found between them in the diagnosis of malnutrition.

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Section: Discussionsupporting

confidence: 63%

GLIM criteria for the evaluation of nutrition in palliative care patients, a comparison of MNA-SF and NRS-2002

Öztin

Öztürk

Oymak

2021

Journal of Health Sciences and Medicine

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“…According to the GLIM framework, 46% of patients were identified as malnourished when using combinations of two criteria. This prevalence could be apparently high as compared with previous studies which used the GLIM criteria for the diagnosis of malnutrition [5,[25][26][27]. Nevertheless, this investigation focused on a special population that presented with a high prevalence of etiologic GLIM criteria for malnutrition.…”

Section: Discussionmentioning

confidence: 85%

Comparison of Three Nutritional Screening Tools with the New Glim Criteria for Malnutrition and Association with Sarcopenia in Hospitalized Older Patients

Bellanti

Buglio

Quiete

et al. 2020

JCM

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The integrated assessment of nutritional status and presence of sarcopenia would help improve clinical outcomes of in-hospital aged patients. We compared three common nutritional screening tools with the new Global Leadership Initiative on Malnutrition (GLIM) diagnostic criteria among hospitalized older patients. To this, 152 older patients were assessed consecutively at hospital admission by the Malnutrition Universal Screening Tool (MUST), the Subjective Global Assessment (SGA), and the Nutritional Risk Screening 2002 (NRS-2002). A 46% prevalence of malnutrition was reported according to GLIM. Sensitivity was 64%, 96% and 47%, and specificity was 82%, 15% and 76% with the MUST, SGA, and NRS-2002, respectively. The concordance with GLIM criteria was 89%, 53% and 62% for the MUST, SGA, and NRS-2002, respectively. All the screening tools had a moderate value to diagnose malnutrition. Moreover, patients at high nutritional risk by MUST were more likely to present with sarcopenia than those at low risk (OR 2.5, CI 1.3-3.6). To conclude, MUST is better than SGA and NRS-2002 at detecting malnutrition in hospitalized older patients diagnosed by the new GLIM criteria. Furthermore, hospitalized older patients at high risk of malnutrition according to MUST are at high risk of presenting with sarcopenia. Nutritional status should be determined by MUST in older patients at hospital admission, followed by both GLIM and the European Working Group on Sarcopenia in Older People (EWGSOP2) assessment.

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“…Only two studies investigated the psychometric properties of the MNA-SF against the GLIM criteria in elderly subjects [ 23 , 24 ]. Matsumoto et al [ 23 ] assessed the nutritional status of 490 patients attending an emergency department (mean age of 69.5 ± 16 years); 300 of them (61.2%) were more than 70 years old.…”

Section: Discussionmentioning

confidence: 99%

“…There is vast literature demonstrating the diagnostic performance of the NRS-2002, MUST, and SGA as malnutrition diagnostic tools against the GLIM criteria [ 20 , 21 , 22 ]. In contrast, the diagnostic performance of the MNA-SF in elderly subjects has not been extensively studied [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Performance and Accuracy of the MNA-SF against GLIM Criteria in Community-Dwelling Older Adults from Poland

Kaluźniak-Szymanowska

Krzymińska‐Siemaszko

Lewandowicz

et al. 2021

Nutrients

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Up to 28% of elderly residents in Europe are at risk of malnutrition. As uniform diagnostic criteria for malnutrition have not been formulated, in autumn 2018, the Global Leadership Initiative on Malnutrition (GLIM) presented a consensus on its diagnosis. According to the consensus, the diagnosis of malnutrition requires a positive screening test result for the risk of malnutrition, and the presence of at least one etiologic and one phenotypic criterion. This study aimed to assess the diagnostic performance and accuracy of the Mini Nutritional Assessment—Short Form (MNA-SF) against GLIM criteria. The analysis involved 273 community-dwelling volunteers aged ≥ 60 years. All participants were screened for malnutrition with the MNA-SF questionnaire. Next, the GLIM phenotypic and etiologic criteria were assessed in all subjects. Based on the presence of at least one phenotypic and one etiologic criterion, malnutrition was diagnosed in more than one-third of participants (n = 103, 37.7%). According to the MNA-SF, only 7.3% of subjects had malnutrition, and 28.2% were at risk of malnutrition. The agreement between the MNA-SF score and the GLIM criteria were observed in only 22.3% of the population. The sensitivity and specificity of MNA-SF against the GLIM criteria were fair (59.2% and 78.8%, respectively). The area under the curve (AUC) was 0.77, indicating the fair ability of MNA-SF to diagnose malnutrition. Based on the present study results, the best solution may be an optional replacement of the screening tool in the first step of the GLIM algorithm with clinical suspicion of malnutrition.

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The relationship between existing nutritional indicators and Global Leadership Initiative on Malnutrition (GLIM) criteria: A one-institution cross-sectional analysis

Cited by 41 publications

References 14 publications

GLIM criteria for the evaluation of nutrition in palliative care patients, a comparison of MNA-SF and NRS-2002

GLIM criteria for the evaluation of nutrition in palliative care patients, a comparison of MNA-SF and NRS-2002

Comparison of Three Nutritional Screening Tools with the New Glim Criteria for Malnutrition and Association with Sarcopenia in Hospitalized Older Patients

Diagnostic Performance and Accuracy of the MNA-SF against GLIM Criteria in Community-Dwelling Older Adults from Poland

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