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

Bellanti, Francesco; Buglio, Aurelio Lo; Quiete, Stefano; Pellegrino, Giuseppe; Dobrakowski, Michał; Kasperczyk, Aleksandra; Kasperczyk, Sławomir; Vendemiale, Gianluigi

doi:10.3390/jcm9061898

Cited by 57 publications

(84 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Since decreased muscle mass is one of the foremost features of sarcopenia and malnutrition, they can overlap in some patients. A recent study comparing three nutritional screening tools with the GLIM criteria found that hospitalized older patients at high nutritional risk by the Malnutrition Universal Screening Tool were more likely to present with sarcopenia [ 39 ]. In our sample, the association among the two entities is clear: from 75 malnourished patients, 46 fulfill the EGSWOP2 criteria of sarcopenia.…”

Section: Discussionmentioning

confidence: 99%

Malnutrition According to GLIM Criteria Is Associated with Mortality and Hospitalizations in Rehabilitation Patients with Stable Chronic Obstructive Pulmonary Disease

et al. 2021

View full text Add to dashboard Cite

Malnutrition has a negative impact on patients with chronic pulmonary obstructive disease (COPD). The purpose of this study was to assess the prevalence of malnutrition, defined by the Global Leadership Initiative for Malnutrition (GLIM), in stable COPD patients referred to pulmonary rehabilitation, and to explore potential associations of malnutrition according to GLIM, and its components, with increased risk of mortality and hospitalizations in 2 years. In a post-hoc analysis of a prospective cohort of 200 rehabilitation patients with stable COPD, main outcome variables were hospital admissions, length of stay, and mortality during a 2-year follow-up. Covariates were malnutrition according to GLIM and its phenotypic criteria: unintentional weight loss, low body mass index (BMI), and low fat-free mass (FFM). Univariate and multivariate analysis were performed using logistic and proportional hazard Cox regression. Malnutrition according to GLIM showed 45% prevalence and was associated with increased mortality risk. Low age-related BMI and FFM were independently associated with mortality, which persisted after adjustment for age and lung function. Malnutrition and low BMI were also associated with increased risk of hospitalization. Malnutrition according to GLIM criteria was highly prevalent in rehabilitation patients with COPD and was associated with nearly 3 times greater mortality and hospitalization risk.

show abstract

Section: Discussionmentioning

confidence: 99%

Malnutrition According to GLIM Criteria Is Associated with Mortality and Hospitalizations in Rehabilitation Patients with Stable Chronic Obstructive Pulmonary Disease

et al. 2021

View full text Add to dashboard Cite

show abstract

“…(17) In present study, the incidence of malnutrition is 53.6% assessed by NRS2002 which was in line with previous studies. ( [24][25][26][27][28] CAM-ICU was employed to diagnose ED in present study. One strength of this study was that we assessed the phenotype of ED.…”

Section: Discussionmentioning

confidence: 99%

Malnutrition Was Not Related With Emergence Delirium in Elderly Patients After Noncardiac Surgery

Zhang

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Delirium is one of the most common complications in elderly surgical patients. Although previous studies reported that preoperative malnutrition was related with postoperative delirium (POD), there was lack of evidence to illustrate the relationship between malnutrition and emergency delirium (ED). The objective of this study was to investigate the relationship between preoperative malnutrition and ED in elderly patients undergoing noncardiac surgery.Methods: The study was carried out in accordance with STROBE guidelines. This was a secondary analysis of a prospective cohort study. Elderly patients (65-90 years) who underwent noncardiac surgery under general anesthesia were enrolled in Peking University First Hospital.Preoperative malnutrition was defined as nutritional risk screening 2002 (NRS 2002) ≥3. Emergence delirium was assessed by Confusion Assessment Method for intensive care unit at 10 and 30 min after Post-anesthesia care unit (PACU) admission, and before PACU discharge. Multivariable analysis was employed to analyze the relationship between malnutrition and emergence delirium.Results: 915 patients were enrolled. The incidence of malnutrition was 53.6% (490/915). The incidence of emergency delirium was 41.8% (205/490) in malnutrition group and 31.5% (134/425) in control group, P<0.001. After adjusting confounding factors (i.e., age, mild cognitive impairment, American Society of Anesthesiologists classification (ASA), duration of surgery, pain score, low body temperature and allogeneic blood transfusion), malnutrition was not associated with increased risk of emergency delirium (OR=1.055, 95% CI 0.767-1.452, P=0.742).Conclusions: Malnutrition was common in elderly patients undergoing non-cardiac surgery, but it’s not related with emergence delirium after adjusted for confounders.Trial registration: Chinese Clinical Trial Registry (http://www.chictr.org.cn) (Number: ChiCTR-OOC-17012734).

show abstract

“…The GLIM criteria were recently published by the Global Leadership Initiative on Malnutrition to support a global consensus on malnutrition diagnosis in different clinical settings [ 5 ], since the prevalence of malnutrition varies based on the choice of diagnostic tools [ 41 ]. It has been reported that 23.4% of community-dwelling older individuals meet the GLIM criteria for malnutrition, which was associated with 4.4-fold higher mortality during the four-year follow-up in European countries [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…It has been reported that 23.4% of community-dwelling older individuals meet the GLIM criteria for malnutrition, which was associated with 4.4-fold higher mortality during the four-year follow-up in European countries [ 8 ]. Another study from Spain reported that 12.6% of community-dwelling older adults were malnourished according to the GLIM criteria and noted a further association with increased medical cost [ 41 ]. In the hospital setting, the prevalence of GLIM-diagnosed malnutrition was higher, 46% in hospitalized older patients [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

“…Another study from Spain reported that 12.6% of community-dwelling older adults were malnourished according to the GLIM criteria and noted a further association with increased medical cost [ 41 ]. In the hospital setting, the prevalence of GLIM-diagnosed malnutrition was higher, 46% in hospitalized older patients [ 41 ]. In this study, the prevalence of malnutrition in daycare facilities was larger than that recorded among community-dwelling older adults but lower than that among hospitalized older adults.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and Associated Factors of Malnutrition and Sarcopenia in a Daycare Facility: A Cross-Sectional Study

Shiota¹,

Nakayama

Saito³

et al. 2020

Healthcare

View full text Add to dashboard Cite

Malnutrition and sarcopenia are prevalent and growing health issues in older populations. Early detection is important to implement proper interventions. However, little is known about malnutrition and sarcopenia in daycare facilities, the most dominant long-term care service. In this study, the prevalence of and factors associated with malnutrition and sarcopenia in older individuals who commute to community daycare facilities were evaluated. The cross-sectional study included 62 older individuals screened for malnutrition and sarcopenia on their first day in a daycare facility in Japan. Daily physical activity and basal diseases were also evaluated. According to Global Leadership Initiative on Malnutrition (GLIM) criteria, 40.3% (25/62) of patients were malnourished and 59.7% (37/62) were well nourished. The Asian Working Group for Sarcopenia 2019 evaluation found that 12.9% (8/62) of patients showed no sarcopenia, whereas 87.1% (54/62) had sarcopenia. The prevalence of well-nourished sarcopenic individuals was the highest (45.2% (28/62)), followed by malnourished sarcopenia individuals (40.3% (25/62)). All malnourished individuals were sarcopenic and 14.5% (9/62) were well nourished and nonsarcopenic. Daily physical activity was significantly lower among sarcopenic individuals. Subgroups showed no significant difference in comorbidities. The prevalence of malnutrition and sarcopenia was relatively high. Activity-related sarcopenia seemed to precede malnutrition. Early detection of malnutrition and sarcopenia in daycare facilities should be encouraged for early intervention.

show abstract

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

Cited by 57 publications

References 30 publications

Malnutrition According to GLIM Criteria Is Associated with Mortality and Hospitalizations in Rehabilitation Patients with Stable Chronic Obstructive Pulmonary Disease

Malnutrition According to GLIM Criteria Is Associated with Mortality and Hospitalizations in Rehabilitation Patients with Stable Chronic Obstructive Pulmonary Disease

Malnutrition Was Not Related With Emergence Delirium in Elderly Patients After Noncardiac Surgery

Prevalence and Associated Factors of Malnutrition and Sarcopenia in a Daycare Facility: A Cross-Sectional Study

Contact Info

Product

Resources

About