Recommendations for nutritional assessment across clinical practice guidelines: A scoping review

Soriano-Moreno, David R.; Dolores-Maldonado, Gandy; Benites-Bullón, Alejandro; Ccami-Bernal, Fabricio; Fernández-Guzman, Daniel; Esparza-Varas, Analis L.; Caira-Chuquineyra, Brenda; Taype-Rondán, Álvaro

doi:10.1016/j.clnesp.2022.04.023

Cited by 12 publications

(5 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Handgrip strength has previously been linked to longer hospitalization but MUAC has never been studied from this perspective since it is commonly more used in the pediatric population [35,36]. Our findings may help in adding simple anthropometric measurements not requiring expensive tools such as MUAC in assessing muscle mass as part of GLIM criteria when body impedance analysis (BIA) or dual-energy X-ray absorptiometry DEXA are not available [37].…”

Section: Discussionmentioning

confidence: 93%

Prevalence of Malnutrition in Hospitalized Patients in Lebanon Using Nutrition Risk Screening (NRS-2002) and Global Leadership Initiative on Malnutrition (GLIM) Criteria and Its Association with Length of Stay

et al. 2023

View full text Add to dashboard Cite

(1) Background: Prevalence studies on hospital malnutrition are still scarce in the Middle East region despite recent global recognition of clinical malnutrition as a healthcare priority. The aim of this study is to measure the prevalence of malnutrition in adult hospitalized patients in Lebanon using the newly developed Global Leadership Initiative on Malnutrition tool (GLIM), and explore the association between malnutrition and the length of hospital stay (LOS) as a clinical outcome. (2) Methods: A representative cross-sectional sample of hospitalized patients was selected from a random sample of hospitals in the five districts in Lebanon. Malnutrition was screened and assessed using the Nutrition Risk Screening tool (NRS-2002) and GLIM criteria. Mid-upper arm muscle circumference (MUAC) and handgrip strength were used to measure and assess muscle mass. Length of stay was recorded upon discharge. (3) Results: A total of 343 adult patients were enrolled in this study. The prevalence of malnutrition risk according to NRS-2002 was 31.2%, and the prevalence of malnutrition according to the GLIM criteria was 35.6%. The most frequent malnutrition-associated criteria were weight loss and low food intake. Malnourished patients had a significantly longer LOS compared to patients with adequate nutritional status (11 days versus 4 days). Handgrip strength and MUAC measurements were negatively correlated with the length of hospital stay. (4) Conclusion and recommendations: the study documented the valid and practical use of GLIM for assessing the prevalence and magnitude of malnutrition in hospitalized patients in Lebanon, and highlighted the need for evidence-based interventions to address the underlying causes of malnutrition in Lebanese hospitals.

show abstract

Section: Discussionmentioning

confidence: 93%

Prevalence of Malnutrition in Hospitalized Patients in Lebanon Using Nutrition Risk Screening (NRS-2002) and Global Leadership Initiative on Malnutrition (GLIM) Criteria and Its Association with Length of Stay

et al. 2023

View full text Add to dashboard Cite

show abstract

“…The main objective of the present study was to investigate whether the nutritional status of palliative cancer patients receiving home parenteral nutrition can be used as a prognostic factor for survival. According to a recent scoping review [15], clinical practice guidelines for nutritional assessment are not uniform with regard to the choice of specific tools and criteria. In this study, both the most commonly used tools, i.e., the body mass index and the Subjective Global Assessment, and those less commonly used in clinical practice, such as the GLIM criteria, the Nutritional Risk Index, the Geriatric Nutritional For NRI, the cut-off point was 72.67: p = 0.001 (AUC = 0.626; 95%CI 0.549-0.704).…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status as a Prognostic Factor for Survival in Palliative Care: A Retrospective Observational Analysis of Home Parenteral Nutrition in Cancer Patients with Inoperable Malignant Bowel Obstruction

Tenderenda,

Gierczak,

Panczyk

et al. 2024

Nutrients

View full text Add to dashboard Cite

Palliative care patients with malignant bowel obstruction are particularly at risk of developing malnutrition, which in turn directly shortens survival time and worsens quality of life (QoL). According to the available data, the survival time in this patient group is often less than three months. To avoid further complications related to malnutrition and poor outcomes in oncological therapy, nutritional therapy such as home parenteral nutrition (HPN) is offered. The aim of this study was to investigate whether nutritional status is a prognostic factor for survival in palliative care patients with malignant inoperable bowel obstruction qualified for home parenteral nutrition and which nutritional assessment tool has the most accurate prognostic value. This retrospective observational analysis included 200 patients with malignant bowel obstruction referred for home parenteral nutrition between January 2018 and August 2023. The analysis included laboratory test results, body mass index (BMI), Subjective Global Assessment (SGA), Nutritional Risk Index (NRI), Geriatric Nutritional Risk Index (GNRI), Prognostic Nutritional Index (PNI) and malnutrition as defined by the Global Leadership Initiative on Malnutrition (GLIM). The average survival time of the patients was 75 days. Patients with higher NRI and PNI scores were more likely to survive (NRI: p < 0.001; PNI: p < 0.001). The GLIM criteria, SGA scores and BMI values did not prove to be good prognostic factors for survival (GLIM p = 0.922, SGA p = 0.083, BMI p = 0.092). The results suggest that the use of NRI and PNI may be helpful in prognosing survival in these patients and that prevention of the development of malnutrition through earlier nutritional assessment and intervention should be considered in this patient group.

show abstract

“…The association that we have demonstrated between social determinants and food security should alarm healthcare professionals to broaden their perspective when identifying malnutrition in hospitalized patients. When conducting nutritional assessments, including the GLIM criteria or any validated tool, it is advisable to incorporate a social dimension and identify any factors that increase the risk of malnutrition, such as food insecurity, low income, or low literacy levels ( 29 , 40 ). When developing a management plan for malnutrition in hospitalized patients, it is crucial to address social determinants and food security as essential components.…”

Section: Discussionmentioning

confidence: 99%

Analysis of predictors of malnutrition in adult hospitalized patients: social determinants and food security

et al. 2023

View full text Add to dashboard Cite

BackgroundMalnutrition in hospitalized patients is becoming a priority during the patient care process due to its implications for worsening health outcomes. It can be the result of numerous social factors beyond clinical ones. This study aimed to evaluate the link between these various risk factors considered social determinants of health, food security levels, and malnutrition and to identify potential predictors.MethodsA cross-sectional observational study was conducted on a random sample of adult patients in five different hospitals in Lebanon. Malnutrition was assessed using the Global Leadership Initiative on Malnutrition (GLIM) criteria. Patients were interviewed to collect social and economic characteristics and were categorized into four criteria: (1) area of residence (urbanization level), (2) level of education, (3) employment status, and (4) source of health coverage. The food security level was screened by a validated two-question tool, adapted from the US Department of Agriculture Household Food Security Survey, targeting both quantity and quality.ResultsIn a random sample of 343 patients, the prevalence of malnutrition according to the GLIM criteria was 35.6%. Patients with low levels of food security, mainly low quality of food, had higher odds of being malnourished (OR = 2.93). Unemployed or retired patients and those who have only completed only elementary school had higher odds of being diagnosed with malnutrition as compared to those who were employed or had university degrees, respectively (OR = 4.11 and OR = 2.33, respectively). Employment status, education level, and type of health coverage were identified as predictors of malnutrition in the multiple regression model. Household location (urban vs. rural) was not associated with malnutrition.ConclusionThe social determinants of health identified in our study, mainly the level of education and income level, in addition to food security, were identified as predictors of malnutrition in hospitalized patients. These findings should guide healthcare professionals and national policies to adopt a broader perspective in targeting malnutrition by including social determinants in their nutrition care.

show abstract

Recommendations for nutritional assessment across clinical practice guidelines: A scoping review

Cited by 12 publications

References 57 publications

Prevalence of Malnutrition in Hospitalized Patients in Lebanon Using Nutrition Risk Screening (NRS-2002) and Global Leadership Initiative on Malnutrition (GLIM) Criteria and Its Association with Length of Stay

Prevalence of Malnutrition in Hospitalized Patients in Lebanon Using Nutrition Risk Screening (NRS-2002) and Global Leadership Initiative on Malnutrition (GLIM) Criteria and Its Association with Length of Stay

Nutritional Status as a Prognostic Factor for Survival in Palliative Care: A Retrospective Observational Analysis of Home Parenteral Nutrition in Cancer Patients with Inoperable Malignant Bowel Obstruction

Analysis of predictors of malnutrition in adult hospitalized patients: social determinants and food security

Contact Info

Product

Resources

About