Role of Human Body Composition Analysis and Malnutrition Risk Questionnaire in the Assessment of Nutritional Status of Patients With Initially Diagnosed Crohn's Disease

Kurban, Mrigul; Zeng, Na; Wang, Meng; Liu, Hong; Wu, Jinru; Guo, Feng; Liu, Min; Guo, Qin

doi:10.3389/fmed.2020.00106

Cited by 16 publications

(14 citation statements)

References 32 publications

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“…The active inflammation will also cause protein loss, which will further reduce the concentration of serum albumin, thus increasing nutritional risk. The levels of PLT, HB, HCT, and ALB were also independent risk factors affecting the nutritional status of children with CD [ 16 ]. The count changes of serological PLT, HB, HCT, and ALB count have been proved to be used as nutritional evaluation indexes in clinic.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Risk Factors and Nursing Intervention Measures Affecting Nutritional Status of Children with Crohn’s Disease

Chen

You

Zhao

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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In recent years, the incidence of Crohn’s disease (CD) in the Asia-Pacific region is gradually increasing, and the onset age is decreased at the same time. The relapse of illness and long course of disease easily lead to malnutrition, which will affect the treatment effect of the disease and even worsen the disease. Therefore, it is very important to find the risk factors affecting the nutritional status of children with CD and to carry out effective nursing intervention accordingly. In our study, a total of 180 children with CD who were admitted to our hospital from April 2017 to April 2020 were analyzed retrospectively. The multivariate analysis showed that Pediatric Crohn’s Disease Activity Index (PCDAI), platelet (PLT), hemoglobin (HB), hematocrit (HCT), and albumin (ALB) were independent risk factors affecting the nutritional status of children with CD. The results of AUC showed that combined monitoring of the PCDAI score and the expression of PLT, HB, HCT, and ALB indexes was of great value to evaluate the nutritional status of children with CD. Finally, a series of nursing intervention measures were proposed based on these results. It provides a theoretical basis for improving the nutritional status of children with CD and promoting the clinical outcome.

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Section: Discussionmentioning

confidence: 99%

Analysis of Risk Factors and Nursing Intervention Measures Affecting Nutritional Status of Children with Crohn’s Disease

Chen

You

Zhao

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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“…However, Jingyong Xu showed that nutritional support therapy after the GLIM assessment removed muscle mass and neglected the benefits of reducing infection complications ( 13 ). In our previous research, we also found that some IBD patients with muscle mass reduction cannot be identified by commonly used nutrition assessment scales such as NRS-2002 ( 21 ). Our team has considered whether GLIM-China has an impact on malnutrition diagnosis.…”

Section: Discussionmentioning

confidence: 99%

The influence of the China GLIM standards on the diagnosis of malnutrition in patients with hematopoietic stem cell transplant

Guo

Liu

et al. 2023

Front. Nutr.

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BackgroundThe muscle-related indicator is removed from Global Leadership Initiative on Malnutrition (GLIM) criteria implemented in China for many reasons. Patients with hematopoietic stem cell transplants are at nutrition risk and can enter into the second step of GLIM; thus, they are suitable for learning the diagnosing malnutrition significance between primary GLIM and GLIM-China criteria. This article aims to explore the role of muscle mass in the diagnostic criteria of malnutrition and the effects of GLIM-China for diagnosing malnutrition.MethodsA total of 98 inpatients with hematopoietic stem cell transplants (HSCT) were recruited. Nutrition risk was assessed by using the Nutritional Risk Screening 2002 (NRS-2002). Appendicular skeletal muscle mass (ASMI) and fat-free mass index (FFMI) were determined using the bioelectrical impedance analysis (BIA) method. Malnutrition is defined by GLIM-China, GLIM, and PG-SGA. We use erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) to assess inflammation in GLIM and GLIM-China. The correlation or consistency among ASMI, FFMI, ESR, CRP, GLIM-China, GLIM, and PG-SGA was evaluated, respectively.ResultsOne hundred percent instead of the patients had nutritional risk. The magnitude of malnutrition using PG-SGA, GLIM, and GLIM-China was 75.5, 80.6, and 64.3%, respectively. GLIM-China and PG-SGA showed the same performance (p = 0.052 vs. 1.00) and agreement (kappa = 0.404 vs. 0.433, p < 0.0001) with the FFMI. Consistency was noted between ASMI and PG-SGA in the assessment of malnutrition (p = 0.664) with a good agreement (kappa = 0.562, p = 0.084). ASMI and FFMI could determine muscle mass reduction, which could not be determined by BMI, albumin (ALB), and pre-albumin (pre-ALB); 34% of GLIM-China (–) patients were with low ASMI, and 40% with low FFMI; 30.0% of patients with PG-SGA (<4) still have low ASMI, and 38.2% have low FFMI.ConclusionIf only the PG-SGA scale is used as a diagnostic criterion for evaluating malnutrition, a large proportion of patients with reduced muscle mass will be missed, but more patients with muscle loss will be missed via GLIM-China. Muscle-related indicators will help diagnose malnutrition.

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“…Therefore, the nutritional status assessment of these patients becomes much more important. Currently, the main nutritional assessment tools or parameters are used including body mass index (BMI), Nutritional Risk Screening-2002(NRS-2002, and Patient-Generated Subjective Global Assessment (PG-SGA) (4)(5)(6)(7)(8). The Asian diet and inflammatory bowel disease (IBD) working group emphasized that weight or BMI alone cannot accurately predict the nutritional status of the patient (4); unfortunately, they did not also clearly indicate the appropriate nutrition assessment method for IBD patients.…”

Section: Introductionmentioning

confidence: 99%

“…In principle, the second step of GLIM can not be continued once NRS-2002 shows no nutritional risk. Our previous study found that patients with a negative NRS-2002 result may also had a low muscle mass ( 6 ), suggesting that some patients may have nutritional risk or even malnutrition that can not be screened out by NRS-2002 ( 10 ). Should other validated tools be used for the first step of GLIM criteria as nutritional risk screening?…”

Section: Introductionmentioning

confidence: 99%

GLIM criteria using NRS-2002 and MUST as the first step adequately diagnose the malnutrition in Crohn’s disease inpatients: A retrospective study

Wang

Guo²,

Liu³

et al. 2023

Front. Nutr.

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ObjectiveThe Global Leader Initiative on Malnutrition (GLIM) criteria have been recommended for malnutrition diagnosis recently, for which the first step is malnutrition risk screening with any validated tool. This study aims to investigate the incidence of nutritional risk and malnutrition in Crohn’s disease inpatients and compare the suitability of Nutritional Risk Screening 2002 (NRS-2002) and Malnutrition Universal Screening Tool (MUST) as the first-step screening tool for GLIM criteria.MethodsWe retrospectively analyzed the clinical data of Crohn’s disease inpatients in our hospital from August 2016 to December 2019. NRS-2002 and MUST were used for nutritional screening at the time of admission. GLIM and Patient Generated-Subjective Global Assessment (PG-SGA) were used for malnutrition assessment, respectively. Patients without nutritional risk screened by NRS-2002 but with malnutrition risk screened by MUST were especially screened out. The appendicular skeletal muscle mass index (ASMI), fat-free mass index (FFMI), body fat percent (BFP), and body cell mass (BCM) were measured by the Biospace Inbody S10 composition analyzer.ResultsA total of 146 Crohn’s disease patients were enrolled, of which 62.3 and 89.7% had nutritional or malnutrition risk according to NRS-2002 and MUST, respectively. The prevalence of malnutrition assessed by GLIM was 59.6% (87 cases) and 82.2% (120 cases) when NRS-2002 and MUST were used as the first step of GLIM respectively. Meanwhile, 99 patients (67.8%) had malnutrition when assessed by PG-SGA. There were 41 patients who were not at nutritional risk according to NRS-2002 but were at malnutrition risk determined by MUST. At last, 33 patients were GLIM-defined, and 16 patients were PG-SGA-defined malnutrition among the 41 patients.ConclusionThe nutritional risk or malnutrition is common in Crohn’s disease inpatients. It is recommended to use a variety of nutritional assessment tools for Crohn’s disease inpatients. MUST can be used as a good supplement for the patients with a score of NRS-2002 lower than 3 in order to decrease the miss rate of GLIM-defined malnutrition.

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Role of Human Body Composition Analysis and Malnutrition Risk Questionnaire in the Assessment of Nutritional Status of Patients With Initially Diagnosed Crohn's Disease

Cited by 16 publications

References 32 publications

Analysis of Risk Factors and Nursing Intervention Measures Affecting Nutritional Status of Children with Crohn’s Disease

Analysis of Risk Factors and Nursing Intervention Measures Affecting Nutritional Status of Children with Crohn’s Disease

The influence of the China GLIM standards on the diagnosis of malnutrition in patients with hematopoietic stem cell transplant

GLIM criteria using NRS-2002 and MUST as the first step adequately diagnose the malnutrition in Crohn’s disease inpatients: A retrospective study

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