The GLIM Criteria Represent a More Appropriate Tool for Nutritional Assessment in Patients With Crohn's Disease

Li, Yong; Peng, Ziheng; Xu, Duo; Yu, Peng; Liu, Xiaowei

doi:10.3389/fnut.2022.826028

Cited by 8 publications

(13 citation statements)

References 59 publications

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“…The combination of at least 1 phenotypic and 1 etiological index was a necessary condition for the diagnosis of malnutrition. [ 22 ] The details of the GLIM are as follows [ 17 ] : (1) weight loss: a nonvolitional weight loss of 5% to 10% within the past 6 months, or 10% to 20% beyond 6 months was defined as moderate malnutrition. A nonvolitional weight loss of > 10% within the past 6 months, or > 20% prior to the past 6 months was considered to indicate severe malnutrition.…”

Section: Methodsmentioning

confidence: 99%

GLIM criteria represent a more suitable tool to evaluate the nutritional status and predict postoperative motor functional recovery of older patients with hip fracture: A retrospective study

Wu,

Guo,

et al. 2024

Medicine

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Early recognition of malnutrition is essential to improve the prognosis of older patients with hip fracture. The Nutritional Risk Screening 2002 (NRS-2002), the Short-Form Mini Nutritional Assessment (MNA-SF) and the Global Leadership Initiative on Malnutrition (GLIM) are widely used in malnutrition diagnosis. However, criteria for predicting postoperative hip joint motor function in older patients with hip fractures are still necessary. The objective of this study was to select the most appropriate criteria from the NRS-2002, the MNA-SF and the GLIM in predicting the postoperative hip joint motor function recovery 1 year after surgery. This retrospective observational study included 161 patients aged ≥ 65 years with hip fractures. The nutritional status of patients was determined by the NRS-2002, MNA-SF and GLIM. The Harris hip joint score (HHS), the primary outcome of this study, was used to evaluate hip joint motor function. HHS was classified as excellent (HHS > 75) or non-excellent outcomes (HHS ≤ 75). Logistic regression models for hip joint motor function recovery were constructed. Both the receiver operating characteristic curve and the decision curve analysis were used to select the most predictive criteria. The overall mean age of the 161 patients was 77.90 ± 8.17. As a result, NRS-2002 (OR:0.06, 95%CI [0.01, 0.17]), MNA-SF (OR:0.05, 95%CI [0.00, 0.23]) and GLIM (OR of moderate: 0.03, 95%CI [0.01, 0.11]; OR of severe: 0.02 [0.00, 0.07]) were predictive for recovery of hip joint motor function. Additionally, both the area under curve of the receiver operating characteristic curve (NRS-2002: 81.2 [73.8, 88.6], MNA-SF: 76.3 [68.5, 84.2], GLIM: 86.2 [79.6,92.8]) and the decision curve analysis showed the GLIM was better than others. Compared with NRS-2002 and MNA-SF, GLIM was a more suitable nutritional assessment criteria to predict the postoperative recovery of hip joint motor function for older patients with hip fracture 1 year after surgery.

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Section: Methodsmentioning

confidence: 99%

GLIM criteria represent a more suitable tool to evaluate the nutritional status and predict postoperative motor functional recovery of older patients with hip fracture: A retrospective study

Wu,

Guo,

et al. 2024

Medicine

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show abstract

“…The GLIM criteria were used to evaluate the diagnosis and severity of malnutrition and were composed of three phenotypic and two etiological criteria. The combination of at least one phenotypic and one etiological index was a necessary condition for the diagnosis of malnutrition 22 .The details of the GLIM are as follows 17 :(1) Weight loss: a nonvolitional weight loss of 5-10% within the past 6 months, or 10-20% beyond 6 months was de ned as moderate malnutrition. A nonvolitional weight loss of >10% within the past 6 months, or >20% prior to the past 6 months was considered to indicate severe malnutrition.…”

Section: 3the Global Leadership Initiative On Malnutritionmentioning

confidence: 99%

GLIM criteria represents a more suitable tool to evaluate the nutritional status and predict postoperative functional recovery of older patients with hip fracture

Wu,

Guo,

et al. 2023

Preprint

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Purpose: Early recognition of malnutrition is of prime importance and essential for improving the prognosis of older patients with hip fracture. The Nutritional Risk Screening 2002 (NRS-2002), The Short-Form Mini Nutritional Assessment (MNA-SF) and The Global Leadership Initiative on Malnutrition (GLIM) are widely used in malnutrition diagnose. However, the criteria for predicting postoperative hip joint function in aging patients with hip fractures during a long-term is still necessary. The objective of this study was to select the most appropriate criteria from the NRS-2002, the MNA-SF and the GLIM in predicting the postoperative recovery of hip joint function in a long-term. Methods: This retrospective observational study included the 161 patients aged ≥65 years with hip fracture. Nutritional states of the patients were determined by the NRS-2002, the MNA-SF and the GLIM. The Harris Hip Joint Score (HHS), the primary outcome of this study, was used to evaluate the hip joint function. The HHS was classified into good recovery (HHS>75) and bad recovery (HHS<=75). Logistic regression models for hip joint function recovery were constructed. Both the ROC and the DCA were used to select the most predictive criteria. Results: The overall mean age of the 161 patients was 77.90 ± 8.17. As a result, all of the NRS-2002 (OR: 0.06, 95%CI [0.01, 0.17]), the MNA-SF (OR: 0.05, 95%CI [0.00, 0.23]) and the GLIM (OR of moderate: 0.03, 95%CI [0.01, 0.11]; OR of severe: 0.02 [0.00, 0.07]) were predictive for recovery of hip joint function. Additionally, both the AUC of ROC (NRS-2002: 81.2 [73.8, 88.6], MNA-SF: 76.3[68.5, 84.2], GLIM: 86.2 [79.6,92.8]) and the DCA showed the GLIM was better than others. Conclusion: Compared with NRS-2002 and MNA-SF, GLIM was a better nutritional assessment criteria to predict the postoperative recovery of hip joint function for older hip fracture patients in a long-term.

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“…The GLIM criteria analyze aetiologic and phenotypic parameters in patients at risk of malnutrition and grade malnutrition according to phenotypic criteria ( 35 ). Li et al ( 36 ) conducted a retrospective nutritional assessment of 108 CD patients using NRS-2002 and GLIM criteria. The prevalence of perianal lesions in that population was 54.6%.…”

Section: How To Assess Nutritional Status In Pcd Patients?mentioning

confidence: 99%

“…Approximately 70% of patients were classified as malnourished when applying the GLIM criteria. The presence of perianal disease was not associated with a higher risk of malnutrition ( 36 ).…”

Section: How To Assess Nutritional Status In Pcd Patients?mentioning

confidence: 99%

Nutritional status in perianal Crohn’s disease: are we underestimating the impact?

Alves Martins,

Filho,

Lopes

et al. 2023

Front. Nutr.

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Symptomatic perianal disease is common in patients with Crohn’s disease (CD), and perianal fistulas represent the primary form of anal involvement. This type of involvement is associated with a poor prognosis and a disabling course. The treatment is challenging and involves both surgical and medical approaches. Despite combined therapy, a significant portion of patients may still require proctectomy to control the symptoms. Consequently, investigating factors that may influence the outcome of perianal disease remains a priority area of research in CD. Nutritional deficiencies are well documented among CD patients with luminal forms of involvement and are closely related to poor clinical outcomes, therapy response, and postoperative complications. As a result, leading guidelines recommend regular nutritional assessment and correction of nutritional deficiencies in patients requiring a surgical approach. Despite these recommendations and the high rate of surgeries among CD patients with perianal disease, there is a shortage of studies addressing the real impact of nutritional status on the course and outcomes of perianal disease. This knowledge gap underscores the importance of further research to understand better and improve the management of perianal CD. This narrative review aims to provide an overview of nutritional status assessment and the influence of nutritional status on the outcomes of patients with perianal CD.

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The GLIM Criteria Represent a More Appropriate Tool for Nutritional Assessment in Patients With Crohn's Disease

Cited by 8 publications

References 59 publications

GLIM criteria represent a more suitable tool to evaluate the nutritional status and predict postoperative motor functional recovery of older patients with hip fracture: A retrospective study

GLIM criteria represent a more suitable tool to evaluate the nutritional status and predict postoperative motor functional recovery of older patients with hip fracture: A retrospective study

GLIM criteria represents a more suitable tool to evaluate the nutritional status and predict postoperative functional recovery of older patients with hip fracture

Nutritional status in perianal Crohn’s disease: are we underestimating the impact?

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