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GLIM Criteria for the Diagnosis of Malnutrition : A Consensus Report From the Global Clinical Nutrition Community

Jensen, Gordon L. (författare)
Univ Vermont, Deans Off, Burlington, VT USA; Univ Vermont, Dept Med, Larner Coll Med, Burlington, VT USA
Cederholm, Tommy (författare)
Karolinska Institutet,Uppsala universitet,Klinisk nutrition och metabolism,Karolinska Univ Hosp, Theme Aging, Stockholm, Sweden
Correia, M. Isabel T. D. (författare)
Univ Fed Minas Gerais, Dept Surg, Belo Horizante, Brazil
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Gonzalez, M. Christina (författare)
Univ Catolica Pelotas, Postgrad Program Hlth & Behav, Pelotas, RS, Brazil
Fukushima, Ryoji (författare)
Univ Tokyo, Sch Med, Dept Med, Dept Surg, Tokyo, Japan
Higashiguchi, Takashi (författare)
Fujita Hlth Univ, Sch Med, Dept Surg & Palliat Med, Toyoake, Aichi, Japan
de Baptista, Gertrudis Adrianza (författare)
Univ Cent Venezuela, Med Fac Cent Univ Venezuela, Univ Hosp Caracas, Acad Caracas, Chief Nutr Support Unit Hosp Univ, Caracas, Venezuela
Barazzoni, Rocco (författare)
Univ Trieste, Osped Cattinara, Dept Med Technol & Translat Sci, Trieste, Italy
Blaauw, Renee (författare)
Stellenbosch Univ, Fac Med & Hlth Sci, Div Human Nutr, Cape Town, South Africa
Coats, Andrew J. S. (författare)
Monash Univ Australia, Warwick, England; Univ Warwick, Warwick, England
Crivelli, Adriana (författare)
San Martin Hosp, Nutr Support Unit, La Plata, Argentina
Evans, David C. (författare)
Ohio State Univ, Dept Surg, Columbus, OH USA
Gramlich, Leah (författare)
Univ Alberta, Edmonton, AB, Canada
Fuchs-Tarlovsky, Vanessa (författare)
Hosp Gen Mexico City, Clin Nutr Dept, Mexico City, DF, Mexico
Keller, Heather (författare)
Univ Waterloo, Schlegel UW Res Inst Aging, Waterloo, ON, Canada; Univ Waterloo, Dept Kinesiol, Waterloo, ON, Canada
Llido, Luisito (författare)
St Lukes Med Ctr Quezon City, Clin Nutr Serv, Quezon City, Philippines
Malone, Ainsley (författare)
Amer Soc Parenteral & Enteral Nutr, Silver Spring, MD USA; Mt Carmel West Hosp, Columbus, OH USA
Mogensen, Kris M. (författare)
Brigham & Womens Hosp, Dept Med, Boston, MA USA
Morley, John E. (författare)
St Louis Univ Hosp, Div Geriatr, St Louis, MO USA
Muscaritoli, Maurizio (författare)
Sapienza Univ Rome, Dept Clin Med, Rome, Italy
Nyulasi, Ibolya (författare)
La Trobe Univ, Dept Nutr, Alfred Hlth, Melbourne, Vic, Australia; La Trobe Univ, Dept Rehabil Nutr & Sport, Dietet Practice, Melbourne, Vic, Australia; Monash Univ, Cent Clin Sch, Dept Med, Clayton, Vic, Australia
Pirlich, Matthias (författare)
Imperial Oak Outpatient Clin, Endocrinol Gastroenterol & Clin Nutr, Berlin, Germany
Pisprasert, Veeradej (författare)
Khon Kaen Univ Coll Med, Dept Med, Khon Kaen, Thailand
de van der Schueren, Marian (författare)
Vrije Univ Amsterdam, Amsterdam UMC, Dept Nutr & Dietet, Amsterdam, Netherlands; HAN Univ Appl Sci, Fac Hlth & Social Studies, Dept Nutr & Dietet, Nijmegen, Netherlands
Siltharm, Soranit (författare)
Minist Sci & Technol, Bangkok, Thailand
Singer, Pierre (författare)
Tel Aviv Univ, Petah Tikva & Sackler Sch Med, Dept Gen Intens Care, Rabin Med Ctr, Tel Aviv, Israel
Tappenden, Kelly A. (författare)
Univ Illinois, Dept Kinesiol & Nutr, Chicago, IL USA
Velasco, Nicolas (författare)
Pontificia Univ Catolica Chile, Sch Med, Dept Nutr Diabet & Metabolismo, Santiago, Chile
Waitzberg, Dan L. (författare)
Univ Sao Paulo, Sch Med, Dept Gastroenterol, Sao Paulo, Brazil
Yamwong, Preyanuj (författare)
Siriaj Hosp, Dept Med, Bangkok, Thailand
Yu, Jianchun (författare)
Peking Union Med Coll Hosp, Dept Gen Surg, GI Surg & Nutr Metab Div, Beijing, Peoples R China
Compher, Charlene (författare)
Univ Penn, Sch Nursing, Biobehav Hlth Sci Dept, Philadelphia, PA USA; Univ Penn, Sch Nursing, Nutr Programs, Philadelphia, PA USA
Van Gossum, Andre (författare)
Free Univ Brussels, Hop Erasme, Clin Intestinal Dis & Nutr Support, Dept Gastroenterol, Brussels, Belgium
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 (creator_code:org_t)
2018-09-02
2019
Engelska.
Ingår i: JPEN - Journal of Parenteral and Enteral Nutrition. - : Wiley. - 0148-6071 .- 1941-2444. ; 43:1, s. 32-40
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Background: This initiative aims to build a global consensus around core diagnostic criteria for malnutrition in adults in clinical settings.Methods: The Global Leadership Initiative on Malnutrition (GLIM) was convened by several of the major global clinical nutrition societies. Empirical consensus was reached through a series of face‐to‐face meetings, telephone conferences, and e‐mail communications.Results: A 2‐step approach for the malnutrition diagnosis was selected, that is, first screening to identify at risk status by the use of any validated screening tool, and second, assessment for diagnosis and grading the severity of malnutrition. The malnutrition criteria for consideration were retrieved from existing approaches for screening and assessment. Potential criteria were subjected to a ballot among GLIM participants that selected 3 phenotypic criteria (non‐volitional weight loss, low body mass index, and reduced muscle mass) and 2 etiologic criteria (reduced food intake or assimilation, and inflammation or disease burden). To diagnose malnutrition at least 1 phenotypic criterion and 1 etiologic criterion should be present. Phenotypic metrics for grading severity are proposed. It is recommended that the etiologic criteria be used to guide intervention and anticipated outcomes. The recommended approach supports classification of malnutrition into four etiology‐related diagnosis categories.Conclusions: A consensus scheme for diagnosing malnutrition in adults in clinical settings on a global scale is proposed. Next steps are to secure endorsements from leading nutrition professional societies, to identify overlaps with syndromes like cachexia and sarcopenia, and to promote dissemination, validation studies, and feedback. The construct should be re‐considered every 3–5 years.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Näringslära (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nutrition and Dietetics (hsv//eng)

Nyckelord

assessment
diagnosis
malnutrition
screening

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