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1. GLIM Core Leadership Committee, GLIM Working Group. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community

Author

Cederholm, T., Jensen, G.L., Correia, M.I.T.D., Gonzalez, M.C., Fukushima, R., Higashiguchi, T., Baptista, G., Barazzoni, R., Blaauw, R., Coats, A.J.S., Crivelli, A.N., Evans, D.C., Gramlich, L., Fuchs-Tarlovsky, V., Keller, H., Llido, L., Malone, A., Mogensen, K.M., Morley, J.E., Muscaritoli, M., Nyulasi, I., Pirlich, M., Pisprasert, V., Schueren, M.A.E. de van der, Siltharm, S., Singer, P., Tappenden, K., Velasco, N., Waitzberg, D., Yamwong, P., Yu, J., Gossum, A. van, and Compher, C.

Published
2019

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

Author

T. Cederholm, G.L. Jensen, M.I.T.D. Correia, M.C. Gonzalez, R. Fukushima, T. Higashiguchi, G. Baptista, R. Barazzoni, R. Blaauw, A. Coats, A. Crivelli, D.C. Evans, L. Gramlich, V. Fuchs-Tarlovsky, H. Keller, L. Llido, A. Malone, K.M. Mogensen, J.E. Morley, M. Muscaritoli, I. Nyulasi, M. Pirlich, V. Pisprasert, M.A.E. de van der Schueren, S. Siltharm, P. Singer, K. Tappenden, N. Velasco, D. Waitzberg, P. Yamwong, J. Yu, A. Van Gossum, C. Compher, Gordon L. Jensen, Compher Charlene, Tommy Cederholm, Andre Van Gossum, Maria Isabel T.D. Correia, M. Cristina Gonzalez, Ryoji Fukushima, Takashi Higashiguchi, V. Fuchs, Internal medicine, AGEM - Endocrinology, metabolism and nutrition, APH - Aging & Later Life, APH - Health Behaviors & Chronic Diseases, Cederholm, T., Jensen, G. L., Correia, M. I. T. D., Gonzalez, M. C., Fukushima, R., Higashiguchi, T., Baptista, G., Barazzoni, R., Blaauw, R., Coats, A. J. S., Crivelli, A. N., Evans, D. C., Gramlich, L., Fuchs-Tarlovsky, V., Keller, H., Llido, L., Malone, A., Mogensen, K. M., Morley, J. E., Muscaritoli, M., Nyulasi, I., Pirlich, M., Pisprasert, V., de van der Schueren, M. A. E., Siltharm, S., Singer, P., Tappenden, K., Velasco, N., Waitzberg, D., Yamwong, P., Yu, J., Van Gossum, A., Compher, C., Jensen, Gordon L., Cederholm, Tommy, Correia, M. Isabel T. D., Gonzalez, M. Christina, Fukushima, Ryoji, Higashiguchi, Takashi, de Baptista, Gertrudis Adrianza, Barazzoni, Rocco, Blaauw, Renée, Coats, Andrew J. S., Crivelli, Adriana, Evans, David C., Gramlich, Leah, Fuchs-Tarlovsky, Vanessa, Keller, Heather, Llido, Luisito, Malone, Ainsley, Mogensen, Kris M., Morley, John E, Muscaritoli, Maurizio, Nyulasi, Ibolya, Pirlich, Matthia, Pisprasert, Veeradej, de van der Schueren, Marian, Siltharm, Soranit, Singer, Pierre, Tappenden, Kelly A., Velasco, Nicola, Waitzberg, Dan L., Yamwong, Preyanuj, Yu, Jianchun, Compher, Charlene, Van Gossum, Andre, Coats, A., Crivelli, A., Charlene, Compher, Correia, Maria Isabel T. D., Gonzalez, M. Cristina, and Fuchs, V.

Subjects
Male, 0301 basic medicine, Sarcopenia, lcsh:Diseases of the musculoskeletal system, Cachexia, Assessment, Diagnosis, Malnutrition, Screening, 030309 nutrition & dietetics, diagnosis, assessment, Medicine (miscellaneous), Hygiène et médecine sportives, Critical Care and Intensive Care Medicine, Global Health, Body Mass Index, Eating, Orthopedics and Sports Medicine, Physiology (medical), 0302 clinical medicine, Weight loss, Nutrition and Dietetic, Mass Screening, Medicine, Grading (education), 0303 health sciences, Nutrition and Dietetics, Muscles, Global Leadership, lcsh:Human anatomy, Middle Aged, Phenotype, 030220 oncology & carcinogenesis, Orthopédie, Practice Guidelines as Topic, Female, Original Article, 030211 gastroenterology & hepatology, Professional association, medicine.symptom, Diagnosi, Societies, Scientific, Adult, medicine.medical_specialty, Consensus, Biotechnologie, MEDLINE, Nutritional Status, GLIM, Clinical settings, Clinical nutrition, malnutrition, lcsh:QM1-695, 03 medical and health sciences, Weight Loss, Humans, Disease burden, Aged, business.industry, screening, Original Articles, medicine.disease, Leadership, Nutrition Assessment, 030104 developmental biology, Family medicine, lcsh:RC925-935, business
Abstract

Rationale: This initiative is focused on building a global consensus around core diagnostic criteria for malnutrition in adults in clinical settings. Methods: In January 2016, the Global Leadership Initiative on Malnutrition (GLIM) was convened by several of the major global clinical nutrition societies. GLIM appointed a core leadership committee and a supporting working group with representatives bringing additional global diversity and expertise. Empirical consensus was reached through a series of face-to-face meetings, telephone conferences, and e-mail communications. Results: A two-step approach for the malnutrition diagnosis was selected, i.e. 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 the GLIM core and supporting working group members. The top five ranked criteria included three phenotypic criteria (weight loss, low body mass index, and reduced muscle mass) and two etiologic criteria (reduced food intake or assimilation, and inflammation or disease burden). To diagnose malnutrition at least one phenotypic criterion and one etiologic criterion should be present. Phenotypic metrics for grading severity as Stage 1 (moderate) and Stage 2 (severe) malnutrition 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. Conclusion: A consensus scheme for diagnosing malnutrition in adults in clinical settings on a global scale is proposed. Next steps are to secure further collaboration and endorsements from leading nutrition professional societies, to identify overlaps with syndromes like cachexia and sarcopenia, and to promote dissemination, validation studies, and feedback. The diagnostic construct should be re-considered every 3–5 years., SCOPUS: ar.j, info:eu-repo/semantics/published

Published
2019
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