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

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dc.contributor.authorJensen, Gordon L.
dc.contributor.authorCederholm, Tommy
dc.contributor.authorCorreia, M. Isabel T. D.
dc.contributor.authorGonzalez, M. Christina
dc.contributor.authorFukushima, Ryoji
dc.contributor.authorHigashiguchi, Takashi
dc.contributor.authorde Baptista, Gertrudis Adrianza
dc.contributor.authorBarazzoni, Rocco
dc.contributor.authorBlaauw, Renee
dc.contributor.authorCoats, Andrew J. S.
dc.contributor.authorCrivelli, Adriana
dc.contributor.authorEvans, David C.
dc.contributor.authorGramlich, Leah
dc.contributor.authorFuchs-Tarlovsky, Vanessa
dc.contributor.authorKeller, Heather
dc.contributor.authorLlido, Luisito
dc.contributor.authorMalone, Ainsley
dc.contributor.authorMogensen, Kris M.
dc.contributor.authorMorley, John E.
dc.contributor.authorMuscaritoli, Maurizio
dc.contributor.authorNyulasi, Ibolya
dc.contributor.authorPirlich, Matthias
dc.contributor.authorPisprasert, Veeradej
dc.contributor.authorde van der Schueren, Marian
dc.contributor.authorSiltharm, Soranit
dc.contributor.authorSinger, Pierre
dc.contributor.authorTappenden, Kelly A.
dc.contributor.authorVelasco, Nicolas
dc.contributor.authorWaitzberg, Dan L.
dc.contributor.authorYamwong, Preyanuj
dc.contributor.authorYu, Jianchun
dc.contributor.authorCompher, Charlene
dc.contributor.authorVan Gossum, Andre
dc.date.accessioned2025-01-23T21:19:47Z
dc.date.available2025-01-23T21:19:47Z
dc.date.issued2019
dc.description.abstractBackground 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.
dc.fuente.origenWOS
dc.identifier.doi10.1002/jpen.1440
dc.identifier.eissn1941-2444
dc.identifier.issn0148-6071
dc.identifier.urihttps://doi.org/10.1002/jpen.1440
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/101192
dc.identifier.wosidWOS:000455817700006
dc.issue.numero1
dc.language.isoen
dc.pagina.final40
dc.pagina.inicio32
dc.revistaJournal of parenteral and enteral nutrition
dc.rightsacceso restringido
dc.subjectassessment
dc.subjectdiagnosis
dc.subjectmalnutrition
dc.subjectscreening
dc.subject.ods05 Gender Equality
dc.subject.ods02 Zero Hunger
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa05 Igualdad de género
dc.subject.odspa02 Hambre cero
dc.subject.odspa03 Salud y bienestar
dc.titleGLIM Criteria for the Diagnosis of Malnutrition: A Consensus Report From the Global Clinical Nutrition Community
dc.typeartículo
dc.volumen43
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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