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

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP JENSEN, Gordon L.
CORREIA, M. Isabel T. D.
GONZALEZ, M. Christina
BAPTISTA, Gertrudis Adrianza de
COATS, Andrew J. S.
EVANS, David C.
KELLER, Heather
LLIDO, Luisito
MALONE, Ainsley
PIRLICH, Matthias
SCHUEREN, Marian de van der
SINGER, Pierre
VELASCO, Nicolas
YAMWONG, Preyanuj
YU, Jianchun
COMPHER, Charlene
GOSSUM, Andre Van 2019
dc.identifier.citation JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, v.43, n.1, p.32-40, 2019
dc.identifier.issn 0148-6071
dc.description.abstract 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.
dc.language.iso eng
dc.publisher WILEY
dc.relation.ispartof Journal of Parenteral and Enteral Nutrition
dc.rights restrictedAccess
dc.subject assessment; diagnosis; malnutrition; screening
dc.subject.other sarcopenia
dc.title GLIM Criteria for the Diagnosis of Malnutrition: A Consensus Report From the Global Clinical Nutrition Community
dc.type article
dc.rights.holder Copyright WILEY LIM/35
dc.identifier.doi 10.1002/jpen.1440
dc.identifier.pmid 30175461
dc.type.category original article
dc.type.version publishedVersion WAITZBERG, Dan L.:FM:MGT · JENSEN, Gordon L.:Univ Vermont, Deans Off, Burlington, VT USA; Univ Vermont, Dept Med, Larner Coll Med, Burlington, VT USA
· CEDERHOLM, Tommy:Uppsala Univ, Clin Nutr & Metab, Dept Publ Hlth & Caring Sci, Uppsala, Sweden; Karolinska Univ Hosp, Theme Aging, Stockholm, Sweden
· CORREIA, M. Isabel T. D.:Univ Fed Minas Gerais, Dept Surg, Belo Horizante, Brazil
· GONZALEZ, M. Christina:Univ Catolica Pelotas, Postgrad Program Hlth & Behav, Pelotas, RS, Brazil
· FUKUSHIMA, Ryoji:Univ Tokyo, Sch Med, Dept Med, Dept Surg, Tokyo, Japan
· HIGASHIGUCHI, Takashi:Fujita Hlth Univ, Sch Med, Dept Surg & Palliat Med, Toyoake, Aichi, Japan
· BAPTISTA, Gertrudis Adrianza de:Univ Cent Venezuela, Med Fac Cent Univ Venezuela, Univ Hosp Caracas, Acad Caracas,Chief Nutr Support Unit Hosp Univ, Caracas, Venezuela
· BARAZZONI, Rocco:Univ Trieste, Osped Cattinara, Dept Med Technol & Translat Sci, Trieste, Italy
· BLAAUW, Renee:Stellenbosch Univ, Fac Med & Hlth Sci, Div Human Nutr, Cape Town, South Africa
· COATS, Andrew J. S.:Monash Univ Australia, Warwick, England; Univ Warwick, Warwick, England
· CRIVELLI, Adriana:San Martin Hosp, Nutr Support Unit, La Plata, Argentina
· EVANS, David C.:Ohio State Univ, Dept Surg, Columbus, OH 43210 USA
· GRAMLICH, Leah:Univ Alberta, Edmonton, AB, Canada
· FUCHS-TARLOVSKY, Vanessa:Hosp Gen Mexico City, Clin Nutr Dept, Mexico City, DF, Mexico
· KELLER, Heather:Univ Waterloo, Schlegel UW Res Inst Aging, Waterloo, ON, Canada; Univ Waterloo, Dept Kinesiol, Waterloo, ON, Canada
· LLIDO, Luisito:St Lukes Med Ctr Quezon City, Clin Nutr Serv, Quezon City, Philippines
· MALONE, Ainsley:Amer Soc Parenteral & Enteral Nutr, Silver Spring, MD USA; Mt Carmel West Hosp, Columbus, OH USA
· MOGENSEN, Kris M.:Brigham & Womens Hosp, Dept Med, 75 Francis St, Boston, MA 02115 USA
· MORLEY, John E.:St Louis Univ Hosp, Div Geriatr, St Louis, MO USA
· MUSCARITOLI, Maurizio:Sapienza Univ Rome, Dept Clin Med, Rome, Italy
· NYULASI, Ibolya: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:Imperial Oak Outpatient Clin, Endocrinol Gastroenterol & Clin Nutr, Berlin, Germany
· PISPRASERT, Veeradej:Khon Kaen Univ Coll Med, Dept Med, Khon Kaen, Thailand
· SCHUEREN, Marian de van der: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:Minist Sci & Technol, Bangkok, Thailand
· SINGER, Pierre:Tel Aviv Univ, Petah Tikva & Sackler Sch Med, Dept Gen Intens Care, Rabin Med Ctr, Tel Aviv, Israel
· TAPPENDEN, Kelly A.:Univ Illinois, Dept Kinesiol & Nutr, Chicago, IL USA
· VELASCO, Nicolas:Pontificia Univ Catolica Chile, Sch Med, Dept Nutr Diabet & Metabolismo, Santiago, Chile
· YAMWONG, Preyanuj:Siriaj Hosp, Dept Med, Bangkok, Thailand
· YU, Jianchun:Peking Union Med Coll Hosp, Dept Gen Surg, GI Surg & Nutr Metab Div, Beijing, Peoples R China
· COMPHER, Charlene:Univ Penn, Sch Nursing, Biobehav Hlth Sci Dept, Philadelphia, PA 19104 USA; Univ Penn, Sch Nursing, Nutr Programs, Philadelphia, PA 19104 USA
· GOSSUM, Andre Van:Free Univ Brussels, Hop Erasme, Clin Intestinal Dis & Nutr Support, Dept Gastroenterol, Brussels, Belgium WOS:000455817700006 2-s2.0-85053240497 HOBOKEN USA
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dc.description.index MEDLINE
dc.identifier.eissn 1941-2444
hcfmusp.citation.scopus 21
hcfmusp.citation.wos 14 Brasil Estados Unidos Suécia Japão Venezuela Itália África do Sul Inglaterra Argentina Canadá México Philippines Austrália Alemanha Tailândia Holanda Israel Chile China Bélgica
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