Global Leadership Initiative on Malnutrition (GLIM): Guidance on validation of the operational criteria for the diagnosis of protein-energy malnutrition in adults

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SCHUEREN, M. A. E. de van der
CLINICAL NUTRITION, v.39, n.9, p.2872-2880, 2020
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Background: The Global Leadership Initiative on Malnutrition (GLIM) created a consensus-based framework consisting of phenotypic and etiologic criteria to record the occurrence of malnutrition in adults. This is a minimum set of practicable indicators for use in characterizing a patient/client as malnourished, considering the global variations in screening and nutrition assessment, and to be used across different health care settings. As with other consensus-based frameworks for diagnosing disease states, these operational criteria require validation and reliability testing as they are currently based solely on expert opinion. Methods: Several forms of validation and reliability are reviewed in the context of GLIM, providing guidance on how to conduct retrospective and prospective studies for criterion and construct validity. Findings: There are some aspects of GLIM criteria which require refinement; research using large data bases can be employed to reach this goal. Machine learning is also introduced as a potential method to support identification of the best cut-points and combinations of operational criteria for use with the different forms of malnutrition, which the GLIM criteria were created to denote. It is noted as well that the validation and reliability testing need to occur in a variety of sectors, populations and with diverse persons completing the criteria. Conclusion: The guidance presented supports the conduct and publication of quality validation and reliability studies for GLIM.
Adult, Nutrition assessment, Outcomes research/quality
  1. BAKER JP, 1982, NEW ENGL J MED, V306, P969, DOI 10.1056/NEJM198204223061606
  2. Bannigan K, 2009, J CLIN NURS, V18, P3237, DOI 10.1111/j.1365-2702.2009.02939.x
  3. Bauer J. D., 2006, Nutrition & Dietetics, V63, pS5
  4. Blauwhoff-Buskermolen S, 2017, J CACHEXIA SARCOPENI, V8, P615, DOI 10.1002/jcsm.12200
  5. Cederholm T, 2017, CLIN NUTR, V36, P49, DOI 10.1016/j.clnu.2016.09.004
  6. Cederholm T, 2019, CLIN NUTR, V38, P1, DOI 10.1016/j.clnu.2018.08.002
  7. Charney P, 2008, NUTR CLIN PRACT, V23, P366, DOI 10.1177/0884533608321131
  8. Cobb AN, 2018, AM J SURG, V215, P411, DOI 10.1016/j.amjsurg.2017.10.027
  9. Cruz-Jentoft AJ, 2019, AGE AGEING, V48, P16, DOI 10.1093/ageing/afy169
  10. Deutz NEP, 2019, J AM MED DIR ASSOC, V20, P22, DOI 10.1016/j.jamda.2018.11.021
  11. Ferrante di Ruffano L, 2012, BMJ-BRIT MED J, V344, DOI 10.1136/bmj.e686
  12. Gibson RS, 2005, PRINCIPLES NUTR ASSE
  13. Guigoz Y., 1994, FACTS RES GERONTOL S, V4, P15
  14. Henrique JR, 2019, CLIN NUTR, V38, pS239
  15. Jager-Wittenaar H, 2017, CURR OPIN CLIN NUTR, V20, P322, DOI 10.1097/MCO.0000000000000389
  16. Jensen GL, 2019, JPEN-PARENTER ENTER, V43, P32, DOI 10.1002/jpen.1440
  17. Jensen GL, 2010, JPEN-PARENTER ENTER, V34, P156, DOI 10.1177/0148607110361910
  18. Jones JM, 2004, NUTRITION, V20, P307, DOI 10.1016/j.nut.2003.11.012
  19. Jones JM, 2004, NUTRITION, V20, P312, DOI 10.1016/j.nut.2003.11.005
  20. Keller HH, 2005, EUR J CLIN NUTR, V59, P1149, DOI 10.1038/sj.ejcn.1602225
  21. Lublin FD, 2014, NEUROLOGY, V83, P278, DOI 10.1212/WNL.0000000000000560
  22. Martin L, 2018, ANN SURG ONCOL, V25, P2669, DOI 10.1245/s10434-018-6652-x
  23. McKhann GM, 2011, ALZHEIMERS DEMENT, V7, P263, DOI 10.1016/j.jalz.2011.03.005
  24. Power L, 2019, CLIN NUTR, V38, P1807, DOI 10.1016/j.clnu.2018.07.022
  25. Power L, 2018, CLIN NUTR ESPEN, V24, P1, DOI 10.1016/j.clnesp.2018.02.005
  26. Schuetz P, 2019, LANCET, V393, P2312, DOI 10.1016/S0140-6736(18)32776-4
  27. Shrout P E, 1998, Stat Methods Med Res, V7, P301, DOI 10.1191/096228098672090967
  28. Soeters P, 2017, CLIN NUTR, V36, P896, DOI 10.1016/j.clnu.2016.09.032
  29. Soeters PB, 2008, CLIN NUTR, V27, P706, DOI 10.1016/j.clnu.2008.07.009
  30. Streiner D, 1996, PRACTICAL GUIDE THEI
  31. Sullivan Gail M, 2012, J Grad Med Educ, V4, P279, DOI 10.4300/JGME-D-12-00156.1
  32. Van Ancum JM, 2017, EXP GERONTOL, V92, P34, DOI 10.1016/j.exger.2017.03.006
  33. van Bokhorst-de van der Schueren MAE, 2014, CLIN NUTR, V33, P39, DOI 10.1016/j.clnu.2013.04.008
  34. van Rijssen NM, 2018, EUR GERIATR MED, V9, P389, DOI [10.1007/s41999-018-0057-z, 10.1007/S41999-018-0057-z]
  35. Walsh T, 2018, J DENT, V74, pS47, DOI 10.1016/j.jdent.2018.04.022
  36. Weijs PJM, 2014, CRIT CARE, V18, DOI 10.1186/s13054-014-0701-z
  37. White JV, 2012, J ACAD NUTR DIET, V112, P730, DOI 10.1016/j.jand.2012.03.012
  38. Wierdsma N, 2017, DIETETIC POCKET GUID