Please use this identifier to cite or link to this item:
Title: GLIM Criteria for the Diagnosis of Malnutrition: A Consensus Report From the Global Clinical Nutrition Community
Authors: JENSEN, Gordon L.CEDERHOLM, TommyCORREIA, M. Isabel T. D.GONZALEZ, M. ChristinaFUKUSHIMA, RyojiHIGASHIGUCHI, TakashiBAPTISTA, Gertrudis Adrianza deBARAZZONI, RoccoBLAAUW, ReneeCOATS, Andrew J. S.CRIVELLI, AdrianaEVANS, David C.GRAMLICH, LeahFUCHS-TARLOVSKY, VanessaKELLER, HeatherLLIDO, LuisitoMALONE, AinsleyMOGENSEN, Kris M.MORLEY, John E.MUSCARITOLI, MaurizioNYULASI, IbolyaPIRLICH, MatthiasPISPRASERT, VeeradejSCHUEREN, Marian de van derSILTHARM, SoranitSINGER, PierreTAPPENDEN, Kelly A.VELASCO, NicolasWAITZBERG, Dan L.YAMWONG, PreyanujYU, JianchunCOMPHER, CharleneGOSSUM, Andre Van
Citation: JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, v.43, n.1, p.32-40, 2019
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.
Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MGT
Departamento de Gastroenterologia - FM/MGT

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - LIM/35
LIM/35 - Laboratório de Nutrição e Cirurgia Metabólica do Aparelho Digestivo

Artigos e Materiais de Revistas Científicas - ODS/02
ODS/02 - Fome zero e agricultura sustentável

Files in This Item:
File Description SizeFormat 
  Restricted Access
publishedVersion (English)655.18 kBAdobe PDFView/Open Request a copy

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.