The GLIM consensus approach to diagnosis of malnutrition: A 5-year update.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Cederholm Tommy, Jensen Gordon L, Correia M Isabel T D, Gonzalez M Cristina, Fukushima Ryoji, Pisprasert Veeradej, Blaauw Renee, Braz Diana Cardenas, Carrasco Fernando, Cruz Jentoft Alfonso J, Cuerda Cristina, Evans David C, Fuchs-Tarlovsky Vanessa, Gramlich Leah, Shi Han Ping, Hasse Jeanette M, Hiesmayr Michael, Hiki Naoki, Jager-Wittenaar Harriët, Jahit Shukri, Jáquez Anayanet, Keller Heather, Klek Stanislaw, Malone Ainsley, Mogensen Kris M, Mori Naoharu, Mundi Manpreet, Muscaritoli Maurizio, Ng Doris, Nyulasi Ibolya, Pirlich Matthias, Schneider Stephane, Schueren Marian de van der, Siltharm Soranit, Singer Pierre, Steiber Alison, Tappenden Kelly A, Yu Jianchun, van Gossum André, Wang Jaw-Yuan, Winkler Marion F, Barazzoni Rocco, Compher Charlene
Аннотация
METHODS: A GLIM working group (n = 43 members) conducted a literature search spanning 2019-2024 using the keywords "Global Leadership Initiative on Malnutrition or GLIM". Prior GLIM activities providing guidance for use of the criteria on muscle mass and inflammation were reviewed. Successive rounds of review and revision were used to achieve consensus.
RESULTS: More than 400 scientific reports are published in peer-reviewed journals, forming the basis of 10 systematic reviews, some including meta-analyses of GLIM validity that indicate strong construct and predictive validity. Limitations and future priorities are discussed. Working group findings suggest that assessment of low muscle mass should be guided by experience and available technological resources. Clinical judgement may suffice to evaluate the inflammation/disease burden etiologic criterion. No revisions of the weight loss, low BMI, or reduced food intake/assimilation criteria are suggested. Following two rounds of review and revision, the working group secured 100 % agreement with the conclusions reported in the 5-year update.
CONCLUSION: Ongoing initiatives target priorities that include malnutrition risk screening procedures, GLIM adaptation to the intensive care setting, assessment in support of the reduced food intake/assimilation criterion, and determination of malnutrition in obesity.