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

作者：Gordon Lee Jensen, Tommy Cederholm, María Isabel Toulson Davisson Correia, Marı́a Cristina González, Ryoji Fukushima, Takashi Higashiguchi, Gertrudis Adrianza de Baptista, Rocco Barazzoni, Renée Blaauw, Andrew J.S. Coats, Adriana Crivelli, David Clay Evans, Leah M Gramlich, Vanessa Fuchs‐Tarlovsky, Heather Keller, Luisito O. Llido, Ainsley M. Malone, Kris M. Mogensen, John Edward Morley, Maurizio Muscaritoli, Ibolya B. Nyulasi, Matthias Pirlich, Veeradej Pisprasert, Marian A.E. de van der Schueren, S. Siltharm, Pierre Singer, Kelly Anne Tappenden, Nicolás Velasco, Dan Linetzky Waitzberg, Preyanuj Yamwong, Jianchun Yu, Charlene W. Compher, A. Van Gossum · 发表于：Journal of Parenteral and Enteral Nutrition · 年份：2018 · DOI：10.1002/jpen.1440 · 被引用次数：1446 · 研究领域：Nutrition and Health in Aging、Child Nutrition and Water Access、Dietetics, Nutrition, and Education

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 clinica...