Abstract
References
- Cederholm T, Barazzoni R, Austin P, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr 2016; 36: 49–64.
- Lew CCH, Yandell R, Fraser RJL, Chua AP, Chong MFF, Miller M. Association between Malnutrition and Clinical Outcomes in the Intensive Care Unit: A Systematic Review. J Parenter Enter Nutr 2017; 41: 744–58.
- Board P. Dietetics & Nutrition 2019; 6368: 1–24.
- Bolayir B, Arik G, Yeşil Y, et al. Validation of Nutritional Risk Screening-2002 in a hospitalized adult pPopulation. Nutr Clin Pract 2019; 34: 297–303.
- Compher C, Fuchs-Tarlovsky V, Siltharm S, et al. GLIM criteria for the diagnosis of malnutrition – A consensus report from the global clinical nutrition community. Clin Nutr 2019; 38: 1–9.
- Bahat G, Tufan A, Tufan F, et al. Cut-off points to identify sarcopenia according to European Working Group on Sarcopenia in Older People (EWGSOP) definition. Clin Nutr 2016; 35: 1557–63.
- Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN guidelines for nutrition screening 2002. Clin Nutr 2003; 22: 415–21.
- Ülger Z, Halil M, Kalan I, et al. Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adults. Clin Nutr 2010; 29: 507–11.
- Yürüyen M, Özbaş Tevetoğlu I, Tekmen Y, Polat Ö, Arslan İ, Okuturlar Y. Prognostic Factors and Clinical Features in Palliative Care Patients. Konuralp Tıp Derg 2018; 10: 74–80.
- Muscaritoli M, Lucia S, Farcomeni A, et al. Prevalence of malnutrition in patients at first medical oncology visit: the PreMiO study. Oncotarget 2017; 8: 79884–96.
- Shpata V, Ohri I, Nurka T, Prendushi X. The prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients. Clin Interv Aging 2015; 10: 481–6.
- Young AM, Kidston S, Banks MD, Mudge AM, Isenring EA. Malnutrition screening tools: Comparison against two validated nutrition assessment methods in older medical inpatients. Nutrition 2013; 29: 101–6.
- Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the Mini Nutritional Assessment short-form (MNA®-SF): A practical tool for identification of nutritional status. J Nutr Heal Aging 2009; 13: 782–8.
- Christner S, Ritt M, Volkert D, Wirth R, Sieber CC, Gaßmann KG. Evaluation of the nutritional status of older hospitalized geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002). J Hum Nutr Diet 2016; 29: 704–13.
- Koren-Hakim T, Weiss A, Hershkovitz A, et al. Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients. Clin Nutr 2016; 35: 1053–8.
- Matsumoto Y, Iwai K, Namikawa N, et al. The relationship between existing nutritional indicators and Global Leadership Initiative on Malnutrition (GLIM) criteria: A one-institution cross-sectional analysis. Clin Nutr 2020: 1–6.
- Freitag E, Edgecombe G, Baldwin I, Cottier B, Heland M. Determination of body weight and height measurement for critically ill patients admitted to the intensive care unit: A quality improvement project. Aust Crit Care 2010; 23: 197–207.
- Bloomfield R, Steel E, MacLennan G, Noble DW. Accuracy of weight and height estimation in an intensive care unit: Implications for clinical practice and research. Crit Care Med 2006; 34: 2153–7.
- Hull HR, Thornton J, Wang J, et al. Fat-free mass index: Changes and race/ethnic differences in adulthood. Int J Obes 2011; 35: 121–7.
GLIM criteria for the evaluation of nutrition in palliative care patients, a comparison of MNA-SF and NRS-2002
Abstract
Introduction: A major cause of mortality and morbidity, malnutrition also increases the duration of hospital stay and costs. Therefore, the early diagnosis and detection of those patients at risk is important. Many malnutrition screening tests are available for the detection of those patients. The validity and reliability of the commonly used tests, Nutritional Risk Screening (NRS)-2002 and Mini Nutritional Assessment (MNA) have been proven in the diagnosis of malnutrition in hospitalized patients. A new malnutrition diagnostic criterion called the Global Leadership Initiative on Malnutrition (GLIM) was created by an initiative of the same name as these criteria in 2018. The aim of the present study is to evaluate the differences and superiority of MNA, NRS-2002 screening tests and GLIM criteria in patients hospitalized in palliative care with a diagnosis of malnutrition.
Material and method: 148 patients who were hospitalized in palliative care due to clinical malnutrition were included in the study. MNA, NRS-2002 and GLIM screening tests filled out by dieticians for each patient within the first 48 hours of hospitalization. Within the framework of GLIM criteria, patients were recorded for weight loss from phenotypic criteria based on information obtained from their relatives (more than five percent in the last six months or ten percent or more over the last six months). Hand dynamometer and calf circumference measurements were made to show muscle loss. Hand grip power was measured three times in both hands using a Jamar Digital Hand Dynamometer and the highest value was recorded. Hand grip power cut-off value was accepted as <22 and <32 for women and men, respectively. Individuals with a calf circumference of <31 cm (the cut-off value) were considered to have muscle loss. Low Body Mass Index (BMI) was accepted as 20 kg/m2 for individuals under the age of 70 years, and <22 for individuals above the age of 70 years. Decreased food intake which is among the etiologic criteria was detected by calculating the mean daily consumed calories of a patient. Individuals with CRP>5 were accepted as inflammation positive.
Result: Mean age in the total series was 72.98 with 70.4 in males and 75.5 in females including a total of 148 patients. Among the patients 50.67% (n=75) were males and 49.32% (n=73) were females. Malnutrition was found to be present in 141/148 (94.6%) patients according to the GLIM screening test. Malnutrition risk was present in 131/148 (87.9%) and 139/148 (93.2%) according to MNA-SF and NRS-2002, respectively. The results of GLIM criteria and the other two screening tests were compared. While the results of GLIM criteria and NRS-2002 test were similar, a significant difference was found between the GLIM test results and the results of MNA-SF. The reason of the difference was considered to be the fact that more patients were diagnosed as having malnutrition when GLIM and NRS-2002 tests were used, and the number was found to be smaller when MNA-SF was used.
Conclusion: The GLIM screening test is considered to be an easy to use and sensitive test for the diagnosis of patients hospitalized in palliative care centers. GLIM test and NRS- 2002 were found to be similar for diagnosing malnutrition. Although the results of MNA and GLIM tests were close, a significant difference was found between them in the diagnosis of malnutrition
Keywords
Palliative care Malnutrition Global Leadership Initiative on Malnutrition MNA-SF and NRS 2002 Malnutrition Screening Nutrition assessment Diagnostic criteria
References
- Cederholm T, Barazzoni R, Austin P, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr 2016; 36: 49–64.
- Lew CCH, Yandell R, Fraser RJL, Chua AP, Chong MFF, Miller M. Association between Malnutrition and Clinical Outcomes in the Intensive Care Unit: A Systematic Review. J Parenter Enter Nutr 2017; 41: 744–58.
- Board P. Dietetics & Nutrition 2019; 6368: 1–24.
- Bolayir B, Arik G, Yeşil Y, et al. Validation of Nutritional Risk Screening-2002 in a hospitalized adult pPopulation. Nutr Clin Pract 2019; 34: 297–303.
- Compher C, Fuchs-Tarlovsky V, Siltharm S, et al. GLIM criteria for the diagnosis of malnutrition – A consensus report from the global clinical nutrition community. Clin Nutr 2019; 38: 1–9.
- Bahat G, Tufan A, Tufan F, et al. Cut-off points to identify sarcopenia according to European Working Group on Sarcopenia in Older People (EWGSOP) definition. Clin Nutr 2016; 35: 1557–63.
- Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN guidelines for nutrition screening 2002. Clin Nutr 2003; 22: 415–21.
- Ülger Z, Halil M, Kalan I, et al. Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adults. Clin Nutr 2010; 29: 507–11.
- Yürüyen M, Özbaş Tevetoğlu I, Tekmen Y, Polat Ö, Arslan İ, Okuturlar Y. Prognostic Factors and Clinical Features in Palliative Care Patients. Konuralp Tıp Derg 2018; 10: 74–80.
- Muscaritoli M, Lucia S, Farcomeni A, et al. Prevalence of malnutrition in patients at first medical oncology visit: the PreMiO study. Oncotarget 2017; 8: 79884–96.
- Shpata V, Ohri I, Nurka T, Prendushi X. The prevalence and consequences of malnutrition risk in elderly Albanian intensive care unit patients. Clin Interv Aging 2015; 10: 481–6.
- Young AM, Kidston S, Banks MD, Mudge AM, Isenring EA. Malnutrition screening tools: Comparison against two validated nutrition assessment methods in older medical inpatients. Nutrition 2013; 29: 101–6.
- Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the Mini Nutritional Assessment short-form (MNA®-SF): A practical tool for identification of nutritional status. J Nutr Heal Aging 2009; 13: 782–8.
- Christner S, Ritt M, Volkert D, Wirth R, Sieber CC, Gaßmann KG. Evaluation of the nutritional status of older hospitalized geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002). J Hum Nutr Diet 2016; 29: 704–13.
- Koren-Hakim T, Weiss A, Hershkovitz A, et al. Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients. Clin Nutr 2016; 35: 1053–8.
- Matsumoto Y, Iwai K, Namikawa N, et al. The relationship between existing nutritional indicators and Global Leadership Initiative on Malnutrition (GLIM) criteria: A one-institution cross-sectional analysis. Clin Nutr 2020: 1–6.
- Freitag E, Edgecombe G, Baldwin I, Cottier B, Heland M. Determination of body weight and height measurement for critically ill patients admitted to the intensive care unit: A quality improvement project. Aust Crit Care 2010; 23: 197–207.
- Bloomfield R, Steel E, MacLennan G, Noble DW. Accuracy of weight and height estimation in an intensive care unit: Implications for clinical practice and research. Crit Care Med 2006; 34: 2153–7.
- Hull HR, Thornton J, Wang J, et al. Fat-free mass index: Changes and race/ethnic differences in adulthood. Int J Obes 2011; 35: 121–7.
Details
| Primary Language | English |
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| Subjects | Health Care Administration |
| Journal Section | Original Article |
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| Publication Date | July 15, 2021 |
| Published in Issue | Year 2021 Volume: 4 Issue: 4 |
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