Influence of Malnutrition According to the GLIM Criteria on the Clinical Outcomes of Hospitalized Patients With Cancer
Background: Malnutrition is prevalent among patients with cancer. The Global Leadership Initiative on Malnutrition (GLIM) released new universal criteria for diagnosing malnutrition in 2019. The objectives of this study were to assess the prevalence of malnutrition in patients with cancer using the...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-12-01
|
| Series: | Frontiers in Nutrition |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2021.774636/full |
| _version_ | 1819095979458035712 |
|---|---|
| author | Chengyu Liu Chengyu Liu Zhenhua Lu Zhenhua Lu Zijian Li Jingyong Xu Hongyuan Cui Hongyuan Cui Mingwei Zhu Mingwei Zhu |
| author_facet | Chengyu Liu Chengyu Liu Zhenhua Lu Zhenhua Lu Zijian Li Jingyong Xu Hongyuan Cui Hongyuan Cui Mingwei Zhu Mingwei Zhu |
| author_sort | Chengyu Liu |
| collection | DOAJ |
| description | Background: Malnutrition is prevalent among patients with cancer. The Global Leadership Initiative on Malnutrition (GLIM) released new universal criteria for diagnosing malnutrition in 2019. The objectives of this study were to assess the prevalence of malnutrition in patients with cancer using the GLIM criteria, explore the correlation between the GLIM criteria, and clinical outcomes, and compare the GLIM criteria with subjective global assessment (SGA).Methods: This retrospective analysis was conducted on 2,388 patients with cancer enrolled in a multicenter study. Nutritional risk was screened using the Nutritional Risk Screening-2002, and the nutritional status was assessed using SGA and GLIM criteria. Chi-square analysis and Wilcoxon rank sum test, stratified by age 65 years, were used to evaluate the effect of GLIM-defined malnutrition on clinical outcomes. Logistic regression analysis was used to analyze the nutritional status and complications, and the interrater reliability was measured using a kappa test.Results: The prevalence of malnutrition defined by the GLIM criteria was 38.9% (929/2,388). GLIM-defined malnutrition was significantly associated with in-hospital mortality (P = 0.001) and length of hospital stays (P = 0.001). Multivariate logistic regression analysis showed GLIM-defined malnutrition significantly increased complications (odds ratio [OR] 1.716, 95% CI 1.227–2.400, P = 0.002). The GLIM criteria had a “moderate agreement” (kappa = 0.426) compared with the SGA.Conclusions: The prevalence of malnutrition in hospitalized patients with cancer is high, and malnourishment in patients with cancer is associated with poorer clinical outcomes. The use of the GLIM criteria in assessing the nutritional status of inpatients with cancer is recommended and can be used as the basis for nutritional interventions. |
| first_indexed | 2024-12-21T23:51:54Z |
| format | Article |
| id | doaj.art-119f70c643f14c2eb773c2e1e30fcd89 |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-12-21T23:51:54Z |
| publishDate | 2021-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj.art-119f70c643f14c2eb773c2e1e30fcd892022-12-21T18:45:55ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2021-12-01810.3389/fnut.2021.774636774636Influence of Malnutrition According to the GLIM Criteria on the Clinical Outcomes of Hospitalized Patients With CancerChengyu Liu0Chengyu Liu1Zhenhua Lu2Zhenhua Lu3Zijian Li4Jingyong Xu5Hongyuan Cui6Hongyuan Cui7Mingwei Zhu8Mingwei Zhu9Department of General Surgery, National Center of Gerontology, Beijing Hospital, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaThe Key Laboratory of Geriatrics, National Center of Gerontology, National Health Commission, Beijing Hospital, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of General Surgery, National Center of Gerontology, Beijing Hospital, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaThe Key Laboratory of Geriatrics, National Center of Gerontology, National Health Commission, Beijing Hospital, Beijing Institute of Geriatrics, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of General Surgery, National Center of Gerontology, Beijing Hospital, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of General Surgery, National Center of Gerontology, Beijing Hospital, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of General Surgery, National Center of Gerontology, Beijing Hospital, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining, ChinaDepartment of General Surgery, National Center of Gerontology, Beijing Hospital, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of Nutrition, National Center of Gerontology, Beijing Hospital, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaBackground: Malnutrition is prevalent among patients with cancer. The Global Leadership Initiative on Malnutrition (GLIM) released new universal criteria for diagnosing malnutrition in 2019. The objectives of this study were to assess the prevalence of malnutrition in patients with cancer using the GLIM criteria, explore the correlation between the GLIM criteria, and clinical outcomes, and compare the GLIM criteria with subjective global assessment (SGA).Methods: This retrospective analysis was conducted on 2,388 patients with cancer enrolled in a multicenter study. Nutritional risk was screened using the Nutritional Risk Screening-2002, and the nutritional status was assessed using SGA and GLIM criteria. Chi-square analysis and Wilcoxon rank sum test, stratified by age 65 years, were used to evaluate the effect of GLIM-defined malnutrition on clinical outcomes. Logistic regression analysis was used to analyze the nutritional status and complications, and the interrater reliability was measured using a kappa test.Results: The prevalence of malnutrition defined by the GLIM criteria was 38.9% (929/2,388). GLIM-defined malnutrition was significantly associated with in-hospital mortality (P = 0.001) and length of hospital stays (P = 0.001). Multivariate logistic regression analysis showed GLIM-defined malnutrition significantly increased complications (odds ratio [OR] 1.716, 95% CI 1.227–2.400, P = 0.002). The GLIM criteria had a “moderate agreement” (kappa = 0.426) compared with the SGA.Conclusions: The prevalence of malnutrition in hospitalized patients with cancer is high, and malnourishment in patients with cancer is associated with poorer clinical outcomes. The use of the GLIM criteria in assessing the nutritional status of inpatients with cancer is recommended and can be used as the basis for nutritional interventions.https://www.frontiersin.org/articles/10.3389/fnut.2021.774636/fullGLIM criteriamalnutritioncancer patientssubjective global assessmentclinical outcome |
| spellingShingle | Chengyu Liu Chengyu Liu Zhenhua Lu Zhenhua Lu Zijian Li Jingyong Xu Hongyuan Cui Hongyuan Cui Mingwei Zhu Mingwei Zhu Influence of Malnutrition According to the GLIM Criteria on the Clinical Outcomes of Hospitalized Patients With Cancer Frontiers in Nutrition GLIM criteria malnutrition cancer patients subjective global assessment clinical outcome |
| title | Influence of Malnutrition According to the GLIM Criteria on the Clinical Outcomes of Hospitalized Patients With Cancer |
| title_full | Influence of Malnutrition According to the GLIM Criteria on the Clinical Outcomes of Hospitalized Patients With Cancer |
| title_fullStr | Influence of Malnutrition According to the GLIM Criteria on the Clinical Outcomes of Hospitalized Patients With Cancer |
| title_full_unstemmed | Influence of Malnutrition According to the GLIM Criteria on the Clinical Outcomes of Hospitalized Patients With Cancer |
| title_short | Influence of Malnutrition According to the GLIM Criteria on the Clinical Outcomes of Hospitalized Patients With Cancer |
| title_sort | influence of malnutrition according to the glim criteria on the clinical outcomes of hospitalized patients with cancer |
| topic | GLIM criteria malnutrition cancer patients subjective global assessment clinical outcome |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2021.774636/full |
| work_keys_str_mv | AT chengyuliu influenceofmalnutritionaccordingtotheglimcriteriaontheclinicaloutcomesofhospitalizedpatientswithcancer AT chengyuliu influenceofmalnutritionaccordingtotheglimcriteriaontheclinicaloutcomesofhospitalizedpatientswithcancer AT zhenhualu influenceofmalnutritionaccordingtotheglimcriteriaontheclinicaloutcomesofhospitalizedpatientswithcancer AT zhenhualu influenceofmalnutritionaccordingtotheglimcriteriaontheclinicaloutcomesofhospitalizedpatientswithcancer AT zijianli influenceofmalnutritionaccordingtotheglimcriteriaontheclinicaloutcomesofhospitalizedpatientswithcancer AT jingyongxu influenceofmalnutritionaccordingtotheglimcriteriaontheclinicaloutcomesofhospitalizedpatientswithcancer AT hongyuancui influenceofmalnutritionaccordingtotheglimcriteriaontheclinicaloutcomesofhospitalizedpatientswithcancer AT hongyuancui influenceofmalnutritionaccordingtotheglimcriteriaontheclinicaloutcomesofhospitalizedpatientswithcancer AT mingweizhu influenceofmalnutritionaccordingtotheglimcriteriaontheclinicaloutcomesofhospitalizedpatientswithcancer AT mingweizhu influenceofmalnutritionaccordingtotheglimcriteriaontheclinicaloutcomesofhospitalizedpatientswithcancer |