GLIM criteria using NRS-2002 and MUST as the first step adequately diagnose the malnutrition in Crohn’s disease inpatients: A retrospective study
ObjectiveThe Global Leader Initiative on Malnutrition (GLIM) criteria have been recommended for malnutrition diagnosis recently, for which the first step is malnutrition risk screening with any validated tool. This study aims to investigate the incidence of nutritional risk and malnutrition in Crohn...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-01-01
|
| Series: | Frontiers in Nutrition |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2022.1059191/full |
| _version_ | 1797955977549447168 |
|---|---|
| author | Meng Wang Qin Guo Hong Liu Min Liu Chenyi Tang Jinru Wu Guo Feng Wei Wu |
| author_facet | Meng Wang Qin Guo Hong Liu Min Liu Chenyi Tang Jinru Wu Guo Feng Wei Wu |
| author_sort | Meng Wang |
| collection | DOAJ |
| description | ObjectiveThe Global Leader Initiative on Malnutrition (GLIM) criteria have been recommended for malnutrition diagnosis recently, for which the first step is malnutrition risk screening with any validated tool. This study aims to investigate the incidence of nutritional risk and malnutrition in Crohn’s disease inpatients and compare the suitability of Nutritional Risk Screening 2002 (NRS-2002) and Malnutrition Universal Screening Tool (MUST) as the first-step screening tool for GLIM criteria.MethodsWe retrospectively analyzed the clinical data of Crohn’s disease inpatients in our hospital from August 2016 to December 2019. NRS-2002 and MUST were used for nutritional screening at the time of admission. GLIM and Patient Generated-Subjective Global Assessment (PG-SGA) were used for malnutrition assessment, respectively. Patients without nutritional risk screened by NRS-2002 but with malnutrition risk screened by MUST were especially screened out. The appendicular skeletal muscle mass index (ASMI), fat-free mass index (FFMI), body fat percent (BFP), and body cell mass (BCM) were measured by the Biospace Inbody S10 composition analyzer.ResultsA total of 146 Crohn’s disease patients were enrolled, of which 62.3 and 89.7% had nutritional or malnutrition risk according to NRS-2002 and MUST, respectively. The prevalence of malnutrition assessed by GLIM was 59.6% (87 cases) and 82.2% (120 cases) when NRS-2002 and MUST were used as the first step of GLIM respectively. Meanwhile, 99 patients (67.8%) had malnutrition when assessed by PG-SGA. There were 41 patients who were not at nutritional risk according to NRS-2002 but were at malnutrition risk determined by MUST. At last, 33 patients were GLIM-defined, and 16 patients were PG-SGA-defined malnutrition among the 41 patients.ConclusionThe nutritional risk or malnutrition is common in Crohn’s disease inpatients. It is recommended to use a variety of nutritional assessment tools for Crohn’s disease inpatients. MUST can be used as a good supplement for the patients with a score of NRS-2002 lower than 3 in order to decrease the miss rate of GLIM-defined malnutrition. |
| first_indexed | 2024-04-10T23:42:45Z |
| format | Article |
| id | doaj.art-86f5e8db9681492ba8f5c71cc5e809b8 |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-04-10T23:42:45Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj.art-86f5e8db9681492ba8f5c71cc5e809b82023-01-11T06:39:37ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-01-01910.3389/fnut.2022.10591911059191GLIM criteria using NRS-2002 and MUST as the first step adequately diagnose the malnutrition in Crohn’s disease inpatients: A retrospective studyMeng Wang0Qin Guo1Hong Liu2Min Liu3Chenyi Tang4Jinru Wu5Guo Feng6Wei Wu7Department of Clinical Nutrition, The Third Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Gastroenterology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Clinical Nutrition, The Third Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Clinical Nutrition, The Third Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Clinical Nutrition, The Third Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Clinical Nutrition, The Third Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Clinical Nutrition, The Third Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Gastroenterology and Urology Medicine, Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan, ChinaObjectiveThe Global Leader Initiative on Malnutrition (GLIM) criteria have been recommended for malnutrition diagnosis recently, for which the first step is malnutrition risk screening with any validated tool. This study aims to investigate the incidence of nutritional risk and malnutrition in Crohn’s disease inpatients and compare the suitability of Nutritional Risk Screening 2002 (NRS-2002) and Malnutrition Universal Screening Tool (MUST) as the first-step screening tool for GLIM criteria.MethodsWe retrospectively analyzed the clinical data of Crohn’s disease inpatients in our hospital from August 2016 to December 2019. NRS-2002 and MUST were used for nutritional screening at the time of admission. GLIM and Patient Generated-Subjective Global Assessment (PG-SGA) were used for malnutrition assessment, respectively. Patients without nutritional risk screened by NRS-2002 but with malnutrition risk screened by MUST were especially screened out. The appendicular skeletal muscle mass index (ASMI), fat-free mass index (FFMI), body fat percent (BFP), and body cell mass (BCM) were measured by the Biospace Inbody S10 composition analyzer.ResultsA total of 146 Crohn’s disease patients were enrolled, of which 62.3 and 89.7% had nutritional or malnutrition risk according to NRS-2002 and MUST, respectively. The prevalence of malnutrition assessed by GLIM was 59.6% (87 cases) and 82.2% (120 cases) when NRS-2002 and MUST were used as the first step of GLIM respectively. Meanwhile, 99 patients (67.8%) had malnutrition when assessed by PG-SGA. There were 41 patients who were not at nutritional risk according to NRS-2002 but were at malnutrition risk determined by MUST. At last, 33 patients were GLIM-defined, and 16 patients were PG-SGA-defined malnutrition among the 41 patients.ConclusionThe nutritional risk or malnutrition is common in Crohn’s disease inpatients. It is recommended to use a variety of nutritional assessment tools for Crohn’s disease inpatients. MUST can be used as a good supplement for the patients with a score of NRS-2002 lower than 3 in order to decrease the miss rate of GLIM-defined malnutrition.https://www.frontiersin.org/articles/10.3389/fnut.2022.1059191/fullCrohn‘s diseasenutritional riskmalnutritionnutritional risk screening 2002Malnutrition Universal Screening Tool (MUST)Global Leader Initiative on Malnutrition (GLIM) |
| spellingShingle | Meng Wang Qin Guo Hong Liu Min Liu Chenyi Tang Jinru Wu Guo Feng Wei Wu GLIM criteria using NRS-2002 and MUST as the first step adequately diagnose the malnutrition in Crohn’s disease inpatients: A retrospective study Frontiers in Nutrition Crohn‘s disease nutritional risk malnutrition nutritional risk screening 2002 Malnutrition Universal Screening Tool (MUST) Global Leader Initiative on Malnutrition (GLIM) |
| title | GLIM criteria using NRS-2002 and MUST as the first step adequately diagnose the malnutrition in Crohn’s disease inpatients: A retrospective study |
| title_full | GLIM criteria using NRS-2002 and MUST as the first step adequately diagnose the malnutrition in Crohn’s disease inpatients: A retrospective study |
| title_fullStr | GLIM criteria using NRS-2002 and MUST as the first step adequately diagnose the malnutrition in Crohn’s disease inpatients: A retrospective study |
| title_full_unstemmed | GLIM criteria using NRS-2002 and MUST as the first step adequately diagnose the malnutrition in Crohn’s disease inpatients: A retrospective study |
| title_short | GLIM criteria using NRS-2002 and MUST as the first step adequately diagnose the malnutrition in Crohn’s disease inpatients: A retrospective study |
| title_sort | glim criteria using nrs 2002 and must as the first step adequately diagnose the malnutrition in crohn s disease inpatients a retrospective study |
| topic | Crohn‘s disease nutritional risk malnutrition nutritional risk screening 2002 Malnutrition Universal Screening Tool (MUST) Global Leader Initiative on Malnutrition (GLIM) |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2022.1059191/full |
| work_keys_str_mv | AT mengwang glimcriteriausingnrs2002andmustasthefirststepadequatelydiagnosethemalnutritionincrohnsdiseaseinpatientsaretrospectivestudy AT qinguo glimcriteriausingnrs2002andmustasthefirststepadequatelydiagnosethemalnutritionincrohnsdiseaseinpatientsaretrospectivestudy AT hongliu glimcriteriausingnrs2002andmustasthefirststepadequatelydiagnosethemalnutritionincrohnsdiseaseinpatientsaretrospectivestudy AT minliu glimcriteriausingnrs2002andmustasthefirststepadequatelydiagnosethemalnutritionincrohnsdiseaseinpatientsaretrospectivestudy AT chenyitang glimcriteriausingnrs2002andmustasthefirststepadequatelydiagnosethemalnutritionincrohnsdiseaseinpatientsaretrospectivestudy AT jinruwu glimcriteriausingnrs2002andmustasthefirststepadequatelydiagnosethemalnutritionincrohnsdiseaseinpatientsaretrospectivestudy AT guofeng glimcriteriausingnrs2002andmustasthefirststepadequatelydiagnosethemalnutritionincrohnsdiseaseinpatientsaretrospectivestudy AT weiwu glimcriteriausingnrs2002andmustasthefirststepadequatelydiagnosethemalnutritionincrohnsdiseaseinpatientsaretrospectivestudy |