Malnutrition prevalence according to GLIM and its feasibility in geriatric patients: a prospective cross-sectional study
Permanent lenke
https://hdl.handle.net/10037/35052Dato
2024-01-19Type
Journal articleTidsskriftartikkel
Peer reviewed
Forfatter
Enge, Maria; Peelen, Frida Ostonen; Nielsen, Rikke Lundsgaard; Beck, Anne Marie; Olin, Ann Ödlund; Cederholm, Tommy; Bostrøm, Anne-Marie; Paur, IngvildSammendrag
Methods Consecutive patients from two acute geriatric wards were included. For screening risk of malnutrition, the Mini Nutritional Assessment-Short Form (MNA-SF) or Malnutrition Screening Tool (MST) were used. In accordance with GLIM, a combination of phenotypic and etiologic criteria were required for the diagnosis of malnutrition. Feasibility was determined based on % data completeness, and above 80% completeness was considered feasible.
Results One hundred patients (mean age 82 years, 58% women) were included. After screening with MNA-SF malnutrition was confirmed by GLIM in 51%, as compared with 35% after screening with MST (p = 0.039). Corresponding prevalence was 58% with no prior screening. Using hand grip strength as a supportive measure for reduced muscle mass, 69% of the patients were malnourished. Feasibility varied between 70 and 100% for the different GLIM criteria, with calf circumference as a proxy for reduced muscle mass having the lowest feasibility.
Conclusion In acute geriatric patients, the prevalence of malnutrition according to GLIM varied depending on the screening tool used. In this setting, GLIM appears feasible, besides for the criterion of reduced muscle mass.