Validation of GLIM criteria for hospital malnutrition diagnosis by comparison of three different anthropometric approaches to evaluate reduced muscle mass: a prospective cohort study
Background and aimThe Global Leadership Initiative on Malnutrition (GLIM) recently proposed a new malnutrition diagnostic tool known as the GLIM criteria. The GLIM criteria need confirmed validation before being widely used in each population or healthcare system. This study aimed to investigate the...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2024.1438158/full |
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| author | Mostafa Shahraki Jazinaki Mostafa Shahraki Jazinaki Mohammad Safarian Mohammad Safarian Seyyed Mostafa Arabi Seyyed Mostafa Arabi Jamshid Jamali Jamshid Jamali Abdolreza Norouzy |
| author_facet | Mostafa Shahraki Jazinaki Mostafa Shahraki Jazinaki Mohammad Safarian Mohammad Safarian Seyyed Mostafa Arabi Seyyed Mostafa Arabi Jamshid Jamali Jamshid Jamali Abdolreza Norouzy |
| author_sort | Mostafa Shahraki Jazinaki |
| collection | DOAJ |
| description | Background and aimThe Global Leadership Initiative on Malnutrition (GLIM) recently proposed a new malnutrition diagnostic tool known as the GLIM criteria. The GLIM criteria need confirmed validation before being widely used in each population or healthcare system. This study aimed to investigate the validation of the GLIM criteria for malnutrition diagnosis in hospitalized patients.MethodsThe content validity was assessed by calculating the content validity ratio (CVR) and content validity index (CVI). Subjective global assessment (SGA) is considered the reference tool to diagnose malnutrition in concurrent validation. In addition, the Kuder–Richardson 20 was used to evaluate the reliability of the GLIM criteria. Furthermore, hospital mortality, length of hospitalization (LOS), prolonged hospital stays (LOS >6 days), 30-day hospital readmission, and 30- and 60-day mortality were identified as malnutrition-related outcomes in predictive validity.ResultsA total of 332 adult/elderly hospitalized patients (median age: 58 (IQR: 24.7), 60.5% men) were enrolled to present the study. Appling GLIM criteria by considering the calf circumference < 31 cm in both genders or mid-upper arm (MUAC) < 23 cm in men and MUAC <22 cm in women as reduced muscle mass had an appropriate accuracy (84.6 and 83.4%, respectively), good ability to distinguish malnourished patients (AUC ROC: 0.85 and 0.83, respectively), satisfactory sensitivity (89.58 and 84.02%, respectively), and satisfactory specificity (81 and 83%, respectively) compared to the SGA tool. Furthermore, the reliability of the GLIM criteria for malnutrition diagnosis in hospitalized patients was acceptable in all 3 applied approaches (KR-20 > 0.5). The malnutrition diagnosed by GLIM criteria could significantly predict the odds of prolonged hospital stays, 30-day hospital readmission, and 60-day mortality, while it had no significant association with the risk of hospital mortality.ConclusionThe current study revealed that applying GLIM criteria had satisfactory validity in diagnosing hospital malnutrition in non-critically ill hospitalized patients. |
| format | Article |
| id | doaj-art-076b975415ef43aaa8ebb67a2e74e41b |
| institution | Kabale University |
| issn | 2296-861X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Nutrition |
| spelling | doaj-art-076b975415ef43aaa8ebb67a2e74e41b2024-12-05T04:26:37ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2024-12-011110.3389/fnut.2024.14381581438158Validation of GLIM criteria for hospital malnutrition diagnosis by comparison of three different anthropometric approaches to evaluate reduced muscle mass: a prospective cohort studyMostafa Shahraki Jazinaki0Mostafa Shahraki Jazinaki1Mohammad Safarian2Mohammad Safarian3Seyyed Mostafa Arabi4Seyyed Mostafa Arabi5Jamshid Jamali6Jamshid Jamali7Abdolreza Norouzy8Student Research Committee, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranMetabolic Syndrome Research Centre, Mashhad University of Medical Sciences, Mashhad, IranNoncommunicable Diseases Research Center, Neyshabur University of Medical Sciences, Neyshabur, IranHealthy Ageing Research Centre, Neyshabur University of Medical Sciences, Neyshabur, IranSocial Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranBackground and aimThe Global Leadership Initiative on Malnutrition (GLIM) recently proposed a new malnutrition diagnostic tool known as the GLIM criteria. The GLIM criteria need confirmed validation before being widely used in each population or healthcare system. This study aimed to investigate the validation of the GLIM criteria for malnutrition diagnosis in hospitalized patients.MethodsThe content validity was assessed by calculating the content validity ratio (CVR) and content validity index (CVI). Subjective global assessment (SGA) is considered the reference tool to diagnose malnutrition in concurrent validation. In addition, the Kuder–Richardson 20 was used to evaluate the reliability of the GLIM criteria. Furthermore, hospital mortality, length of hospitalization (LOS), prolonged hospital stays (LOS >6 days), 30-day hospital readmission, and 30- and 60-day mortality were identified as malnutrition-related outcomes in predictive validity.ResultsA total of 332 adult/elderly hospitalized patients (median age: 58 (IQR: 24.7), 60.5% men) were enrolled to present the study. Appling GLIM criteria by considering the calf circumference < 31 cm in both genders or mid-upper arm (MUAC) < 23 cm in men and MUAC <22 cm in women as reduced muscle mass had an appropriate accuracy (84.6 and 83.4%, respectively), good ability to distinguish malnourished patients (AUC ROC: 0.85 and 0.83, respectively), satisfactory sensitivity (89.58 and 84.02%, respectively), and satisfactory specificity (81 and 83%, respectively) compared to the SGA tool. Furthermore, the reliability of the GLIM criteria for malnutrition diagnosis in hospitalized patients was acceptable in all 3 applied approaches (KR-20 > 0.5). The malnutrition diagnosed by GLIM criteria could significantly predict the odds of prolonged hospital stays, 30-day hospital readmission, and 60-day mortality, while it had no significant association with the risk of hospital mortality.ConclusionThe current study revealed that applying GLIM criteria had satisfactory validity in diagnosing hospital malnutrition in non-critically ill hospitalized patients.https://www.frontiersin.org/articles/10.3389/fnut.2024.1438158/fullvalidationThe Global Leadership Initiative on Malnutritionnutritional assessmentmalnutritionclinical outcomes |
| spellingShingle | Mostafa Shahraki Jazinaki Mostafa Shahraki Jazinaki Mohammad Safarian Mohammad Safarian Seyyed Mostafa Arabi Seyyed Mostafa Arabi Jamshid Jamali Jamshid Jamali Abdolreza Norouzy Validation of GLIM criteria for hospital malnutrition diagnosis by comparison of three different anthropometric approaches to evaluate reduced muscle mass: a prospective cohort study Frontiers in Nutrition validation The Global Leadership Initiative on Malnutrition nutritional assessment malnutrition clinical outcomes |
| title | Validation of GLIM criteria for hospital malnutrition diagnosis by comparison of three different anthropometric approaches to evaluate reduced muscle mass: a prospective cohort study |
| title_full | Validation of GLIM criteria for hospital malnutrition diagnosis by comparison of three different anthropometric approaches to evaluate reduced muscle mass: a prospective cohort study |
| title_fullStr | Validation of GLIM criteria for hospital malnutrition diagnosis by comparison of three different anthropometric approaches to evaluate reduced muscle mass: a prospective cohort study |
| title_full_unstemmed | Validation of GLIM criteria for hospital malnutrition diagnosis by comparison of three different anthropometric approaches to evaluate reduced muscle mass: a prospective cohort study |
| title_short | Validation of GLIM criteria for hospital malnutrition diagnosis by comparison of three different anthropometric approaches to evaluate reduced muscle mass: a prospective cohort study |
| title_sort | validation of glim criteria for hospital malnutrition diagnosis by comparison of three different anthropometric approaches to evaluate reduced muscle mass a prospective cohort study |
| topic | validation The Global Leadership Initiative on Malnutrition nutritional assessment malnutrition clinical outcomes |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2024.1438158/full |
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